[ Peds ] Derm

Front 1

if aplasia cutis occurs in multiple areas of the scalp, what genetic disorder should you suspect?

Back 1

trisomy 13

Front 2

milia

Back 2

tiny, pinhead-sized white papules that appear the surface of sebaceous glands

Front 3

how does neonatal acne differ from infantile acne?

Back 3

neonatal: at birth or within first 3 weeks of life, no comedones, no treatment, resolves within first several weeks

infantile: evident at 3-4mo of age, open and closed comedones, resolves over 6-12 months, can trieat with benzoyl peroxide / antibiotics

Front 4

miliaria rubra

Back 4

occurs when sweat glands are blocked and the sweat escapes into the epidermis, producing red papulovseicles

Front 5

what wbc is found in erythema toxicum?

Back 5

eosinophils

Front 6

what wbc is found in transient neonatal pustulr melanosis

Back 6

neutrophils

Front 7

phace syndrome

Back 7

occurs with large, segmental facial hemangiomas

Posterior fossa abnormalities (dandy walker)

Hemangiomas (usually large, cervicofacial lesions involving CNVI)

arterial anomalies (usually intracerebral arterial)

cardiac defects, especially coart

eye abnormalities

Front 8

port wine stains involving ophthalmic branch of trigeminal nerve (v1) associated with

Back 8

sturge weber syndrome (seizures, mr, contralateral hemiplegia, characteristic ophthalmolgic findings - choroidal vscular anomalies, glaucoma)

Front 9

port wine stains of LE associated with what syndrome?

Back 9

klippel trenaunay

parkes-weber (marked limb overgrowth)

Front 10

cafe au lait spots associated with

Back 10

NF1 (esp axillary freckling)

NF2

mccune-albright syndrome

tuberous sclerosis

Front 11

skin findings in tuberous sclerosis

Back 11

cafe au lait spots

periungual fibromas

ash leaf spots

shagreen patch

facial angiofibromas

Front 12

incontinentia pigmenti

Back 12

x-linked dominant, lethal in males

patterned blistering that follows lines of blaschko -> verrcous papules -> hyperpigmented linear swirl patches -> hypopigmented macules/papules

may also have alopecia, delayed tooth eruption, strabismus, seizures / DD

Front 13

characteristics of hypohidrotic ectodermal dysplasia

Back 13

x-linked recessive

frontal bossing, thin upper lip, large lower lip, small chin, prominent ears

sweating almost absence, decreased pigmentation, thin hair

Front 14

polyglandular deficiency

Back 14

vitiligo + endocrine abnormalities

Front 15

side effects of isotretinoin

Back 15

pseudotumor cerebria, depression and pschosis, pancretitis, amrked hypertriglyceridemia, hearing loss, night vision loss, skeletal abnormalities

Front 16

hidradenitis supprativa

Back 16

chronic, inflammatory, scarring process involving apocrine glands of axilla and inguinal rgion

Front 17

hyperpigmented gingiva - what disease?

Back 17

addison

Front 18

koplik spots

Back 18

small white vesicles on erythematous base, found on palate in patients with measles

Front 19

freckles on lips and buccal mucosa - which disease?

Back 19

peutz jeghers syndrome (multiple intestinal harmatomatous polyps)

Front 20

what drog can cuase necrotic skin patches 3-10 days after starting?

Back 20

warfarin

Front 21

what is koebner phenomenon?

Back 21

outbreak in the area of an abrasion

seen in psoriasis

Front 22

guttate psoriasis

Back 22

many small, scaly papules nad plaques on the face, trunk, and proximal extremities

may be induced by strep pharyngitis or perianal strp disease

Front 23

erythema nodosum

Back 23

red, painful, warm nodules usually on shin

caused by sarcoidosis, TB, strep, fungal infnx, drugs (OCP, sulfas, penicillins)

Front 24

zinc defficiency rash

Back 24

red, irritant, eczematoid rash

suaully involves nasolabial folds, perioral skin, extensor surfaces, perineum/scrotum

Front 25

skin findings in sarcoidosis

Back 25

noncaseating granulomatous disease in lungs LN, eyes, skin

skin: granulomatous changes in a healing skin wound, can cause erythema nodosum

Front 26

what is erythrasma? what helps in diagnosis? treatment?

Back 26

well-defined, reddish lesion with some slight scaling, usually axilla, groin, toe webs

wood's lamp - fluoresce bright red

usually polymorobial, treat with erytheomycin and -azole

Front 27

perianal dermatitis (bacterial)

Back 27

can be caused by strep or staph, most common in boys 6mo-10y

10% have concurrent pharyngitis; 80% present with pruritus, 50% with rectal pain/burning, and 33% with blood streaked stools

tx: penicillin

Front 28

erysipelas

Back 28

explosive, superficial cellulitis caused by GAS

usually confined to dermis, clear demarcation line of swelling and redness

Front 29

skin syndromes caused by staph

Back 29

impetigo, bllous impetigo, staph scalded skin syndrome, toxic schock syndrome, staph scarlet fever, furuncles,

Front 30

what causes tinea versicolor? treatment?

Back 30

malessezia furfur

hypopigmented to reddish-brown spreading macules

miconazole, clotrimazole, topical terbinafine

Front 31

what is nikolsky sign? in what disorders is it seen?

Back 31

epidermal sliding with digital pressur eon the skin

pemphigus vulgaris, toxic epidermal necrolysis, staph scalded skin syndrome

Front 32

most common type of prophyria? what does it cause?

Back 32

prphyria cutanea tarda

hyperpigmentation, tense blisters in sun-exposed areas, milia, sin fragility, increased faical hair

increased Fe, Hct, ALT, AST; check urinary coproporphyrins and uroporphyrins

Front 33

difference between EM minor and major?

Back 33

minor: <2 MM involved, HSV virus

major: >2 MM, mycoplasma

annular to target shape lesions, palms and soles frequently involved

Front 34

what is granuloma annulare?

Back 34

annular, ringworm-like lesion without scaling, usually distal portion of extremities

Front 35

describe rash of pirtyriasis rosea

Back 35

small, oval, pruritic papulosquamous lesions, long axis parallel to skin folds and rib lines in a christmas tree pattern

often has herald patch; ddx: secondary syphilis