Self Study 6

Question 1

what does allgx and H dermatoses involve

Answer 1

inflm respoonse to multi exogenous/endogenous agents

Question 2

what is allgx and H deramtoses charcterized by

Answer 2

epidermal edieam with seperation of epidermal cells

Question 3

what dermatitis’ does allgx and H deramtoses involve

Answer 3

irritant contact dermatitis, allgx contact dermatits, atopic and nummular eczema, drug induced skin interuptions

Question 4

contact dematitis

Answer 4

common inflm of skin

Question 5

2 types of contact dermatitis

Answer 5

allergic and irritant CD

Question 6

what does allgx CD result from

Answer 6

cell mediated, type4 H rxn

Question 7

what type of reaction occurs in ACD

Answer 7

t cell only. no abs.

Question 8

2 kinds of ACD reaction

Answer 8

direct cytotoxic T cell destr of macrophage

deylaed t cell prod of lymphokines that destroy ag bearing cell days later

Question 9

primary lesions ACD

Answer 9

mild erythema with edema to vesicles or lrage bullae

Question 10

secondary lesions ACD

Answer 10

dt bacterial infc

Question 11

where do lesions in ACD occur

Answer 11

anywhere

Question 12

ICD cause

Answer 12

caused by chemicals that irritate skin, environmental triggers

Question 13

risk for ICD

Answer 13

hx of atopic dermatitis

Question 14

4 types of ICD

Answer 14

subjective, acute, chonic, chemical burns

Question 15

subjective ICD

Answer 15

no clinical mnfts

burning or stinging when exposed to irritant

Question 16

acute ICD

Answer 16

due to single exposures to irritant

dryness, erythema, edmea, inflm, vesicles

Question 17

chronic ICD

Answer 17

results from contd exposure to irritant , even when irritant removed.
dryness, erythema, sclaes, fissures, vesicles

Question 18

chemical burn ICD

Answer 18

deep necrosis from contact with cement prod

Question 19

Tx ICD

Answer 19

remove source
change lifestyle
minor: wash area, apply anti itch cream, topical corticosteroids?
mod - extreme: tx with wet dressing, oral antihistamine, systemic corticosteroids

Question 20

eczema

Answer 20

inflm of skin

Question 21

2 types of eczema

Answer 21

atopic dermatits

nummular eczema

Question 22

atopic derm

Answer 22

ithcy, inflm skin disorder

Question 23

what is atopic derm characterized by

Answer 23

poorly defind erythema with edema, vesicles, weeping (acute)
skin thickening (chronic)

Question 24

how is atopic derm often described

Answer 24

IgE mediated H. Similar to Allgx patho.

Question 25

how do mnfts present in atopic derm

Answer 25

differently depending on age and race

Question 26

when do 70% of atopic derm cases start

Answer 26

peds

Question 27

what is atopic derm characterized with (mnfts)

Answer 27

vesicles formation, oozing, cursting

Question 28

where does atopic derm begin (peds)

Answer 28

cheeks, progress to scalp, arms, trunk, legs

Question 29

atopic derm mnfts adolsecent (acute)

Answer 29

dry, red patches on face, neck, upper trunk-no thickening

Question 30

atopic derm mfnts adolescent (chronic)

Answer 30

dry, leathery, lichenfied spin

Question 31

is there a gen predisopostion in atopic derm

Answer 31

yes

Question 32

tx for atopic derm

Answer 32

avoid temp changes/stress
skin care
avoid triggers
dec contact with awater
meds
wet derssing
probiotics

Question 33

why should a person with atopic derm avoid temp changes

Answer 33

minimize vasscular and sweat response

Question 34

what triggers does a person with atopic derm have to avoid

Answer 34

evironmental

food

Question 35

what meds are used to tx atopic derm

Answer 35

topical corticosteroids

topical immune modulators

Question 36

nummular eczema lesions

Answer 36

coin shaped lesions

papulovesicular patches on arms and legs

Question 37

what is normal for NE leision patterns

Answer 37

initial leisions heal, followed by secondary outbreak of mirror image leisons on opposite side of body

Question 38

pattern of exacerbation for NE

Answer 38

chornic, with weeks and years between exacerbations. happens mostly in winter

Question 39

tx for NE (lifestyle

Answer 39

avoid iodides and bromides
avoid frequent bathing and stress
inc environmental humidty
t

Question 40

tx for NE (pharm)

Answer 40

topical emollients, corticosteroids, coal tar preperations, uv light