Unit 4 Dermatology Images Flashcards

1
Q
  • absence of melanocytes
  • causes depigmentation
A

Vitiligo

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2
Q
  • associated with defects in collagen support structure of dermis
A

Ehlers-Danlos Syndrome

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3
Q
  • location: flexor surfaces in adults
  • etiology: filaggrin mutation
  • associated with asthma and allergic rhinitis
  • staph aureus is suggested to exacerbate this disorder
  • in children, is on cheecks and extensor surfaces
  • eczema is type of atopic dermatitis
A

Atopic Dermatitis

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4
Q
  • type of atopic dermatitis
A

Eczema

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5
Q
  • etiology: common irritants
  • caused by perfume, soap, etc
A

Irritant Contact Dermatitis

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6
Q
  • etiology: common allergens
  • delayed type hypersensitiviey reaction (type 4)
  • diagnosis confirmed with patch testing
  • skin biopsy would reveal spongiotic dermatitis
  • caused by poison ivy
A

Allergic Contact Dermatitis

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7
Q
  • location: lower legs
  • etiology: lower extremity edema
A

Stasis Dermatitis

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8
Q
A

Lichen Simplex Chronicus

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9
Q
  • same as nummular eczema
  • round, annular, scaly plaques
  • due to dry skin
  • overuse of soap can make this worse
A

Numular Dermatitis

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10
Q
  • location: scalp
  • etiology: malassezia furfur
  • also known as cradle cap
  • infection of sebaceous glands
A

Seborrheic Dermatitis

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11
Q
  • location: extensor surfaces
  • may include arthritis
  • may be associated with increased cardiovascular risk
A

Chronic Plaque Psoriasis

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12
Q
A

Guttate Psoriasis

  • associated with strep
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13
Q
  • skin cancer
  • most common
  • pearly
  • common on nose
  • common PATCH1 mutation: most BCC have loss of PATCH1 that normally block SMOOTHENED gene
  • tx: mohs surgery, vismoedgib (blocks smoothend gene)
A

Basal Cell

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14
Q
  • second most common skin cancer
  • occurs more common in immunosupporessed pts
  • keratoacanthoma is a type of this cancer
    • center crater
    • develop rapidly
  • on sunexposed skin, HPV, thermal injury
  • actinic keratosis is premalignant skin lesion
A

Squamous Cell

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15
Q
  • skin cancer
  • common mutation: BRAF
  • tx: vemurafinib
  • breslow thickness: measurement of depth of tumor
  • clark level: layers of skin affected
A

Melanoma

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16
Q
  • often associated with immunodeficiency
A

Kaposi Sarcome

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17
Q
  • can be treated with beta blockers
  • most common benign soft tissue tumor of infants
  • GLUT1 positive
A

Infantile Hemangioma

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18
Q
  • most common benign vascular tumor in adults
A

Cherry Angioma

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19
Q
  • associated with high levels of GLUT-1 expression (a placenta associated marker)
  • also called strawberry hemangioma
  • often develops rapidly in first 3 months of life
  • involution (decrease) common into adulthood (50% by 5, 70% by 7, 90% by 9)
A

Infantile Hemangioma

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20
Q
  • associated with glaucoma and seizures
  • assocaited with sturge weber in infants with port wine stain in trigemminal nerve
A

Port Wine Stain

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21
Q
  • linear plaque on the face or scalp
  • yellow-orange
  • associated with allopecia
  • assocated with mutations in HRAS and KRAS
A

Nevus Sebaceus

22
Q
  • most commonly on face>trunk>extremity
  • beign tumor of oil gland
A

Sebaceus Hyperplasia

23
Q
A

Acrochordon

24
Q
  • benign tumor of adipose tissue
  • often soft, movable, painless
A

Lipoma

25
Q
  • from fibroblast
  • firm papule
  • most common on legs
  • dimple sign is characteristic (Fitzpatrick sign)
A

Dermatofibroma

26
Q
  • scar gowth above and beyond original border
  • composed of type 3 or type 1 collagen
A

Keloid Scar

27
Q
  • sudden appearance associated with adenocarcinoma of the stomach
  • barnicles of life
  • appear dark in people with dark complexion- Morgan Freeman
A

Seborrheic Karatosis

28
Q
  • head and neck most common
  • similar in color to shade of skin
A

Intradermal Nevus

29
Q
  • flat macules
  • palms and soles most common
A

Junctional Nevus

30
Q
  • trunk and proximal extremities
  • color brown to black
A

Compound Nevus

31
Q
  • more common in asians and causcasians
A

Blue Nevus

32
Q
  • low risk of progressing to malignant melanoma
A

Congenital Nevi

33
Q
  • usually apparent by 20 years
A

Dysplastic Nevus

34
Q
  • biggest risk factor for melanoma
  • familial atypical moles and melanoma
  • criteria:
    • The occurrence of malignant melanoma in 1 or more first- or second-degree relatives
    • The presence of numerous (often >50) melanocytic nevi, some of which are clinically atypical
    • Many of the associated nevi showing certain histologic features
  • CDK2NA mapped to 9p21
  • CDK4 mapped to 12q14
  • CMM1 mapped to 1p
A

FAMMM Syndrome

35
Q
  • six or more cafe au lait spots
  • two or more neurofibromas
  • axillary or inguinal freckling (Crowe’s sign)
  • first degree relative with disorder
  • optic glioma (iris freckles)
  • autosomal dominant
  • Defect in neurofibromin gene, a tumor suppressor, on chromosome 17 for NF-1
A

Neurofibromatosis

36
Q
  • multiple lesions associated with neurofibromatosis
A

Cafe au Lait Patch

37
Q
  • melassezia furfur is causative agent
  • diagnos with KOH
A

Tinea Versicolor

38
Q
  • acquired disease involving antibodies to cell-to-cell adhesion molecules in the stratum spinosum (keratinocytes)
  • attacks desmosomes
A

Permphigus Vulgaris

39
Q
  • vitamin cross links tropocollagen together
  • this disease is characterized by lack of vitamin C
  • SS: keratotic plugging of hairs, corkscrew hairs, hemorrhagic gingivitis
A

Scurvy

40
Q
  • type 2 antibody mediated
  • detachment between dermis and epidermis- hemidesomsomes
A

Bullous Pemphigoid

41
Q
A
42
Q
  • do not debride
  • tx with steroids and immunosuppression
A

Pyoderma Gangrenosum

43
Q
  • associated with hepatitis
A

Lichen Planus

44
Q
  • with internal malignancies, pts tend to have weight loss- most common is stomach cancer
  • thickening of the skin
  • common causes: obesity, diabetes
A

Acanthosis Nigricans

45
Q
  • filagrin mutation
A

Icthyosis Vulgaris

46
Q
  • honey colored
  • associated with bacteria like strep and staph
  • can be bullus (staph) or non-bullus (strep/staph)
A

Impetigo

47
Q
  • begins 7-14 days after taking new medication
  • located over trunk and extremities
A

Drug Eruption

48
Q
  • inital presentation is chancre
  • secondary skin lesions form 4-10 weeks after onset of chancre
  • sometimes presents with lymphadenopathy
  • moth-eaten alopecia
A

Syphilis

49
Q
  • can also have black dot appearance
  • casued by fungus
  • test is KOH, dermatophyte test medium (changes colors)
  • other types:
    • tinia faciei- face
    • tinia barbae- beard area
    • tinia corpus- body
    • tinia pedis- feet
    • tinia manum- one hand two feet syndrome
A

Tinia Capitis

50
Q

fungus under nails

A

Onychomycosis

51
Q
  • infestation
  • burrows and genital nodules
  • use mineral oil wet prep for diagnosis
A

Scabies

52
Q
  • fungus
A

Oral Candidiasis (Thrush)