CM- Derm -6- scaling lesions 1 tinea, etc
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| What are the three genre of dermatophyte infections | microsporum, trichophyton, and epidermophyton
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| What is the prototype lesions of dermatophyte infections | annular, scaly patch with discrete border
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| What are dermatophyte diseases referred to as | tinea
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| 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
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| 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
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| Can cause black dot alopecia where hairs break off at level of scalp | tinea capitis
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| Tinea capitis that has formed pustules or a boggy mass | kerion
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| S/Sx associated with having a kerion | reional lymphadenopathy, scarring alopecia if in hair shaft.
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| 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
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| what aer the s/sx of tinea corporis/ tinea faciei | annular lesions with erythematous scaling, raised margins and central clearing
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| Tinea infection that likes warm moist environments and has multiple red papulovesicles with well marginated raised border | Tinea Cruris
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| most common dermatophyte infection, associated with occlusive shoes and communal baths/showers | tinea pedis and manuum
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| What is the most common dermatophyte to cause tinea pedis and manuum | trichophyton rubrum
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| what is associated with tinea pedis | toenail onchomycosis
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| Tinea pedis can lead to secondary infection where and how | can cause secondary tinea cruris infection from pulling up underwear over feet
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| 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
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| 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
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| tinea pedis marked by blisters and vesicles on the medial aspect of one or both feet | vesicular tinea pedis
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| rare tinea pedis associated with maceration and weeping white overhydrated skin | ulcerative tinea pedis
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| how do you confirm the diagnosis with tinea | KOH prep showing hyphae from scales or chains of spores in hair shaft
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| What diagnosis technique can be used on tinea capitis | wood's lamp fluorescence
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| What is the general treatment for tineas | topical antifungals- clotrimazole econazole, miconazole, oxiconazole
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| what type of antifungal is inefective for tinea capitis and unguium | topical antifungals only systemic antifungals like lamisil and griseofulvin are effective
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| What are the systemic antifungals | lamisil and griseofulvin
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| 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
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| What is the fungal infection that causes thickened yellowed nails with subungual debris. | Onychomycosis
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| What is one of the recurrent problems with onychomcosis | may serve as a resevoir for repeated tinea pedis and tinea cruris
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| How common is it for individuals with onychomycosis to have dermatophyte infection in another part of the body | 30%
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| Disease associated with obesity, occlusive clothing, diabetes, and antibiotic therapy. KOH shows yeast forms and pseudohyphae | cutaneous candidiasis
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| How can cutaneous candidiasis present | thrush, vaginitis, balanitis, intertrigo, nail infections, diaper dermatitis
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| Systemic cutaneous candidiasis can be problematic in which way | it is life threatening
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| What is the most common form of candida | thrush
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| what are the S/sx of thrush | discrete white patches on the buccal mucosa, tongue and palate. scrapes off leaving a bright red surface
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| what is the treatment for thrush | nystatin swishes or clotrimazole troches
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| candida disease associated with lip licking, poorly fitting dentures and sagging skin around mouth | angular chelitis
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| what is the treatment for angular chelitis | topical nystatin, minonazole, clotrimazole, or ketoconazole
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| candinda of the groin, scrotum, axilla, inframammary region. | Intertrigo
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| what are the S/Sx of candida intertrigo | vesicopustules, erythema, erosions, surrounded by peripheral scaling
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| HOw is candida intertrigo different than tinea infections | generally redder and more macerated than tineas
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| Scaly, hypo or hyperpigmented macules on trunk and proximal extremities caused my malassezia furfur. | Tinea Versicolor
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| What is the best way to discover tinea versicolor | the lesions don't tan so you get white spots surrouned by tan skin.
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| where is tinea versicolor common | tinea versicolor is common in warm humid environments
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| In a KOH prep of tinea versicolor what are you going to see | spaghetti and meatballs = yeast and hyphae
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| under a wood's lamp what color would tinea versicolor appear | yellow-green fluorescence
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| What is the treatment for tinea versicolor | ketoconazole 2% shampoo or selsun shampoo
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| inflammatory skin disease associated with abnormal skin cell turnover. Skin turnover is 3 days rather than normal 28. | Psoriasis
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| what are the typical s/sx of psoriasis | has red thick plaques with adherent silvery scales
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| what is the auspitz sign of psoriasis | punctate bleeding from lesion when scale is removed
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| what is the koebner sign of psoriasis | appearance of new lesions at sites of trauma often linear
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| where is psoriasis most common | scaly plaques on elbows, knees, and scalp
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| What is guttate psoriasis | scattered pink scaly papules on trunk with an acute onset in children and streptococcal pharyngitis
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| What are the s/sx of pustular psoriasis | generalized pustule, ill patient with fever, arthralgia, leukocytosis, hypocalcemia, hypoalbuminemia
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| What is generalized redness and scaling called in psoriasis | erythroderma
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| 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
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| 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
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| what are the systemic treatments for psoriasis | acitretin, methotrexate, cyclosporine
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| what are the immune modulator that can be used to treat psoriasis | etanercept, infliximab
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