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Clin Med Exam 1 (Lauren) > Seb Derm, Lichen P, Pit rose Etc > Flashcards

Seb Derm, Lichen P, Pit rose Etc Flashcards

1
Q

Tapioca vesicles

A

Pompholyx/dishydrotic eczema

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2
Q

What are associated disorders with psoriasis

A

Psoriatic arthritis
IBD, heart disease, DM, infections, autoimmune disorder,
EYE stuff

~it’s not just a skin disorder~

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3
Q

What skin condition is associated with Hepatitis C

A

Lichen planus

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4
Q

What is guttate psoriasis

A

Psoriasis that looks like droplets often preceded by strep infection

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5
Q

What is the treatment for psoriasis?

A 
Sunshine
Baths (moisten thick plaques)
Emollients (reduce itching)
Occlusive dressings,
Rest
Topical steroids
Topical vitamin D
Coal Tar
Retinoids
Topical Calcineruin inhibitors
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6
Q

What is a topical retinoid for psoriasis

A

Tazarortene (Tazorac)

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7
Q

What does the herald patch of pityriasis rosea look like

A

Oval slightly raised lesion with collarette scale

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8
Q

How do you treat seborrheic derm on scalp

A

Antifungal agents
Topical steroids
Ketoconazole shampoo/cream
Selenium shampoo

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9
Q

What is dactylitis and what disease is it associated with

A

Sausage fingers, associated with psoriatic arthritis

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10
Q

when does seborrheic derm get worse

A

Emotional stress and during cold/dry weather

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11
Q

What is the Koebner phenomenon

A

Development of lichen planus in sites of trauma

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12
Q

What are the 4 P’s of Lichen Planus

A

Pruritic
Purple
Polygonal
Papules (or Plaques)

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13
Q

How prevalent is Psoraitic arthritis

A

30% of pts with psoriasis

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14
Q

Wickhams Striae

A

Lichen planus

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15
Q

1st line treatment for lichen planus

A

high or super high potency topical or intralesional steroids (for trunk and extremities)

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16
Q

What does psoriasis do to the fingernails

A

“Oil spots” PATHOGNOMIC
Pitting
Onycholysis

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17
Q

Who gets pityriasis rosea most commonly

A

Teens and young adults

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18
Q

How does pityriasis rosea first present

A

Prodrome, then Herald patch followed by secondary rash 1-2 weeks later

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19
Q

What is “cradle cap”

A

Seborrheic derm on infants

Yellow greasy scales on vertex of scalp

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20
Q

What does psoriasis look like?

A

Thickened dry raised patches covered with a SILVERY WHITE SCALE

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21
Q

How do you treat seborrheic blepharitis or cradle cap?

A

Olive oil
Baby shampoo
Warm water to loosen crusts

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22
Q

Micaceous Silvery Scale

A

Psoriasis

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23
Q

What body parts are usually affected by psoriatic arthritis?

A

Smaller joints
DIP joints
Spine
In an asymmetric distribution

24
Q

Neurodermatitis other name

A

Lichen simplex chronicus

25
Q

What is the most common type of psoriasis

A

Chronic plaque (vulgaris)

26
Q

What causes Pityriasis rosea

A

Skin expression of viral disease (herpes HHV6/7)

27
Q

What is the treatment for pityriasis rosea

A

REASSURANCE
Oral antihistamines
Medium strength topical steroids
Sunlight

28
Q

What are wickham’s striae associated with

A

Lichen planus

Tiny white lines running through papules

29
Q

What rash has a “cigarette paper” like appearance to the plaques

A

Pityriasis rosea

30
Q

How does seborrheic derm present on adults

A

Red macules, patches or plaques with YELLOW GREASY-LOOKING SCALES

31
Q

How do YOU treat Psoriatic Arthritis

A

Should be coordinated between a rheumatologist, dermatologist, and PA-C

32
Q

What is seborrheic blepharitis

A

Seborrheic derm on eyelashes

33
Q

Can you use oral steroids for psoriasis?

A

NO NO NO NO NO NO NO

It gets worse after you stop them and the pt can wind up in hospital

34
Q

What rash presents in a CHRISTMAS TREE PATTERN

A

Pityriasis rosea

35
Q

Moderate to severe psoriasis requires what

A

Phototherapy
Systemic therapies
CARE BY DERMATOLOGIST

36
Q

What are the most common places to get lichen planus

A 
WRISTS
Back
Shins
Ankles
Penis
MOUTH (50%)
37
Q

What causes seborrheic derm

A

Sebaceous glands create a favorable environment for M. Furfur, which is normally found on skin

38
Q

What are the names of synthetic Vitamin D topical

A

Calcitriol

Calcipotriol/calcipotriene (Dovonex)

39
Q

What topical steroids are appropriate for psoriasis

A

Group I or II (High or super high potency to get through the thick plaque)

Clobetasol
Betamethasone
Fluocinonide

40
Q

What is Auspitz sign?

A

Removal of psoriasis plaque reveals shiny skin with tiny blood spots

41
Q

Christmas Tree

A

Pityriasis Rosea

42
Q

How do you treat seborrheic derm on face

A

Low potency topical steroid

Topical antifungal

43
Q

Atopic triad

A

Atopic eczema
Allergic rhinitis
Asthma

44
Q

What causes psoriasis

A

Overactive T Cells cause body to make new skin cells super fast, skin can’t be sloughed off fast enough=INCREASED THICKNESS (PLAQUE)

45
Q

What are some steroid sparing agents you can add to a patient treatment for psoriasis

A

Synthetic Vitamin D
Coal Tar
Topical Retinoids
Topical Calcineruin inhibitors

46
Q

What causes lichen planus

A

Immune mediated response, but other than that we don’t react know what causes it

47
Q

What conditions is the Koebner phenomenon associated with?

A

Psoriasis vulgaris
Lichen Planus

(Getting lesions in areas of skin injury)

48
Q

Who is more likely to get seborrheic dermatitis

A

M>F

20’s-30’s peak prevalence

49
Q

What are topical Calcineruin inhibitors for psoriasis

A

Tacrolimus

Pimecrolimus

50
Q

What is a good steroid for lichen planus

A

Triamcinolone

51
Q

What lab findings are common with psoriatic arthritis?

A

Elevated Sedimentation rate

Leukocytosis (elevated WBC)

52
Q

Who gets lichen planus most commonly

A

30-60 year olds

53
Q

How long does it take for pityriasis rosea to fo away

A

6-8 wks

54
Q

What gene identifies patients who are DESTINED to develop psoriatic arthritis in addition to their psoriasis?

A

HLA-B27

55
Q

4 P’s

A

Lichen Planus

56
Q

What are some of the main things on the Ddx of pityriasis rosea

A

Tinea corporis-herald patch OFTEN mistaken. Do KOH prep

SECONDARY SYPHILIS-do serologic test, RPR (rapid plasma reagent)

Clin Med Exam 1 (Lauren) (5 decks)

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