Trigger - Misc Derm Flashcards
gastric carcinoma is associated with which misc derm condition
acanthosis nigricans
Niacin can cause which misc derm disorder
acanthosis nigricans
this derm condition is rarely a benign result of an autosomal dominant inheritance
acanthosis nigricans
when would you order plasma testosterone and dehydroepiandrosterone sulfate test?
to r/o PCOS in women w acanthosis nigricans who also have hyperandrogenism
what are causes for Type A syndromic acanthosis nigricans
hyperandrogensim
insulin resistance
acanthosis
acromegaly
what are causes of Type B syndromic acanthosis nigricans
autoimmune
DM
what is acral acanthosis nigricans
elbows, knees, knuckles
what are more rare sites for acanthosis nigricans that may indicate malignancy
knuckles, palms, soles, eyelids, perioral
generalized and near mucosal surfaces too!
what is the treatment of acanthosis nigricans
- treat underlying condition
- topical retinoids, vitamin D analogs
- refer to GI if suspect malignancy
skin is intact w redness that does NOT blanch
stage 1 pressure ulcer
pressure ulcer with disruption of the dermis. No visible SC tissue or eschar
stage 2
Pt w pressure ulcer that shows a rolled wound edge and exposed SC tissue
Stage 3
Pt w pressure ulcer that disrupts the dermis and has a central eschar. no fascia, tendon, muscle or bone visible.
Stage 3
Pt w pressure ulcer that has exposed fascia, muslce tendon ligament cartilage and/or bone
stage 4
when do you use transparent or hydrocolloid dressings
Stage 2 pressure ulcers
what are the abx used in acute lesions of hidradenitis supprative
- B-lactamase PCN
- Cephs
- augmentin
- clinda
also do PO steroids and IL steroids and I&D abscesses
when do we use clinda + isotretinoin?
recurrent lesions of hidradenitis suppuritiva
when do we use adalimumab(humera) or infliximab(remicade)?
treatment resistant moderate-severe hidradenitis suppuritiva
what are the lifestyle modifications that can be made to help hidradenitis suppuritva
- local hygiene
- weight reduction in obese
- antiseptic agents
- apply warm compress w burow solution
- loose fitting clothing
- laser hair removal
- smoking cessation
what is the presentation of a photosensitivity rash
response to sun w macules, papules, plaques similar to eczematous dermatitis
what is dermatoheliosis
term used to describe chronic photosensitivity changes to skin
also called photoaging
what are the six groups of drugs that MC cause systemic phototoxic reactions
antimicrobials
furocoumarins
NSAIDS
antipsychotics
photodynamic therapy agents
cardiac meds/diuretics
extreme dryness of the skin presenting as a fine, fish-like scale
ichthyosis
low lipid levels in the stratum corneum and deficiency in water binding capacity is the patho for what diagnosis
xerosis
presents with accentuated palmar creases and scaly palms
ichthyosis