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Session 2 CM derm6

CM- Derm -6- scaling lesions 1 tinea, etc

What are the three genre of dermatophyte infections microsporum, trichophyton, and epidermophyton
What is the prototype lesions of dermatophyte infections annular, scaly patch with discrete border
What are dermatophyte diseases referred to as tinea
Name where each of the following infect tinea capitis tinea corporis tinea faciei tine cruris tinea pedis tinea manuum tinea unguium tinea capitis- scalp tinea corporis- body tinea faciei- face tinea cruris- groin/genitals tinea pedis- feet tinea manuum- hand tinea unguium- nails
Dermatphyte infection of the scalp that mainly infects children more common in african americans and hispanics. Transmission fostered by overcrowdin and poor hygiene in urban settings Tinea Capitis
Can cause black dot alopecia where hairs break off at level of scalp tinea capitis
Tinea capitis that has formed pustules or a boggy mass kerion
S/Sx associated with having a kerion reional lymphadenopathy, scarring alopecia if in hair shaft.
most commonly caused by T. Rubrum, M. Canis and T mentagrophytes is transmitted by direct contact with infected, person, animal or fomite Tinea Corporis and Tinea faciei
what aer the s/sx of tinea corporis/ tinea faciei annular lesions with erythematous scaling, raised margins and central clearing
Tinea infection that likes warm moist environments and has multiple red papulovesicles with well marginated raised border Tinea Cruris
most common dermatophyte infection, associated with occlusive shoes and communal baths/showers tinea pedis and manuum
What is the most common dermatophyte to cause tinea pedis and manuum trichophyton rubrum
what is associated with tinea pedis toenail onchomycosis
Tinea pedis can lead to secondary infection where and how can cause secondary tinea cruris infection from pulling up underwear over feet
what is the most common type of tinea pedis not the dermatophyte that causes it intertrigionous type between 4th and 5th toe webs with fissuring and scaling
Type of tinea pedis that has patchy or diffuse scaling over the soles frequently associated with tinea manuum "one hand two feet presentation) and associated with onychomycosis tinea pedis mocassin foot
tinea pedis marked by blisters and vesicles on the medial aspect of one or both feet vesicular tinea pedis
rare tinea pedis associated with maceration and weeping white overhydrated skin ulcerative tinea pedis
how do you confirm the diagnosis with tinea KOH prep showing hyphae from scales or chains of spores in hair shaft
What diagnosis technique can be used on tinea capitis wood's lamp fluorescence
What is the general treatment for tineas topical antifungals- clotrimazole econazole, miconazole, oxiconazole
what type of antifungal is inefective for tinea capitis and unguium topical antifungals only systemic antifungals like lamisil and griseofulvin are effective
What are the systemic antifungals lamisil and griseofulvin
What is meant by tinea incognito dermatophyte infection that has been altered by use of oral or topical steroids so that it doesn't appear as a typical fungal infection
What is the fungal infection that causes thickened yellowed nails with subungual debris. Onychomycosis
What is one of the recurrent problems with onychomcosis may serve as a resevoir for repeated tinea pedis and tinea cruris
How common is it for individuals with onychomycosis to have dermatophyte infection in another part of the body 30%
Disease associated with obesity, occlusive clothing, diabetes, and antibiotic therapy. KOH shows yeast forms and pseudohyphae cutaneous candidiasis
How can cutaneous candidiasis present thrush, vaginitis, balanitis, intertrigo, nail infections, diaper dermatitis
Systemic cutaneous candidiasis can be problematic in which way it is life threatening
What is the most common form of candida thrush
what are the S/sx of thrush discrete white patches on the buccal mucosa, tongue and palate. scrapes off leaving a bright red surface
what is the treatment for thrush nystatin swishes or clotrimazole troches
candida disease associated with lip licking, poorly fitting dentures and sagging skin around mouth angular chelitis
what is the treatment for angular chelitis topical nystatin, minonazole, clotrimazole, or ketoconazole
candinda of the groin, scrotum, axilla, inframammary region. Intertrigo
what are the S/Sx of candida intertrigo vesicopustules, erythema, erosions, surrounded by peripheral scaling
HOw is candida intertrigo different than tinea infections generally redder and more macerated than tineas
Scaly, hypo or hyperpigmented macules on trunk and proximal extremities caused my malassezia furfur. Tinea Versicolor
What is the best way to discover tinea versicolor the lesions don't tan so you get white spots surrouned by tan skin.
where is tinea versicolor common tinea versicolor is common in warm humid environments
In a KOH prep of tinea versicolor what are you going to see spaghetti and meatballs = yeast and hyphae
under a wood's lamp what color would tinea versicolor appear yellow-green fluorescence
What is the treatment for tinea versicolor ketoconazole 2% shampoo or selsun shampoo
inflammatory skin disease associated with abnormal skin cell turnover. Skin turnover is 3 days rather than normal 28. Psoriasis
what are the typical s/sx of psoriasis has red thick plaques with adherent silvery scales
what is the auspitz sign of psoriasis punctate bleeding from lesion when scale is removed
what is the koebner sign of psoriasis appearance of new lesions at sites of trauma often linear
where is psoriasis most common scaly plaques on elbows, knees, and scalp
What is guttate psoriasis scattered pink scaly papules on trunk with an acute onset in children and streptococcal pharyngitis
What are the s/sx of pustular psoriasis generalized pustule, ill patient with fever, arthralgia, leukocytosis, hypocalcemia, hypoalbuminemia
What is generalized redness and scaling called in psoriasis erythroderma
what are the associated diseases with psoriasis nail pitting, onycholysis and oil spots asymmetric arthritis- in small joints of hand and feet gout- elevated uric acid levels
what is the treatment for psoriasis topical steroids topical retinoids topical vit D analogs PUVA light therapy Systemic: acitretin, methotrexate, cyclosporine Immune modulators: etanercept, infliximab
what are the systemic treatments for psoriasis acitretin, methotrexate, cyclosporine
what are the immune modulator that can be used to treat psoriasis etanercept, infliximab
Created by: smaxsmith