vesicular and pustule diseases Flashcards
herpetic whitlow– causes– who gets what type
HSV of finger– ocurs on borken or abraded skin– 75% of adults casued by type 2 – kids type 1
what type i herpes gladiatorum
HSV 1
seconday HSV infection in pts with skin problems
Eczema herpetiform– think lot sof punched out small lesions
whats the most sensitive and most rapid test fro Herp
Tzanck – rapid
Tissue culture- most sensitive
how is varicella spread
mostly resp– also contact with lesions
varicella looks
” dew drops on a rose petal” – this wall vesicles surrounded by redness– lesion sare in multiple stages of develpoment
tx varicclea – kids adn adults
kids- calamine, antihistamine, maybe acyclovir
Adults– Acyclovir– due to high risk of complications
Immunocompromised IV acyclovir
whats hutchinson’s sign
rash at tip of nose indicatin opthalmic diviosn of trigem nerve is infected with HZV– need opthalmagia to make sure they dont have Hepes keratitis
disgnisos for HZV
clinical – Tzanck test, DFA, culture – treat with acyclovir
Hand - foot - moth diseases cause tx
highy contagius coxsackie virus– benign, thin wall gray vesicles spread by direct contact – lasts 1-2 weeks no tx needed
herpangina , cause, where it is seen , tx
self limiting caused by coxsaskie virus— spread by oral fecal, resp, painful vescular eroinds of SOFT PALATE, uvalam tonsils, buccla mucosa– no tx
whats linked to gluten sensitive enteropathy
Dermatitis Herpetiformis– itchy, found on elbows , and kness , butt
Dermatitis Herpetiformis- diagnisis
skin biopsy, direct immunofloresnce
Pemphigus Vulgaris
autoimmune disease– antibdies attack desmoglein 3 and 1 which hold epithelial cells together
Oral mucosa common,
flacci d blisters– widespread eroisison crust
Pemphigus vulg. tx and diagnoses
high dose prednisone– steroids
skin biopsy immunoflorence
