Pathophys-Day 5 Ages II

Question 1

What are the four factors of acne?

Answer 1

Hyperproliferation of keratinocytes
Excess sebum (hormones)
P Acnes (G+)
Inflammation

Question 2

What medicines are associated with causing acne?

Answer 2

Corticosteroids

Lithium

Question 3

What are some hyperandrogenic states?

Answer 3

Polycystic ovarian syndrome
Virilizing tumors
COngenital Adrenal hyperplasia

Question 4

What is the main difference between acne conglobata and acne fulminans?

Answer 4

Fulminans has systemic symptoms inc fever, arthralgia, bone lesions, etc

Question 5

What is the follicular occlusion tetrad?

Answer 5

Acne conglobata
Hidradenitis suppurativa
Pilonidal cyst
Dissecting cellulitis

Question 6

What are some features of extrinsic aging (photoaging?)

Answer 6

AK
Coarse wrinkles
Elastosis and giant comedones

Question 7

What is stasis dermatitis?

Answer 7

Swelling in old people legs from fluid build up; put on compression socks before get out of bed

Question 8

Asteatotic eczema?

Answer 8

Dry skin - use lotion - old people

Question 9

**What are the two hallmarks of stasis dermatitis treatment?

Answer 9

ELEVATION and COMPRESSION

Question 10

What is Hutchinson’s sign?

Answer 10

Vesicles on end of nose with zoster infection suggest eye involvement - see ophthalmologist ASAP

Question 11

What is perleche?

Answer 11

Candida in corners of mouth

Question 12

Two nutritional deficiencies common in old people that contribute to bad skin?

Answer 12

VitC

B3 / niacin

Question 13

What are the three Ds of pellagra?

Answer 13

Demensia, dermatitis, diarrhea

Question 14

What is pellagra?

Answer 14

Vit B3 deficiency

Question 15

What causes hand foot mouth disease?

Answer 15

Coxsackie

Question 16

Who should really avoid parvovirus?

Answer 16

Pregos

Question 17

Parvovirus presentation

Answer 17

erythema infectiosum

big red face, now rash