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Clin Med1 1 > Psoriasis etc > Flashcards

Psoriasis etc Flashcards

0
Q
  • *itch, viscious cycle, often itch before rash
    -**spares groid, axilla
  • atopic triad:
    atopic derm
    allergic rhinitis
    asthma
    -    extensor, face neck in kids
    -*flexor in adults
    -important: *early age of onset, fam hx, xerosis (dry skin)
  • various: scale to papule to vesicle
A

Atopic Dermatitis/Eczema

Seb Derm doesn’t spare groin, axilla

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1
Q

Complications of Atopic Derm/Eczema

A

Lichenification = thickened skin due to itching
Excoriations => 2ndary cellulitis (staph)
Fissures on palms and soles

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2
Q

Tx of Atopic Derm/Eczema

A 
avoid: 
triggers
itching, bathing
Antihistamines for itch
Brief low potency steroid (avoid face)
Use moisturizer
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3
Q

Group 1 steroid

A

super high (deprotene)

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4
Q

Group 2 and 3

A

2: high lidex derm only
3: diprosole

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5
Q

Group 4 and 5

A

Primary care

4: medium (kenalog oint)
5: lower medium (kenalog cream)

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6
Q

Group 6 and 7

A

6: low (aristocort)
7: least (OTC hydrocortisone)

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7
Q
  • looks like Atopic Derm (AD)
  • psychological itching
  • Dry leathery
  • goes away when stop itching
  • topical stroids/moist
  • TCAs (tricyclics?) and neuroleptics
A

Lichen Simplex Chronicus

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8
Q
  • vesicles on sides of fingers, palms, soles
  • INTENSE itch
  • dries and cracks
  • spont remission after 2-3 wks
  • topical steroids
A

DisHidrotic Eczema (pompholyx)

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9
Q

Atopic means

A

itches

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10
Q
  • benign, genetic
  • TONS of red/brown papules
  • outer upper arms, thighs, cheeks, upper back
  • AHA
A

Keratosis Pilaris

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11
Q

-delayed-hypersensitivity (Type IV)
-poison ivy, nickel, latex,
NEOSPORIN/NEOMYCIN

A

Allergic Contact Dermatitis

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12
Q

-acute, chronic
-water, detergents, friction
-80% / occupational
-Tx:
stop irritant
decrease hand-washing
lots of bland emollient (vaseline, aquaphor)
topical steroid

A

Irritant Contact Derm

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13
Q
  • chronic inflammation
  • affects infants + teens, adults
  • infants: yellow-greasy, scales on scalp, diaper, axilla
  • adults: greasy scales, yellow-red macules, patches, papules
  • head has more seb glands: nasolabial, base of eyelash, eyebrows, behind ear and meatus, sternum, upper back
A

Seborrheic Derm (SD)

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14
Q

phyrosporum/malesseria cause

A

seb derm and Tinia Versicolor

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15
Q

Tx of seb derm

A

Anti-dandruf shampoo
Ketoconazol cream
Severe: oral ketoconasol or diflucan

16
Q 
4 Ps + wrists/hands and mouth (50%)
purple/pink
pruritic
polygonal
papule
(planar)
White lines
A

Lichen Planus

Wickham’s striae

17
Q
  • very silvery scales
  • Auspitz sign
  • Koebner Phenomenon
  • pitting of nails/separation (jnts and muc memr can be affected)
  • better with UV
  • can develop arthritis
  • elbows, knees and scalp are most
A

Psoriasis

18
Q

Tx of Psoriasis

A
  • always to derm
  • ultra/super high steroid
  • keratolytic agents (anthralin)
  • calcipotriol (vit D3 derivative)
  • phototherapy (UVA/UVB) + pUVA
  • oral: methotrexate, retinoids
19
Q

*starts with 1 herald patch
*oval
*benign
- mild or no pruritis
- self-limited (1-2 months)
- cigarette ppr on some plaques (scaly)
Tx:
- medium (Gr5) topical conticosteroid for itch
- antihistamine for itch
* SUN/no tx

A

Pityriasis Rosea

20
Q

Which conditions spare groin/axilla or groin?

A

Eczema/Atopic derm spares groin and axilla
Tinia Cruris spares groin
Seb derm doesn’t spare groin/axilla

21
Q

which condition doesn’t spare groin/axilla

A

seb derm

22
Q

Malessezia sp (fungal) causes

A

Seb Derm and Tinia Versicolor

23
Q

Seb Derm is what category of skin disorder?

A

Papulosquamous

24
Q

often itches before rash appears

A

eczema/atopic derm

25
Q

Super high potency steroid

A

Diprolene (Beta…)

26
Q

high steroid

A

lidex (derm only)

27
Q

Intermediate steroid

A

hydrocortisone VALERATE 0.2% (vs acetate)

28
Q

low potency steroid

A

Kenalog, Aristocort A
Hydrocortisone ACETATE 2.5%
Hydrocotisone acetate 1% OTC

29
Q

Thick and scaly like Psoriasis

A

Lichen Planus

30
Q

Tx for Lichen Planus

A

Oral/topical Medium Potency Steroids
(Hydrocortisone Valerate 0.2%)
- cyclosporine (immune suppressor)

Clin Med1 1 (8 decks)

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