Skin Conditions

Question 1

SLE

Answer 1

Chilblains

Question 2

Cutaneous lupus erythematous

Answer 2

Skin only
No organ involvement
Scarring

Question 3

Neonatal lupus

Answer 3

Ro positive

Test ECG risk of heart block

Question 4

Dermatomyositis

Answer 4

Muscle involvement 
Ragged cuticles 
Gottron's papules
Heliotropes rash 
Shawl sign

Question 5

Vasculitis

Answer 5

IgA vasculitis
Small - purpura
Medium - digital necrosis, retiform purpura

Question 6

May present as anything

Answer 6

Sarcoidosis - lungs involvement

Syphilis

Question 7

Drug reaction with Eosinophilia and Systemic Symptoms

Answer 7

Fever, lymphadenopathy, internal organ involvement

Liver commonly affected

Treat with drug withdrawal and corticosteroids

Question 8

Graft versus Host disease

Answer 8

Face, acral, diarrhoea all indicate GvH over DRESS

Question 9

Itch without rash

Answer 9

Pruritus

Question 10

Spongy gingivae

Answer 10

Scurvy

Question 11

Corkscrew hair

Answer 11

Scurvy

Question 12

Zinc deficiency

Answer 12

Dermatitis, diarrhoea, depression

Perioral, acral

Question 13

Vitamin B3 deficiency

Answer 13

Photo distributed
Dermatitis, diarrhoea, depression
Casal’s necklace

Question 14

Stevens-Johnson syndrome

Answer 14

Flu like
Skin falling off like wet wallpaper
Usually drug related

SJS less than 10%
SJS/towxic epidermal necrolysis 10-30%
Toxic epidermal necrolysis more than 30%

Question 15

Erythroderma

Answer 15

More than 70% of body

Question 16

CKD

Answer 16

Jaundice

Terry’s nail

Question 17

Risk of acquiring

Answer 17

Close contact
Contaminated items
Crowding
Cleanliness of environment
Cuts and grazes

Question 18

Ill defined blanching erythema

Answer 18

Cellulitis

Infection of lower dermis
Treat with antibiotics

Question 19

Honey coloured crust

Answer 19

Impetigo

Facial

Question 20

Neonates, infants, immunocompromised adults - resemble SJS

Answer 20

Staphylococcus scalded skin syndrome

Question 21

Hypotension

Answer 21

Fever
Toxic shock
Staph aureas

Question 22

Sandpaper like texture

Answer 22

Scarlet fever

Children
Upper respiratory

Question 23

Herpes simplex

Answer 23

HSV1 - close contact

HSV2 - sexual

Question 24

Dermatomal manifestation

Answer 24

Varicella Zoster Virus

Emergency if near eyes

Question 25

Lice

Answer 25

Discard or thoroughly clean clothes - body

Malathion - head or pubic

Question 26

Itch

Between fingernails and warm skin areas like groin and scrotum

Answer 26

Scabies

Transmissible
Permethrin or oral ivermectin - two cycles of treatment
Norwegian’s scabies - crusty form - immunocompromised

Question 27

Bedbugs

Answer 27

Treat symptoms

Fumigation of home to get rid of pest

Question 28

In context of diabetes mellitus

Answer 28

Mucormyocosis