Skin Changes (Tyler's lecture) Flashcards
What are the diseases that can present with a diffuse maculopapular rash?
- measles
- rubella
- infectious mononucleosis
- erythema infectiosum
- lyme disease
- erlichiosis
What are the diseases that can present with peripheral skin eruptions?
- meningococcemia
- secondary syphilis
- Hand-Foot-Mouth disease (Coxsackievirus)
What are the diseases that can present with desquamative skin changes?
- Toxic shock syndrome (staph)
- Scarlet fever (Strep A)
- erythema multiforme (HSV, mycoplasma pneumoniae)
What are the diseases that can present with vesicular and bulbous lesions?
- varicella
- phemphigus
What are the diseases that can present with petechial and purpuric lesions?
- gonococcemia
- meningococcemia
- thrombotic thrombocytopenic purpura
Describe the rash of measles
start on face, then goes down and out
Describe the rash of rubella
starts on face and spreads downwards
Describe the rash of erythema infectiosum
- rash starts on trunk
- “slapped cheek” rash
What kind of peripheral skin eruptions will be seen with secondary syphilis?
- chancre
- gummas
- condyloma lata
What kind of peripheral skin eruptions will be seen with Hand-Foot-Mouth disease?
- vesicle on hand and feet (no necrotic centers)
- football shaped erosions w/erythematous halo
What desquamative skin changes will be seen with toxic shock syndrome?
- watery diarrhea
- diffuse macular erythematous rash
- non-purulent conjunctivitis
What desquamative skin changes will be seen with scarlet fever?
- rash on neck
- strawberry tongue
- tonsiollopharyngitis in kids
What desquamative skin changes will be seen with erythema multiforme?
- target lesions on face and extremities
What vesicular/bullous lesions are seen with varicella?
- rash on face/scalp to trunk, but sparing the extremities
what petechial and purpuric lesions are seen with gonococcemia?
- vesicopustules on palms and soles