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Board Review

Board Review. Dermatology. Psoriasis SILVERY SCALES COMMONLY HAVE THICKEND SKIN Found on extensor surfaces, scalp, butt AUSPITZ SIGN: when remove scale small pinpoint bleeding points. Staph diaper dermatitis Complication of diaper dermatitis

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Board Review

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  1. Board Review Dermatology

  2. Psoriasis SILVERY SCALES COMMONLY HAVE THICKEND SKIN Found on extensor surfaces, scalp, butt AUSPITZ SIGN: when remove scale small pinpoint bleeding points

  3. Staph diaper dermatitis Complication of diaper dermatitis Thin walled pustules with erythematous base- rupture and leave a denuded area Cx: gram pos cocci Tx: oral and topical antibiotics

  4. KoebnerPnenomenon Lesions seen at areas of trauma

  5. Nummular excema Pruritic, round to oval shape red scaly patch Usually found on extensor thigh or abdomen. Commonly seen in children with atopic derm or keratosispilaris Lack of central clearing!

  6. Pityriasis Alba Inflammation from atopic dermatitis – hypopigmented areas Most commonly seen on face or extremities Associated with other forms of atopy

  7. PityriasisRosea Herald Patch – oval pink lesion 5-10 days later the other lesion appear all over the body. Commonly seen on the trunk. Small round papules with scale “Christmas tree” Usually resolves in 4-6 weeks

  8. Seborrhea “cradle cap” Greasy Scaly Seen in hear-bearing or intertriginous areas Tx: topical steroids, antiseborrheic shampoos Not that itchy.

  9. Thumb sucking eczema From repeated wetting and drying p

  10. EpidrmolyticHyperkartosis Rare AD Form of ichthyosis Generalized thick, warty scales with intermittant blisters. Worse at extensor surfaces Histiologically- ballooning of squamous cells and microvesicles

  11. AuspitzSign of Psoriasis Bleeding after removal of scales

  12. Atopic Dermatitis A: infantile Red, ITCHY, papules that ooze and crust Childhood – dry and very itchy Wrist, ankles, anticubitalfossa, Poplitealfossa Can see with hyper or hypo pigmentation

  13. Rubber contact dermatitis T cell mediated immune reaction

  14. Seborrhea of scalp

  15. TineaCorporis “Ringworm” Superficial fungal infection Annular lesion with central clearing. Vesicular border. Trichophytontonsurans or Microsporumcanis KOH

  16. TineaVersicolor Multiple small oval scaly patches Commonly on upper back, trunk and upper ext. Pityrosporum org. Dark than other skin in non sun exposed areas and lighter in areas that are exposed. KOH – spaghetti and meatballs Tx; topical antifungals Discoloration may remain for months

  17. Diaper dermatitis Sparing intertirginous areas Treatment: barriers and moisturizer Watch for diaper rash that doesn’t go away!!

  18. TineaPedis “Athlete’s foot” Commonly seen between toes and soles, but can spread Tx topical antifungals Onychomycosis- nail fungus - oral

  19. ErythemaMultiforme Target Lesions Hypersensitivity reaction Symmetrical, any part of the body Can develop to bullae Causes: drugs, foods, immunizations Typically not that itchy Resolves 1-3 weeks

  20. Stevens-Johnson ErythemaMultiforme major Involves mucus membranes and sloughing Monitor electrolytes

  21. Candida diaper dermatitis Satellite lesions Bright red, sharp borders KOH – budding yeast Commonly seen with antibiotic use Tx; topical antifungal

  22. MiliaRubra Sweat duct obstruction Commonly seen in infants – face and neck Worse in hot humid weather Tx: loose clothes, no greasy agents

  23. Infantile Acropustulosis Starts as papules and then progesses to pustules of vesiculopustules Common in AA males Seen on hands and feet Last 10 days then disappear, but will reappear a few weeks later. Resolves 2-3 yrs Unknown etiology

  24. Urticaria “Hives” Wheals VERY ITCHY IgE mediated Usually resolves within 24 hours Can progress to look like EM, or can spread to subcut tissues - angioedema

  25. Serum Sickness-like reaction Urticarial lesions Periarticular swelling Extremity swelling Seen with URI or sulfa containing drugs Stocking glove angioedema Painful migratory periarticular swelling

  26. Morbilliform drug eruption Can look like viral exathem Macules and papules that usually starts on trunk or face Can see 5-14 days after starting the medication

  27. Henoch-SchonleinPurpura Palpable purpura Usually LE Small vessel vasculitis skin, GI, kidneys, joints Rash, abd pain, arthritis Commonly seen after viral illness

  28. Insect Bite Not to be confused with cellulitis Pruritc, nontender, and nonindurated.

  29. Insect Bites Flea bites – red itchy with central puncta

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