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papules/skin change1
skin papules and changes I
| 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 |
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