Skin: 19.2: Blistering Dermatoses Flashcards

1
Q

Pemphigus vulgaris is the autoimmune destruction of ____.

A

desmosomes

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2
Q

In what layer are desmosomes found?

A

in the stratum spinosum

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3
Q

What kind of antibody is seen in Pemphigus vulgaris?

A

an IgG antibody against desmoglien surrounding the keratinocytes

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4
Q

What is acantholysis?

A

separation of keratinocytes

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5
Q

What connects the basal cell to the basement membrane?

A

hemidesmosomes

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6
Q

an IgG antibody against desmoglien surrounding the keratinocytes

A

Pemphigus vulgaris

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7
Q

Where do the blisters in Pemphigus vulgaris occur?

A

in the skin and mucosa

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8
Q

What do hemidesmosomes do?

A

connect the basal cells to the basement membrane

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9
Q

What kind of antibody is seen in Bullous Pemphigoid?

A

IgG Ab against the basement membrane (hemidesmosomes)

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10
Q

Where does Bullous Pemphigoid occur in the body?

A

on the skin only (no mucous membranes)

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11
Q

Do the bullae rupture easily in Bullous Pemphigoid or Pemphigus vulgaris?

A

Pemphigus vulgaris, bc they are thin-walled

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12
Q

What is the Ab in Dermatitis Herpetiformis?

A

IgA at the tips of the dermal papillae

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13
Q

What skin disease is often seen in Celiacs disease?

A

Dermatitis Herpetiformis

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14
Q

What does Dermatitis Herpetiformis look like?

A

grouped, Herpes-like vesicles that itch

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15
Q

What is Erythema Multiforme?

A

a hypersensitivity rxn with a target rash and bullae assoc. with HSV

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16
Q

Where does Erythema Multiforme occur?

A

the skin and oral mucosa (Steven’s Johnson Syndrome, SES, or Toxic E Necrolysis, or TEN)

17
Q

What causes SJS or TEN?

A

an adverse drug txn

18
Q

What happens in SJS or TEN?

A

skin sloughing like a large burn- life threatening