Skin Flashcards
What are the 4 layers of the Epidermis
From top to bottom: S. corneum S. granulosum S. spinosum (prickle layer) S. basaleFrom top to bottom: S. corneum S. granulosum S. spinosum (prickle layer) S. basaleFrom top to bottom: S. corneum S. granulosum S. spinosum (prickle layer) S. basaleFrom top to bottom: S. corneum S. granulosum S. spinosum (prickle layer) S. basaleFrom top to bottom: S. corneum S. granulosum S. spinosum (prickle layer) S. basaleFrom top to bottom: S. corneum S. granulosum S. spinosum (prickle layer) S. basale
Describe the S. corneum layer?
non-nucleated Contains keratinnon-nucleated Contains keratinnon-nucleated Contains keratinnon-nucleated Contains keratinnon-nucleated Contains keratinnon-nucleated Contains keratin
Describe the S. granulosum layer?
Nuclei disintegrated
Describe the S. spinosum layer?
Cells linked by desmosomes
Describe the S. basale layer?
mitosis
cells bound to BM by hemidesmosomesmitosis
cells bound to BM by hemidesmosomesmitosis
cells bound to BM by hemidesmosomesmitosis
cells bound to BM by hemidesmosomesmitosis
cells bound to BM by hemidesmosomesmitosis
cells bound to BM by hemidesmosomes
What is the name for increased S.corneum and therefore increased keratin?
Hyperkeratosis
What is the name for nuclei in S. corneum
Parakeratosis
What is the name for an increase in S. spinosum?
Acanthosis
What is the name for a decrease in cohesions between keratinocytes?
Acantholysis
What is the name for intercellular oedema?
Spongiosis
What is the name for a linear pattern of melanocyte proliferation within epidermal basal cell layer (can be reactive or neoplastic)?
Lentiginous
Define dermatitis/eczema:
Interchanagable terms for a group of disorders with the same histology
Presents with inflamed, dry, itchy rashesInterchanagable terms for a group of disorders with the same histology
Presents with inflamed, dry, itchy rashesInterchanagable terms for a group of disorders with the same histology
Presents with inflamed, dry, itchy rashesInterchanagable terms for a group of disorders with the same histology
Presents with inflamed, dry, itchy rashesInterchanagable terms for a group of disorders with the same histology
Presents with inflamed, dry, itchy rashesInterchanagable terms for a group of disorders with the same histology
Presents with inflamed, dry, itchy rashes
Where does atopic dermatitis effect infants?
Face + scalp
Where does atopic dermatitis effect older than infants?
Flexural areas
If chronic - lichenification occurs
persits into adulthood in thouse with a FHx of atopyFlexural areas
If chronic - lichenification occurs
persits into adulthood in thouse with a FHx of atopyFlexural areas
If chronic - lichenification occurs
persits into adulthood in thouse with a FHx of atopyFlexural areas
If chronic - lichenification occurs
persits into adulthood in thouse with a FHx of atopyFlexural areas
If chronic - lichenification occurs
persits into adulthood in thouse with a FHx of atopyFlexural areas
If chronic - lichenification occurs
persits into adulthood in thouse with a FHx of atopy
What hypersensitivity can cause contact dermatitis?
Type IV e.g. to nickel or rubber
What are the clinical features of contact dermatitis?
Erythema Swelling PruritisErythema Swelling PruritisErythema Swelling PruritisErythema Swelling PruritisErythema Swelling PruritisErythema Swelling Pruritis
Where does contact dermatitis commonly effect?
Ear lobes and neck (jewellery)
Wrist (leather watch straps)
Feet (shoes)Ear lobes and neck (jewellery)
Wrist (leather watch straps)
Feet (shoes)Ear lobes and neck (jewellery)
Wrist (leather watch straps)
Feet (shoes)Ear lobes and neck (jewellery)
Wrist (leather watch straps)
Feet (shoes)Ear lobes and neck (jewellery)
Wrist (leather watch straps)
Feet (shoes)
What is the histology of acute dermatitis?
Spongiosis Inflammatory infiltrate in dermis Dilated dermal capillariesSpongiosis Inflammatory infiltrate in dermis Dilated dermal capillariesSpongiosis Inflammatory infiltrate in dermis Dilated dermal capillariesSpongiosis Inflammatory infiltrate in dermis Dilated dermal capillariesSpongiosis Inflammatory infiltrate in dermis Dilated dermal capillaries
What is the histology in chronic dermatitis?
Acanthosis Crusting ScalingAcanthosis Crusting ScalingAcanthosis Crusting ScalingAcanthosis Crusting ScalingAcanthosis Crusting Scaling
What is seborrhoeic dermatitis (dandruff)?
Inflammatory reaction to yeast - Malassezia
Where does seborrhoeic dermatitis affect infants?
Cradle cap (large yellow scales on scalp)
Where does seborrhoeic dermatitis affect young adults?
Mild erythema
Fine scaling
Mildly pruritic
Affects; face, eyebrow, eyelid, anterior chest, external earMild erythema
Fine scaling
Mildly pruritic
Affects; face, eyebrow, eyelid, anterior chest, external earMild erythema
Fine scaling
Mildly pruritic
Affects; face, eyebrow, eyelid, anterior chest, external earMild erythema
Fine scaling
Mildly pruritic
Affects; face, eyebrow, eyelid, anterior chest, external earMild erythema
Fine scaling
Mildly pruritic
Affects; face, eyebrow, eyelid, anterior chest, external ear
Define psoriasis:
a skin disease marked by well-demarcated red, itchy, scaly patches.
What is Auspitz’ sign?
Rubbing of psoriasis plaques to cause pin-point bleeding
Where does psoriasis effect and what does it look like?
Salmon pink plaques with silver scale
Affecting extensor aspects of knees, elbows and scalpSalmon pink plaques with silver scale
Affecting extensor aspects of knees, elbows and scalpSalmon pink plaques with silver scale
Affecting extensor aspects of knees, elbows and scalpSalmon pink plaques with silver scale
Affecting extensor aspects of knees, elbows and scalpSalmon pink plaques with silver scale
Affecting extensor aspects of knees, elbows and scalp
What is Koebner phenomenon in psoriasis?
Lesions form at the site of trauma
Histology of psoriasis:
Parakeratosis
Loss of granular layer
Clubbing of rete ridges giving “test tubes in a rack” appearance
Munro’s microabscerssesParakeratosis
Loss of granular layer
Clubbing of rete ridges giving “test tubes in a rack” appearance
Munro’s microabscerssesParakeratosis
Loss of granular layer
Clubbing of rete ridges giving “test tubes in a rack” appearance
Munro’s microabscerssesParakeratosis
Loss of granular layer
Clubbing of rete ridges giving “test tubes in a rack” appearance
Munro’s microabscerssesParakeratosis
Loss of granular layer
Clubbing of rete ridges giving “test tubes in a rack” appearance
Munro’s microabscersses
Define Munro’s microabscesses
Munro’s microabscess is an abscess (collection of neutrophils) in the stratum corneum of the epidermis due to the infiltration of neutrophils from papillary dermis into the epidermal stratum corneum.
Less common types of psoriasis are:
Flexural psoriasis
Guttate psoriasis - raindrop plaque distribution, usually seen 2 weeks post strep throat
Erythodermic/pustular psoriasisFlexural psoriasis
Guttate psoriasis - raindrop plaque distribution, usually seen 2 weeks post strep throat
Erythodermic/pustular psoriasisFlexural psoriasis
Guttate psoriasis - raindrop plaque distribution, usually seen 2 weeks post strep throat
Erythodermic/pustular psoriasisFlexural psoriasis
Guttate psoriasis - raindrop plaque distribution, usually seen 2 weeks post strep throat
Erythodermic/pustular psoriasisFlexural psoriasis
Guttate psoriasis - raindrop plaque distribution, usually seen 2 weeks post strep throat
Erythodermic/pustular psoriasis
Psoriasis is associated with:
Arthritis (5-10%) Nail changesArthritis (5-10%) Nail changesArthritis (5-10%) Nail changesArthritis (5-10%) Nail changesArthritis (5-10%) Nail changes
What are the nail changes associated with psoraisis?
Pitting
Onycholysis
Subungal Hyperkeratosis
(POSH)Pitting
Onycholysis
Subungal Hyperkeratosis
(POSH)Pitting
Onycholysis
Subungal Hyperkeratosis
(POSH)Pitting
Onycholysis
Subungal Hyperkeratosis
(POSH)Pitting
Onycholysis
Subungal Hyperkeratosis
(POSH)
Define lichin planus
a disease of the skin and/or mucous membranes that resembles lichen.
The aetiology is unknowna disease of the skin and/or mucous membranes that resembles lichen.
The aetiology is unknowna disease of the skin and/or mucous membranes that resembles lichen.
The aetiology is unknowna disease of the skin and/or mucous membranes that resembles lichen.
The aetiology is unknowna disease of the skin and/or mucous membranes that resembles lichen.
The aetiology is unknown
What are the 5 “p’s” describing lichen planus lesions?
Pruritic Purple Polygonal Papules Plaques
They also have a mother of pearl sheenPruritic Purple Polygonal Papules Plaques
They also have a mother of pearl sheenPruritic Purple Polygonal Papules Plaques
They also have a mother of pearl sheenPruritic Purple Polygonal Papules Plaques
They also have a mother of pearl sheen
What is Wickam’s striae
A fine white network on the surface of lesions in lichen planus
Where does lichen plaus occur?
Usually on the inner surfaces of wrists
Can also affect oral mucous membranes where the lesions have a lacy appearanceUsually on the inner surfaces of wrists
Can also affect oral mucous membranes where the lesions have a lacy appearanceUsually on the inner surfaces of wrists
Can also affect oral mucous membranes where the lesions have a lacy appearanceUsually on the inner surfaces of wrists
Can also affect oral mucous membranes where the lesions have a lacy appearance