Rashes Flashcards
Scabies
- how many mites are found
- treatment
1 out of 10 lesions will find a mite
dig it out and put it on scope
permethrin cream neck down-sleep-shower then repeat in one week
Contact dermatitis
treatment
medrol dose pack
allgery pill- Zyertec & benadryl
stay away from heat
Tinea Curis
- location
- look like?
- treatment
Fungus on Curius = on body/trunk
looks like red base with scaly plaques
Usually caused by some sort of moisture
Treatment: Ketoconozole 2-4 weeks on area
Recurrent Tinea
Terbinafine- Lamisil
need to do labs before beginning treatment and during
*risk of liver damage
*1-2% could lose taste permanently
Inverse Psoriasis
- look up
Differential for large scaly plaques
Tinea
Psoriasis
Granulomata areate
Discoloration on the bilateral shins
Statis dermatitis
- treatment is compression stockings
- at risk for ulcers
Pitting edema
distal legs- statis dermatitis
risk for ulcers
plaque psoriasis
-treatments
- otazla BID
- kenalog shots into leasions
- topicals foam
- Derma smooth - greesy
hidrocystoma
cyst on the eye
-lance to remove
Hair loss in circles
alopecia areata
Hair loss due to stressful events- surgery, moving, death
teleogen effluvium
white spots scattered mainly on legs and arms
stucco keratosis- only a few mm in size
Acrochordon
skin tags- cut, freeze or burn
risk of coming back
usually in sites where rubbing occurs
Treatment for atopic dermatitis
- Predisone
- allergic work up
- Eleda
- ucrisaa
- dupixdent - injection
Keratosis pilaris
no scrubbing with lufas
Amlactin topical OR urea OTC
both help keratolytic
Itch all over body
ddx: parasties, cancer, mites check liver function, kidney, travel history, stress post scrabic itch CBC LFT's TSH BUN/Cr
What do mites look like under dermatoscope
arrow heads
Grovers disease
another name: transient acantholytic dermatosis
Triggers: Suspected triggers of disease activity include heat and sweating, sunlight, ionizing irradiation, end-stage renal disease/hemodialysis, mechanical irritation or prolonged bedrest, and solid organ transplantation, medications
treatment for grovers disease
steroids- Relapse appears to be common upon withdrawal.
- Topical vitamin D analogs
- Systemic retinoids
- Phototherapy and photochemotherapy (PUVA) [38,39]. PUVA may cause an initial exacerbation of symptoms before producing benefit.
- Red-light 5-aminolevulinic acid photodynamic therapy (ALA-PDT)
Calcipotriol (calcipotriene)
topical vit D $$$$
Good for Grovers disease
not helpful for psoriasis- usually mixed with steroid
what OTC lotions are good for itching
Scarna
oral benadryl
Zyrtec
Treatment for roasaca
Topical- Steroid, Cerva cleanser and lotion
oral - Metronidazole (for gram negatives)
Allergic dermatitis on the face treatment
Trinex dialy 1-2 week
Gutate psorasis
- small lesions compared to plaque psoriasis
- appear with sore throat or anal strep
- flares up with smoking, alcohol
tx topical steroids & Vit D
Hyperhydrosis Treatment
- Alumin chloride
- Glycopyrate topical or Oral
- Botox injections
Criteria for Hyperhidrosis
RULE OUT CAUSE OF PITUITARY Bilateral and relatively symmetric Impairs daily activities At least one episode per week Onset before age 25 Family history of idiopathic hyperhidrosis Focal sweating stops during sleep
side effects- skin skin maceration and staining of clothes
How do you measure psorasis
use the burn body method Head - 9% total - front is 4.5% Trunk - 18% - upper trunk 9%, lower truck 9% back - 18% arms- 9 % each- front of arm 4.5% legs 18% each - front of leg 9%
Perioral dermatitis treatment
can be caused by topical steroids
discontinue - fluoridated tooth paste, cinnamon, skin moisturizers, cosmetics, hormonal function, birth control.
Treatment - Pimecrolimus Elidel
Rash associated with Molluscum
Molluscum deramtitis - area under the molluscum can get raised and irritated
treat rash first then treat molluscum
Explain Molluscum
caused by a pox virus
What causes telogen effluvium
diet change, stress, TSH, iron, Vit D, testosterone, DHEAs, family genetics (even auts and uncles), pregnancy, surgery
Treatment of telogen effluvium
Topical rogain 5% propecia - not for young women supplemnts- nutrafol 4 pills aday, preg B red light helment plasma rich protein injections
Explain Nutrafol
its a natural supplement for hair loss
it contains- salpalmento &
inportment for hair grow and blocking testosterone (hair loss)
200$ for 3 months , recommend being on it for at least 6 months
take a before and after picture
4 pills a day
Pregnancy category B
cracking on the sides of the mouth
Chelitis- common with atopic dermatitis
caused by different things- allergic chelitis
can be chronic- consider patch testing
treatment- anti fungal nystain mouth for 14 days
Hyperhindrosis- pathway
activated ach at the synpatic clef- muscle contraction
causing more oil secretion
-botox treatment helps relax those muscles and stop the contraction - leading to less oil secretion
Rash on the legs- looks like statis dermaotsis
Progressive pigmentary dermatosis - PPD
OR
Schamberg purpura
Dermatographism
pretty much hives- hypersensitivity
condition - sun light sensitivity
Polymorphsis light eruption
What is an important question to ask before prescribing Sulfa - bacterium
Ask if they have any allergies to dried fruit
What is Roseca
nerves in our face intervate the capillares to open and close for heat, etc.
when the nerves become damaged the capillaries stay open = redness
Treatment for Roseca
- avoid triggers - heat, embarassment
- lasers in the early stages
- metronitizole gel
Seborrhea dermatitis
- Hydrocortizone
- Ketoconzalone
* not a fungus but responds to the treatment
use everyday until gone then every other day for maintance
Hyperhindrosis of the feet
- rule out
- treatment
- rule out pitting psoriasis
1. first line topical antiperspirants- aluminum physically blocks the opening of the sweat gland
*Rx strength deodrants should be applied each night then washed off in the morning. Once sweating has slowed, every other night, once weekly, etc.
tip- can use baking powder after washing it off, this will absorb any remaining alumin
botulinum toxin injections, microwave thermolysis, or topical glycopyrronium
Herpes simplex
treatment
- otc abreva
2. valtrex - 1 pill now wait 12 hours later
Oncomycosis
- another name
- treatment
tinea unguium
Lamisile- terbenfine - lost of taste perment, liver affects
cant be on statins
draw LFT’s now, 2 months, 6 months
Tinea versicolor
pityriasis versicolor
- NOT A FUNGAL INFECTION
- hyper or hypo pigmented areas
- most common in tropical areas
Schambergs
Pigmented purpuric dermatosis - PPD
“chyanpepper legs”
Hand-foot-mouth disease
-caused by what
common on the butt as well
virus coxsackievirus
