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papules/skin change1

skin papules and changes I

verruca definition growth of epidermal cells secondary to HPV
verruca types verruca vulgaris verruca plana plantar warts condyloma acuminatum
verruca treatment optional. destruction, irritation, immune modulation
verruca prevention vaccine = gardasil
molluscum contagiosum definition benign intraepidermal growth secondary to pox virus infection
molluscum contagiosum in kids generally not sexually transmitted
molluscum contagiosum in adults generally an STD
molluscum contagiosum treatment optional. destruction or immune modulation
corns and calluses definition thickening (hyperkeratosis) of epidermis secondary to repeated rubbing or pressure
corn is focal pressure on bony prominence
callus is more general thickening due to chronic rubbing
corn/callus treatment mechanical or chemical paring down, changing footwear
acrochordons (skin tags)definition benign neoplasm of epidermis usually in area of friction
acrochordons (skin tags) treatment optional. snip excision or cryodestruction
neurofibromas definition benign tumor of the peripheral nerve sheath
neurofibromas types sporadic or as part of Type I neurofibromatosis
neurofibromas treatment optional. excision
Epidermal inclusion cyst definition epithelial lined sac in the dermis with connection to epidermis, filled with keratin mobile, nodule with punctum
epidermal inclusion cyst treatment if symptomatic, excision +/- antibiotics
lipoma definition benign, slow growing, subcutaneous skin growth of adipose tissue
lipoma description soft, localised, well circumscribed, painless swelling
lipoma locations mainly in subcutaneous tissues of the head, neck, shoulders, hands, legs and back on palpation, these are soft, nontender, and freely mobile
lipoma incidences can occur in all ages, but more common in third/fourth decade of life women get more frequently than men most have a single lipoma rather than multiple lipomas (men mostly multiple, can run in families) childhood (congenital) mostly inherited & r
pigment changes -- birthmarks include angiomas and vascular malformations benign skin growths composed of rapidly growing or poorly formed blood vessels or lymph vessels either congenital or acquired
vascular lesions -- acquired hemangiomas cherry hemangiomas are the most common cutaneous vascular proliferations often widespread/appear as tiny cherry red papules or macules increase with age in both sexes and all races benign
spider angiomas -- spider veins exposure to estrogen during pregnancy or oral contraceptive use may be a cause tend to run in families may be assoc with liver disease, sun exposure and trauma
spider angiomas description symptomless, reddish blue marks formed from blood-filled capillaries radiating around a central arteriole in the shape of a spider web
acne defintion disease of pilosebaceous unit with open and closed comedones, papules and pustules on face, chest and back
acne treatment combination or oral and topical antibiotics and retinoids
cystic acne (acne vulgaris) more difficult to treat accutane characterized by nodules and cysts
rosacea (acne rosacea)definition chronic inflammatory disorder of the blood vessels and pilosebaceous units of the face
rosacea stages flushing, persistent erythema, papules/pustules, rhinophyma
rosacea treatment sunscreen, antibiotics, metronidazole, lasers
Created by: 641228828