Question | Answer |
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 |