CM Dermatology Inflammatory Dermatoses
Help!
|
|
||||
|---|---|---|---|---|---|
| Etiology of Psoriasis | A systemic,immunologic,genetic disease manifesting in skin and,or joints. Many of these people have arthritis. Usually comes on in teens, young adults
🗑
|
||||
| Most common locations to find psoriasis | Scalp (80%), elbows (78%), Legs (74%)
🗑
|
||||
| Psoriasis facts | usually symmetric, well-demarcated borders, scaly, raised lesions, pruritis is variable, pustules may outline lesions and occur palms and soles.
🗑
|
||||
| Psoriasis advice | soak in water to slough off, don't scrape off
🗑
|
||||
| Drugs that exacerbate psoriasis | lithium, beta-blockers, antimalarials, systemic steroids
🗑
|
||||
| Factors that flare psoriasis | Streptococcal infection, injury or trauma, Drugs, low humidity, emotional stress, overtreatment
🗑
|
||||
| Small papules of short duration (weeks to months), usually in children and young adults. DROP LIKE. 14-17% of psoriatic patients present initially and may follow a strep URI | Guttate Psoriasis
🗑
|
||||
| Red, scaly psoriasis all over is called | Erythrodermic Psoriasis
🗑
|
||||
| Sx and Signs of erythrodermic Psoriasis | Patients are ill: hypo-,hyperthermia,protein loss,dehydration, renal and cardiac failure
🗑
|
||||
| Superficial pustules is suggestive of | Pustular Psoriasis. Filled with neutrophils
🗑
|
||||
| Extracutaneous signs of Psoriasis | Nails: onycholysis,yellowish staining, pitting. Mucosa: geographic tongue. Joints: 10%-30% of psoriatic patients
🗑
|
||||
| Psoriasis joint swelling can also look like | RA, with ulnar deviation too.
🗑
|
||||
| Most common arthritis associated with psoriasis | asymmetrical arthritis. Other types: Symmetrical arthritis (like RA), distal interphalangeal joint dz, destructive polyarthritis, ankylosing spondylitis
🗑
|
||||
| Inflammatory cells involved in psoriasis | T-lymphocytes and cytokines
🗑
|
||||
| Psoriasis tx strategy | Initally control dz, decrease area involved, decrease erythema, scaling, and thickness. Use topical therapy, phototherapy, systemic therapy
🗑
|
||||
| Topical options | Anthralin, steroids, tars, vit d analogs, retinoids, taclonex ointment
🗑
|
||||
| dandruff is aka | seborrheic dermatitis. Can occur other places than the scalp
🗑
|
||||
| Pityrosporum ovale is a possible causative factor of | seborrheic dermatitis
🗑
|
||||
| Most common skin manifestation in AIDs patients | Seborrheic dermatitis; often precedes AIDs symptoms. Severity often parallels clinical deterioration
🗑
|
||||
| Best way to remove scales in seborrheic dermatitis | with fluid, gently
🗑
|
||||
| Seborrheic Dermatitis is associated with which neurologic disease? | Parkinson's
🗑
|
||||
| Persistent or resistant cases of seborrheic dermatitis should be cultured for | dermatophyte infection.
🗑
|
||||
| Tx for Seborrheic Dermatitis | frequent washing, topical steroids, shampoo (change type; pyrithione zinc, tar, sulfacetamide, ketoconazole, selenium).
🗑
|
||||
| Common,benign,usually asymptomatic,self-limited dermatoses. Evidence of viral origin. 20% of pts have recent hx of acute infection | Pityriasis rosea. muted red, and fine scale (much less than psoriasis), usually on trunk.
🗑
|
||||
| Collarette scale is associated with | Pityriasis rosea. Fine ring of scale within a plaque
🗑
|
||||
| Papular lesions in pityriasis rosea are found more commonly in | young children, pregnant women, and blacks. Lesions subside in 1-3 months
🗑
|
||||
| Pityriasis Rosea Therapy | most beneficial in the first week. antihistamines, topical steroids, oral prednisone, UVB phototherapy
🗑
|
||||
| If you see something that looks like Pityriasis rosea but is also on the hands and soles, get an | RPR to rule out syphillis
🗑
|
||||
| Lichen planus facts | Inflammatory cutaneous and mucosal reaction pattern of unknown originMean age of onset –males 40.3 and females 46.4. Eruption clears in one year in 68% of patients and recurs 49% of the time. Liver disease is a risk factor for LP.
🗑
|
||||
| ______ is a post-bone marrow transplant graft-vs-host reaction | Lichen planus
🗑
|
||||
| Lacy reticulated pattern of white lines (wickham's stria) suggest | lichen planus
🗑
|
||||
| Common locations of lichen planus | flexor surfaces of wrists adn forearms, legs above the ankles. 20% of pts with lichen planus do not itch.
🗑
|
||||
| Common things in a ddx for red, scaly and papular lesions. | Psoriasis, Seborrheic dermatitis, Pityriasis rosea, Lichen Planus, 2ndary syphillis infection
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
ltm12