Skin Lesions Flashcards

1
Q

Acne Vulgaris

A

chronic inflammatory disease of pilosebaceous follicles; comedones, papules, pustules

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2
Q

Open comedones

A

black-heads, flat or slightly elevated papule with blackened keratin

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3
Q

Closed comedones

A

white-heads, 1mm papules

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4
Q

Papules and postules size

A

1-5 mm, caused by inflammation

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5
Q

Location of acne vulgaris

A

face, chest, back, and shoulders

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6
Q

Atopic dermatitis

A

chronic, relapsing, pruritic condition that tends to run in families

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7
Q

Sxs of atopic dermatitis

A

intense pruritis leading to excoriated skin lesions and lichenification

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8
Q

Location of atopic dermatitis

A

flexural surfaces, antecubital fossa, popliteal fossa, face, extremities

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9
Q

Appearance of acute atopic dermatitis

A

erythema, vesicle, bullae, crusting

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10
Q

Appearance of subacute atopic dermatitis

A

scaly plaques, papules, round erosions, crust

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11
Q

Appearance of chronic eczema

A

lichenification, scaling, hyper- and hypopigmentation

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12
Q

Seborrheic dermatosis

A

ranges from dandruff to fulminant rash; dryness, pruritus, erythema

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13
Q

Seborrheic keratosis

A

“stuck-on” waxy appearance that may appear verrucous, well circumscribed

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14
Q

Dermatofibroma

A

firm papules or nodules; may be flesh, pink, brown, red or black; typically on extremities

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15
Q

“Fitzpatrick sign”

A

squeezing margin causes dimple, confirms dermatofibroma

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16
Q

Rosacea

A

chronic inflammatory condition with relapsing course; extrafacial involvement is rare, often spares nasolabial folds

17
Q

Rosacea appearance

A

facial flushing and localized erythema, telangiectasias, papules, pustules

18
Q

Sebaceous cyst

A

wall composed of squamous epithelium containing keratin or lipid-rich debris

19
Q

Nevus

A

arises during childhood, adulthood, may darken during pregnancy

20
Q

Erythema Multiforme

A

targe lesions, well-defined, circular, erythematous macules or papules, associated with HSV, mycoplasma, group A strep, and EBV

21
Q

Eruptive xanthoma

A

abrupt onset, pruritis or pain may be present; red, firm papules

22
Q

Dermatomyositis

A

multiple skin changes possible; may include fatigue, malaise, myalgias, cardiac, resp sxs

23
Q

Heliotrope rash

A

violaceous edematous periorbital erythema

24
Q

atrophic dermal papules

A

scaly, flat-topped papules on dorsal MCP

25
Q

Nail fold telangiectasia

A

erythema and telangectasia at base of nails with prominent capillary loops

26
Q

Shawl sign

A

photoexacerbated macular of upper back and posterior neck and shoulders

27
Q

Actinic keratosis

A

pre-cancerous lesions on sun-exposed areas, may progress to SCC, white to yellow surface scale

28
Q

Solar lentigo

A

benign pigmented lesion related to UV radiation; smooth, flat macules

29
Q

Basal cell carcinoma

A

most common cancer of skin, M>W, often on a sun exposed areas

30
Q

Basal cell carcinoma appearance

A

smooth pearly papule with rolled borders and telangiectasia

31
Q

Infiltrating BCC

A

slightly raised or depressed, indurated, thin scar-like plaque with possible crust

32
Q

Superficial BCC

A

well defined red patch or thin plaque with or without scale, crust, rolled borders; expands horizontally

33
Q

ABCDEs

A

Asymmetry, Borders, Color, Diameter, Evolution

34
Q

Cutaneous SCC

A

commonly appear on sun exposed areas as a hyperkeratotic papule or nodule, variable appearance

35
Q

Molluscum contagiosum

A

benign, self-limited eruption of skin lesions caused by a poxvirus infection

36
Q

SJS

A

caused by drugs, immediate reaction that can advance to TEN

37
Q

TEN

A

widespread involvement, skin sloughing; risk of dehydration, hypernatremia and spesis

38
Q

Subungual acral lentiginous melanoma

A

sxs of tan, darkened, black nails; deadly melanoma

39
Q

Location of acral lentiginous melanoma

A

palms, soles, under nails in people of color