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Disorders of the integumentary system

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Disorder
Definition
Cause
Contraindications/Indications
Cellulitis   Noncontagious inflammation of the skin and deeper tissues   Widespread bacterial infection   Could be associated with contagious condition, check with dr.  
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Impetigo   Contagious bacterial infection of the skin, characterized by localized skin redness and vesicles around nose, mouth, axilla, groin, hands, and feet that burst and form crusts   Bacterial infection   Avoid infected area, check with dr.  
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Foliculitis   Contagious inflammation of hair follicle, often contracted from hot tubs   Bacterial infection   Avoid infected region, refer to dr.  
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Acne   Noncontagious inflammation of sebaceous glands in the skin   Hypersecretion of sebum due to hormonal changes in body   Do not massage affected area because sensitive and painful  
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Herpes simplex   Open sores and vesicles around the lips and gums, contagious   Herpes simplex 1 infection   Do not massage affected area  
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Chicken pox   Skin condition characterized by a rash that develops into pustules and vesicles lasting abt. 5-7 days   Acute form of varicella zoster, virus infection transmitted through airborn route, grows in respiratory tract and is spread through body by lymph and circulatory system   Do not massage, wait for rash to subside  
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Shingles   Eruption of pustules along a dermatome of the nerve root   Delayed or recurrent form of varicella Zoster infection, virus remains dormant in nerve tissue after a typical infection causing chickenpox but may become reactivated years later   Do not massage, refer to dr.  
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Verrucae   Contagious infection of epidermis, many different varieties   Viral infection   Contagious, avoid infected area  
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Tinea pedis   Itchy shallow lesions on the foot and between toes   Fungal infection of feet   Avoid affected area, refer to dr.  
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Tinea cruris   Shallow lesions in groin area   Fungal infection of groin   Avoid area, refer to dr.  
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Scabies   Itchy eruptions that usually affect webs of hands, wrists, elbows, gluteal cleft, or nipples, papules and vesicles very common   Sarcoptes scabiei infection   Avoid area, refer to dr.  
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Pediculosis   Itchiness of scalp, pubic area, or other places of skin   Blood-sucking lice transmitted through personal contact and sharing of combs, brushes, bedding, towels, and clothing   Avoid direct contact w/client, refer to dr.  
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Psoriasis   Chronic skin disorder characterized by oval, silvery, plaque-like scales with patches of red, especially on the scalp, ears, genitalia, and skin over bony prominences   Unknown, suspected genetic influence   Avoid infected area, refer to dr.  
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Scleroderma   Autoimmune disease characterized by deposition of collagen in skin, lungs, heart, kidneys, and gi tract, 2/3 as likely in females, common signs include inflexible, cold-sensitive fingers, "mask-like" face   Autoimmune disorder, unknown cause   Avoid infected region, refer to dr.  
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Atopic eczema   Noncontagious, general inflammation of skin, characterized by blister-like formations that burst and form crusts, commonly involves scalp, arms, trunk, and legs, may develop dry, pigmented areas of skin that begin around elbows and knees and spread   Unknown, may be allergic   Do not massage any painful, itchy, or weeping areas  
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Lupus erythematosus   Chronic inflammatory disease, often shows periods of exacerbation, relapse, renal failure and cns problems most common causes of death, can affect most body systems, 85% female, sometimes manifest as a butterfly rash across nose and cheek   Autoimmune dissorder of unknown cause in which the body produces and immune response against nuclear components of cell, suspected factors include stress, sunlight, and infections   Refer to dr.  
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Urticaria   Itchy skin eruptions   Usually allergic response to allergen or irritating agent, may be influenced by psychogenic factors   Do not massage any painful, itchy, or weepy areas  
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Decubitus ulcers   Dark patches or ulcerations of skin that lead to necrosis of skin   Prolonged pressure over bony prominences, usually from lying or sitting in one posititon to long without moving   Do not massage affected area  
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