Systemic Disease

Question 1

Atopic Dermatitis

Answer 1

Chronic resulting from type I hypersensitivity reaction.
Manifest within first two months of life.
35% infants will develops asthma.
60% patients diagnosed within first year of life.
Several type of eczema associated with family history of atopic dermatitis, allergic rhinitis and asthma

Question 2

Hallmark signs of Atopic Dermatitis

Answer 2

Skin rash, pruritus
10% with sever AD will develop cataract
-shield and PSC

Question 3

Rosacea

Answer 3

Affects sebaceous glands
Signs; 
-Papules ( cheek, forehead, nose)
-Rhinophyma
-Facial flushing

Question 4

Cogan syndrome

Answer 4

Cogan syndrome is a rare systemic autoimmune vasculitis characterized by intraocular inflammation and vestibuloauditory dysfunction (particularly neurosensory deafness but also tinnitus and vertigo) developing within months of each other. The disease primarily occurs in young adults, with both sexes affected equally.

Question 5

Normal ESR value

Answer 5

Female > (age+10)/2

Make > age/2

Question 6

Normal CRP

Answer 6

0-1.0 mg/dl

> 2.45mg/dl associated with 3x greater risk of GCA

Question 7

AAION lab evaluation

Answer 7

Elevated ESR
elevated CRP> 2.45 mg/dl
Elevated platelets > 400000
Temporary artery biopsy

Question 8

Chiasmal lesions

Answer 8

Pituitary adenoma
Suprasellar meningioma
ICA aneurysm 
Craniopharyngiomas
Gliomas

Question 9

Hollenhorst plaques

Answer 9

made of calcium, “ brin, or cholesterol, most often originate from atheromatous plaques of the carotid artery,