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23 Cards in this Set

  • Front
  • Back
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urticaria
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Angioedema
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urticaria
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erythema nodosum

Panniculitis
Red, painful subcutaneous nodules
Shins, extensor surfaces of UE, dorsum of feet
Peak incidence 3rd decade
Fever, malaise, arthralgia (50%) esp. ankles
Self-limited, 4-6 wk duration
Caused by drugs, infections, inflammatory dz
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erythema nodosum
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Erythema multiforme

Self-limiting (1 mo)
Target lesions
Symmetrical, round, red or purple
Caused by infections and drugs
Treat by removing drug and giving steroids
Severe variant = Stevens-Johnson Syndrome
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acroexfoliate dermatitis

Mild, exfoliative changes to hands & feet
No erythema
Rapid healing when drug has been eliminated
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Exfoliative erythroderma

Acute onset with rapid progression
Reaction to drugs and disease
Exfoliation with erythematous base
All meds must be stopped
Steroids begun ASAP
E.E. Syndrome is full body and can be life-threatening
?
Exfoliate erythroderma
Steven Johnsons syndrome

AKA Erythema Multiforme Major
Mucocutaneous tenderness and erythema followed by necrosis and sloughing
Potential for severe morbidity and death
Immune complex mediated hypersensitivity
Etiology: viral infections, drugs, malignancies
Treat as severe burn
Steven Johnsons syndrome
sign?
Nikolskys sign
drug induced plantar keratoses

Arsenic & lithium well known causes
Multiple, small, punctate hyperkeratoses on the palms and soles
May convert to SCC
May treat with sharp debridement, cryotherapy, electrodessication
Eczematous Drug Reaction

Pruritic reaction
Vesicles and papules
Crusting and scaling if drug use continues
Stop drug!
fixed drug reaction

Well-defined, sharply marginated lesion
Occurs in the same location each time the patient is exposed to the sensitizing medication
Dermatitis develops within minutes of exposure
Remove drug and treat itching
fixed drug reaction

Well-defined, sharply marginated lesion
Occurs in the same location each time the patient is exposed to the sensitizing medication
Dermatitis develops within minutes of exposure
Remove drug and treat itching
drug induced purpura

schambergs disease
photosensitivity reaction

Caused by ultraviolet light exposure after taking certain medications
Sunburn-like erythema, papules, vesicles are possible
Present only in sun exposed areas
Prevent sun exposure and/or stop drug exposure
photoallergic

type IV hypersensitivity, may spread to unexposed areas
Granuloma annulare

Benign, inflammatory, granulomatous condition of the dermis of unknown origin
Occurs in all age groups but most common in young women < 30 years old
Skin-colored, violaceous, raised, oval lesions on hands, feet, legs, ankles
Asymptomatic
Single or multiple
Granuloma annulare

Benign, inflammatory, granulomatous condition of the dermis of unknown origin
Occurs in all age groups but most common in young women < 30 years old
Skin-colored, violaceous, raised, oval lesions on hands, feet, legs, ankles
Asymptomatic
Single or multiple
erythema nodosum
Dr Jenkins house