The Skin in Systemic Disease Flashcards

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1
Q

What is the condition and what systemic illness is it associated with?

A

Ecthyma

Diabetes Meilltus

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2
Q

What is the condition and what systemic illness is it associated with?

A

Pretibial Myxoedema

Hypothyroidism

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3
Q

What is the condition and what systemic illness is it associated with?

A

Diabetic Dermopathy

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4
Q

What is the condition and what systemic illness is it associated with?

A

Necrobiosis Lipodica

DM

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5
Q

What is the condition and what systemic illness is it associated with?

A

Tinea pedis

DM

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6
Q

What is the condition and what systemic illness is it associated with?

A

Necrobiosis Lipodica

DM

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7
Q

What is the condition and what systemic illness is it associated with?

A

Thyroid Acropathy

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8
Q

What is the condition and what systemic illness is it associated with?

A

Neuropathic Ulcer

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9
Q

What conditions are associated with thyroid?

A

Xerosis (dry skin)

Pruritis

Diffuse hair loss

Periorbital and facial oedema, pretibial myxoedema

Thyroid acropathy

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10
Q

What skin changes do you get addisons and cushings?

A

Addisons: hyperpigmentation

Cushings: Striae

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11
Q

What is the condition and what systemic illness is it associated with?

A

Eruptive Xanthoma

Hyperlipidaemia

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12
Q

What is the condition and what systemic illness is it associated with?

A

Tuberous Xanthoma

Hyperlipidaemia

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13
Q

What is the condition and what systemic illness is it associated with?

A

Tendinous Xanthoma

Hyperlipidaemia

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14
Q

What is the condition and what systemic illness is it associated with?

A

Xanthelasma

Hyperlipidaemia

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15
Q

What is the condition and what systemic illness is it associated with?

A

Dermatitis Herpetiformis

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16
Q

What are the skin conditions associated with hepatic illness?

A

Jaundice

Pruritis

Spider naevi

Palmar erythema

17
Q

What is the skin condition and the system it is related to?

A

Hereditary Haemorrhagic Telangiectasia

Gatroenterology

18
Q

What group of conditions are these?

A

Vasculitis

19
Q

What are the causes of vasculitis?

A

Connective Tissue Disease:

SLE

Rheumatoid

Wenger’s Granulomatosis

Infective Causes:

Meningococcal sepsis

Post Strep infection

Hepatitis C

Drugs

Cutaneous vasculitis

20
Q

Describe the rash and name the condition?

A

D: localised to the face in photosensitive areas

C: butterfly configuration

M: erythematous macules

Systemic Lupus Erythematosus

21
Q

What is the diagnosis and what are the causes?

A

Erythema Nodosum

IBD

Sarcoidosis

Inf: strep. TB

Drugs: Sulphonamides, OCP

Idiopathic

22
Q

What is the following condition and what illnesses is associated with?

A

Pyoderma gangrenosum: note purpley tinge to the border

IBD

Myeloid diseases

Rheumatoid Artiritis

Diabetes

23
Q

A patient comes in with proximal muscle weakness, teangiectasia in the nail folds and the following skin rashes/lesions, what is the diagnosis and what should be investigated for?

A

Dermatomyositis

25% of those will have an underlying malignancy,

  • Ovarian
  • Lung
  • Colorectal
  • Pancreatic
  • Hodgkin’s lymphoma

Note: rash on the upper eyelid is known as a heliotrope rash

Erythematous papules on the hand are known as Gottron;s papules

24
Q

What is the follwoing condition, which regions does it commonly occur and what diseases is it related to?

A

Acanthosis Nigricans

Armpit, groin and neck

Gastric Adenocarcinoma

Diabetes

Obesity

25
Q

The following condition is caused by a drug reaction, what is the condition, and which medications is it associated with?

A

Toxic Erythema

Antibiotics and sulphonamides

26
Q

The following condition is caused by a drug reaction, what is the condition, and which medications is it associated with?

A

Uticaria

Salicylate and transiently after certain vaccines

27
Q

What sort of reaction does the following image show?

A

A phototoxic reaction

28
Q

Which medications can cause photosensitivity?

A

Tetracyclines

Sulphonamides

Amiadarone

Furosemide

Thiazide like diuretics

Retinoids

Nalidixic acid

29
Q

What is the following condition and what other dematological conditions is it associated with?

A

Erythema Multiforme

Associated with Steven Johnsons Syndrome and Toxic Endodermal Necrolysis

30
Q

What is the following condition and where does it usually occur?

A

Steven Johnson Syndrome

Mucosal sites

May be severe eye and oral involvement

Includes prodome of fever and respiratory symptoms

31
Q

What is the following condition, what other symptoms will the patient have, what is the potential causative drug and what is the associated mortality?

A

Toxic Epidermal Necolysis

Fever, Pain, Blistering and skin loss covering >30% body surface area

Mortality about 35%

Causative drugs: NSAIDs, antibiotics, anticonvulsants

32
Q

Which medications are the usual suspects in terms of skin eruptions?

A

Antibiotics (usually sulphonamides)

Anticonvulsants

NSAIDs

Allopurinol

33
Q

How would you manage a patient in skin failure e.g. Toxic epidermal necrolysis?

A

Stop causative agent.

Refer to ITU and burns (high sepsis risk)

Fluids

Emollients and bandaging

ENT and opthalmology review as there can be scarringh of mucosal sites.

34
Q

What is the following condition and what conditions is it associated with?

A

Acquired Ichthyosis

Asociated with malignancy