Viral Exanthems Flashcards

1
Q

what is viral exanthem

A

widespread skin rash triggered by viral infection

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2
Q

who is more likely to get viral exanthems

A

more children than adults

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3
Q

what do the skin lesions look like in Molluscum Contagiosum

A

-discrete dome-shaped, pink , waxy, umbilicated papules which contain a caseous plug

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4
Q

where are the skin lesion found on the body in Molluscum Contagiosum

A

face, trunk, extremities

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5
Q

how is Molluscum contagiosum spread

A

direct person-person contact

- contact with contaminated objects such as towel

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6
Q

who usually gets Molluscum contagiosum

A
children ( contact)
young adults ( sexual contact)
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7
Q

how is Molluscum contagiosum treated ? genital lesion

A

self-limited and lesions heal spontaneously after several months
genital lesions: should be treated to prevent spread

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8
Q

what can physically destroy Molluscum contagiosum

A

curettage

cryotherapy

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9
Q

what are the causative agents for Hand-Foot-and mouth- disease

A
Coxsackievirus A type 16
other Coxsackieviruses
enterovirus 71 (EV71)
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10
Q

Hand-Foot-and mouth- disease: where do mucocutaneous manifestations first occur

A

macular lesions on buccal mucosa, tongue, hard palate, which progress to vesicles that erode surrounded by erythematous halo

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11
Q

what other parts of the body might be involved in Hand-Foot-and mouth- disease

A

feet, buttocks, genitalia

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12
Q

what are some systemic signs and symptoms for Hand-Foot-and mouth- disease

A

sore throat
malaise
fever
vomiting if caused by EV-71

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13
Q

If EV-71 cause of Hand-Foot-and mouth- disease what are some symptoms

A

vomiting
poliolike syndrome
aseptic meningitis
encephalitis

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14
Q

what is the prognosis for Hand-Foot-and mouth- disease

A

usually mild and self-limited

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15
Q

what is the treatment for Hand-Foot-and mouth- disease

A

supportive

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16
Q

what are causative agents for HSV1 and 2

A

large, enveloped dsDNA virus

17
Q

where does HSV-1 reside

A

trigeminal ganglion

18
Q

where does HSV-2 resdie

A

sacral ganglion

19
Q

where does HSV travel for reoccurance

A

migrates along peripheral sensory nerve

20
Q

what can cause HSV reactivation

A

UV light
stress
hormonal changes

21
Q

where does HSV-1 breakouts usullay occur

A

oral

22
Q

where does HSV 2 breakouts usually occur

A

genital

23
Q

what are the mucocutaneous manifestations for HSV 1,2

A

‘Dewdrop on rose petal”
gray-white ulcer
painful

24
Q

how can baby get HSV

A

vaginal delivery

25
Q

which eruptions are more severe, primary or recurrence

A

primary

26
Q

what are the lab diagnosis for HSV

A

Direct microscopy: multinucleated gaint cells on Tzanck smear

  • cell culture
  • PCR
  • serology
27
Q

how do you treat HSV

A

Acyclovir

valacyclovir