skin papules and changes I
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| verruca definition | growth of epidermal cells secondary to HPV
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| verruca types | verruca vulgaris
verruca plana
plantar warts
condyloma acuminatum
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| verruca treatment | optional.
destruction, irritation, immune modulation
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| verruca prevention | vaccine = gardasil
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| molluscum contagiosum definition | benign intraepidermal growth secondary to pox virus infection
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| molluscum contagiosum in kids | generally not sexually transmitted
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| molluscum contagiosum in adults | generally an STD
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| molluscum contagiosum treatment | optional.
destruction or immune modulation
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| corns and calluses definition | thickening (hyperkeratosis) of epidermis secondary to repeated rubbing or pressure
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| corn is | focal pressure on bony prominence
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| callus is | more general thickening due to chronic rubbing
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| corn/callus treatment | mechanical or chemical paring down, changing footwear
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| acrochordons (skin tags)definition | benign neoplasm of epidermis usually in area of friction
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| acrochordons (skin tags) treatment | optional.
snip excision or cryodestruction
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| neurofibromas definition | benign tumor of the peripheral nerve sheath
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| neurofibromas types | sporadic or as part of Type I neurofibromatosis
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| neurofibromas treatment | optional.
excision
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| Epidermal inclusion cyst definition | epithelial lined sac in the dermis with connection to epidermis, filled with keratin
mobile, nodule with punctum
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| epidermal inclusion cyst treatment | if symptomatic, excision +/- antibiotics
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| lipoma definition | benign, slow growing, subcutaneous skin growth of adipose tissue
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| lipoma description | soft, localised, well circumscribed, painless swelling
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| lipoma locations | mainly in subcutaneous tissues of the head, neck, shoulders, hands, legs and back
on palpation, these are soft, nontender, and freely mobile
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| 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
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| 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
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| 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
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| 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
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| spider angiomas description | symptomless, reddish blue marks formed from blood-filled capillaries radiating around a central arteriole in the shape of a spider web
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| acne defintion | disease of pilosebaceous unit with open and closed comedones, papules and pustules on face, chest and back
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| acne treatment | combination or oral and topical antibiotics and retinoids
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| cystic acne (acne vulgaris) | more difficult to treat
accutane
characterized by nodules and cysts
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| rosacea (acne rosacea)definition | chronic inflammatory disorder of the blood vessels and pilosebaceous units of the face
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| rosacea stages | flushing, persistent erythema, papules/pustules, rhinophyma
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| rosacea treatment | sunscreen, antibiotics, metronidazole, lasers
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