Red Scaly Rash Flashcards

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1
Q

when dealing with rashes, what do you rule out first how?

A
  • fungal infection - KOH exam
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2
Q

what is an acute exanthematous eruption that mainly occurs in young people

A
  • Pityriasis rosea
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3
Q

Pityriasis rosea related to what kind of infection

A
  • HHV6
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4
Q

Pityriasis rosea symptoms

A
  • asymptomatic - patients may have flu-like symptoms before
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5
Q

Pityriasis rosea pattern

A
  • follows skin tension lines
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6
Q

Pityriasis rosea palm and sole involvement

A
  • none
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7
Q

Pityriasis rosea classically starts with a

A
  • herald patch
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8
Q

what is the annular erythematous 2-10 cm patch on the body that presents with Pityriasis rosea

A
  • herald patch
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9
Q

secondary phase of Pityriasis rosea

A
  • symmetrical patches and plaques
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10
Q

scale and clearing with herald patch in Pityriasis rosea

A
  • peripheral scale - central clearing
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11
Q

Pityriasis rosea color in white people

A
  • salmon colored
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12
Q

Pityriasis rosea in darker skin types

A
  • brown, gray, purple
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13
Q

Pityriasis rosea treatment

A
  • generally self limiting
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14
Q

what begins with a painless chancre sore

A
  • primary syphilis
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15
Q

what is characteristic round macule with collarettes of scale on the palms and soles of the feet

A
  • secondary syphilis
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16
Q

how to confirm secondary syphilis

A
  • skin biopsy with T. pallidum immunostain - serologic test
17
Q

treatment for secondary syphilius

A
  • IM penicillin G
18
Q

what presents as multiple coin-shaped eczematous plaques on the extremities and trunk

A
  • nummular dermatitis
19
Q

central clearing of nummular dermatitis

A
  • lack central clearing
20
Q

big symptom of nummular dermatitis

A
  • very itchy - lasts a long time
21
Q

characteristics of lesions of nummular dermatitis

A
  • may weep - crack - or crust
22
Q

treatment of nummular dermatitis

A
  • potent steroid
23
Q

what affects the lower legs, flanks, and arms in the elderly

A
  • asteatotic dermatitis (xerotic eczema)
24
Q

early signs of asteatotic dermatitis (xerotic eczema)

A
  • flaking of skin - pruritis
25
Q

treatment of evolved asteatotic dermatitis (xerotic eczema)

A
  • high potency topical steroid
26
Q

how to rule out tine corporis

A
  • do KOH test
27
Q

what is the serological test for syphilis

A
  • rapid plasma reagin