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SMB II > Sebaceous & Sweat Glad disorders > Flashcards

Sebaceous & Sweat Glad disorders Flashcards

1
Q

Hidradenitis suppurativa- Eti

A

Affects more females than males- anogenital or axillary involvement- predisposing factors plus genetics.

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2
Q

Hidradenitis suppurativa- Sx

A

Keratinous plugging of follicle-> inflammation->tissue destruction-> ulceration and fibrosis

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3
Q

Hidradenitis suppurativa- Dx

A

Clinical- keratin occlusion of hair follicle and inflammation

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4
Q

Hidradenitis suppurativa- Tx

A

I & D, doxycycline, prevention & glucocorticoids

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5
Q

Hyperhindrosis- Eti

A

Excessive sweating beginning in childhood, commonly family history. Affects palms, axilla, forehead, feet

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6
Q

Hyperhindrosis- Sx

A

Excessive sweating for 6 months or more without apparent cause- bilateral, affects ADLs at least 1 per week, onset before age 25

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7
Q

Hyperhindrosis-Dx

A

Clinical

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8
Q

Hyperhindrosis- Tx

A

Aluminum chloride

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9
Q

Rosacea- Eti

A

Chronic facial disorder- unknown pathology

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10
Q

Rosacea- Sx

A

3 stages- flushing to temperature, spicy food, emotions-. persistent erythema, telangiectasias, papules & pustules-> deep erythema, nodules.

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11
Q

Rosacea- Dx

A

Clinical

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12
Q

Rosacea- Tx

A

Topical metronidazole or systemic minocycline

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13
Q

Perioral dermatitis- Eti

A

Unknown- aggravated by topical corticosteroids. Affects teens to mid ages

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14
Q

Perioral dermatitis- Sx

A

1-2 mm erythematous papulopustules with erythematous background- central confluence with satellites. perioral, nasiolabial and periorbital

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15
Q

Perioral dermatitis- Tx

A

Metronidazole or minocycline

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16
Q

Acne vulgaris- Eti

A

Affects 85% population- more severe in males, begins at puberty to 3-4th decade

17
Q

Acne vulgaris- Sx

A

Comedones- open or closed papules and papulopustules. Inflammatory

18
Q

Acne vulgaris- Dx

A

Culture if necessary, otherwise clinical

19
Q

Acne vulgaris- Tx

A

Topical clinda and erythro, bezoyl peroxide- oral minocycline if moderate to severe

20
Q

Acne conglobata- Eti

A

Severe cystic acne on trunk. Coalescing nodules, cysts abscesses and ulcers

21
Q

Acne conglobata- Tx

A

Isotretinoin- retinoid which inhibits sebaceous gland function

22
Q

Epidermal inclusion cysts- Eti

A

Cutaneous cyst arising from hair follicle- face, trunk & scrotum in young to mid-aged adults

23
Q

Epidermal inclusion cysts - Sx

A

Thin cyst wall with cheese like discharge when squeezed. Becomes inflamed rather than infected. Overlying comedone or punctum

24
Q

Epidermal inclusion cysts - Tx

A

No abx- sterile. Surgical removal of cyst sac.

25
Q

Sebaceous hyperplasia- Eti

A

Enlargement of sebaceous gland

26
Q

Sebaceous hyperplasia- Sx

A

Yellow, umbilicated asymptomatic papules. Common on face

27
Q

Sebaceous hyperplasia- Tx

A

Cosmetic removal- not medically required

SMB II (16 decks)

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