Red scaly skin problems Flashcards

1
Q

What is this skin condition?
What are its defining features?

A

Psoriasis:
- It has a silvery scale, but you may need to scratch it to note its silvery sheen.
- It is normally found on extensor surfaces such as the elbow, over the patella, on the sacrum and scalp (but can be anywhere).

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2
Q

What are these conditions called, and what are they associated with?
(Nail pulling off from underneath tissue).

A

Onycholysis (nail lifts off the nail bed) and pitting of the nails: they are associated with psoriasis.

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3
Q

What is this phenomenon called? and what is it associated with?
Ladys back which has been exposed to the sun and has broken out in a red rash.

A

d

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4
Q

What other conditions can psoriasis increase your risk of?

A

Lots of crap: but maybe remember joint diseases, eye diseases and cvd.

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5
Q

What is guttate psoriasis?

A
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6
Q

What is inverse psoriasis? How does it differ from standard psoriasis?

A
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7
Q

What is the treatment for mild psoriasis?
What is the treatment for severe psoriasis?

A

Mild: Mild steroid creams for the face and flexures, strong steroid creams for short periods of time on the trunk and limbs.
Can also use tar creams.
Severe:

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8
Q

What is another name for seborrheic dermatitis?
What is it?
What causes it?
When it is most common?
How do you treat it?

A

AKA dandruff when it is in the hair follicles.
- It is an abnormal inflammatory response to the commensal yeast malassezia.
- Occurs most commonly in the nasolabial folds, medial eyebrows, medial cheeks, behind the ears and the scalp.
- Treatment doesn’t cure but suppresses: antifungals and steroids.

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9
Q

What is this condition?
How can you determine it is this condition?
How do you treat it?

A

Pityriasis rosea: Collarette of scale (peeling ring of scale a few mm from the edge). It goes away by itself in a few weeks (it may itch from nil to severe).

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10
Q

What is this condition?
What causes it? How do you diagnose it?

A
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11
Q

How do you treat DLE?

A
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12
Q

What is this condition?
Where is it normally found?
What is the biggest risk factor?

A
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13
Q

What causes this condition (specifically)?

A

Fungal infection of Trichophyton rubrum or T mentagrophytes. This occurs in 15-20% of males.

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14
Q

If you get fungal infection of the nail, how would you treat it?

A

Systemic antifungals such as terbinafine or itraconazole.

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15
Q

What is curious about fungal infection of the hands?

A

It normally only affects one hand, but in the feet both are normally affected.
It normally produces a fine powdery scale.

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16
Q

What is erythroderma?

A

Most common cause of erythroderma:
1) Eczema, 2) psoriasis 3) lymphoma and leukemia. 4) drug reaction.

17
Q

What is this condition?

A

Erythroderma

18
Q

What is eczema?

A

Its a generic name for dermatitis, and can be caused by many different things.

19
Q

What are these conditions?

20
Q

What are these conditions?

21
Q

What is this condition called?
What is the treatment?

A

1) Moisturise
2) Topical steroids once a day (can use potent steroid to quickly reduce it, then switch to mild ones).
3) Can use phototherapy.

22
Q

What causes this? whats it called?

23
Q

Explain the pathogenisis of this disease. What commonly causes it?

A

You can do patch testing to figure out what cause it.

24
Q

What is a mild steroid?
What is a potent steroid?

A

Hydrocortisone is weak.
Prednisone is 4-5x stronger.

25