Rashes Flashcards
Explain Psoriasis
Symmetrical, elbow knee scalp hands nails etc. sharply demrcated, scaly, erythematous plaques
What other types of psoriasis can you get?
Guttate, Palmoplantar, nail disease, erythrodermic/widespread pustular - rare
What can happen to nails in psoriatic nail disease?
Onycholysis, nail pitting, dystrophy, subungal hyperkaratosis
What are treatments for vitamin D deficiency?
Calcipotriol (dovonex) ointment
Calcitriol (Silkis) ointment
What else can treat psoriasis?
coal tar, steroid ointments
What phototherapies are there
UVB and PUVA
What do retinoid treatments do?
reduce skin turnover
What immunosuppresion drugs are used?
Methotrexate
Ciclosporin
what do Fumaric acid esters do?
Disrupt lymphocytes
What immune modulators are there?
biological agents such as TNF blockers
What is Acne
chronic inflammation of the pilosebaceous unit
What are the treatments for Acne?
Benzoyl peroxide - karatolytic, antibacterial
Topical vitamin A derivitives (retinoid) e.g. adapalene
topical antibiotics
Isotretinoin (oral retinoid)
What management is there for rosacae?
dietary triggers,
sun protection,
avoid topical steroids
Antibiotics - topical metronidazole, oral tetracycline
Isotretinoin,
telangiectasia (vascular surgery), rhinophyma surgery/laser shaving
Whats the difference between Bollous pemphigoid and Pemphigus?
Pemphigoid is deeper, through DEJ
Pemphigus is superficial, intra-epidermal
