Lisa Derm 3 - Ucla/laughing

Front 1

Red, cracking, chininess of wt bearing portion of foot;
** no interdigitial involvement vs what other diz?

Back 1

Juvenile Plantar dermatosis (sweaty sock syndrome)
-vs tinea pedis: + interdigital;
-tx: Thck emollients BID-TID; topical CS

Front 2

Papules or vesicles that develop into coin shaped plaques, pruritic; mimics T. corporis impetigo
-dx adn tx?

Back 2

Nummular Eczema ~ dry skin
-tx: ~ AD; topical CS

Front 3

Firm, small skin colored or red papules on cheeks, upper arms, ant thigh (ANNA);
--dx adn tx?

Back 3

Keratosis pilaris
-tx: nothing, emollients, keratoylitcs or mechanical removal

Front 4

Oval, poorly demarcated hypopigmented patches on face (MARY), upper ext, r/o T. versicolor!!;
-dx and tx?

Back 4

Pityriasis Alba (mary)
-tx: Tx: none, emollients, topical CS

Front 5

Chronic intermittent vesicular eruption; starts on fingers, then spreads to palms; older kids, teens; severe itching

Back 5

Dishidrotic Eczema or Pomphylox

Front 6

invasion of exzematous skin by herpes, not responsive to antbx; vesicular lesions;
-? how dx? tx

Back 6

Eczema herpeticum;
confirm: Tzanck smear; Tx: acyclovir

Front 7

-Sx: mild scalp SCALING w/o alopecia; block dot alopecia w/ broken hair
-also see -scaly patches w/ alopecia (think if no response to seb derm); Kerion
-how transmitted; dx?

Back 7

TInea Capitus;
-transmitted: Cz: Trichophyton tonsurans – human – human; Microsporum canis: cats, dogs; -also fomite transmission;

Front 8

tx of T. capitus?

Back 8

Tx: systemic tx ! Griseofulvin x 2-3 mo(se: HA, GI upset); other: ketoconazole, terbinafine –cidal; itracnazole

Front 9

Red papule or pustule → RED SCALY plaque; often clears centrally,
-dx and tx?

Back 9

tinea corporis ;
-Dx: KOH: branching hyphae w/o spores;
Tx: topical antifungals x 2-4 wks; avoid antifungal-topical steroid combos

Front 10

Intertriginous macertaion, fissuring, redness w/ scaling or pustules over instep, diffuse heyperkeratosis ; +/- nail involvement

Back 10

t. pedis;
-Dx: KOH
Tx: topical antifungals; +/- kertalytic agent if significant scaling; systemic antifungal (itraconazole if nail involvement_

Front 11

starts lateral distal nail, discoloration, onycholysis, subungal debri; dx and tx?

Back 11

-Oncychomycosis
tx: Terbinafine or itraconazole; avoid griseofulvin!!

Front 12

adolescents, warm humid seasons;
-oval macules, hyper/o red to tan-brown, fine scale if scraped; on upper back, shoulders, prox UE; face in kids
-cz, dx, how dx, and tx? Worse w/ ?

Back 12

Tinea versicolor (pityriasis Versicolor)
cz: l snkin flora (p orbiculare or Masasezzia furfur)
-DX: spaghetti/meatballs on KOH; fluoresce w/ woods lamp; worse w/ sun
-Tx: antifungals, zinc or selenium shampoos;
-resistant cases: ketocanozole, fluconazole

Front 13

Primary lesions: burrows, papules, vesicles, mainly interriginous areas –older kids/adolescents; pustular erutpions on palms, soles infants; can develop indurated red nodules x months;
-cz/dx/tx?

Back 13

Mite: sarcoptes scabei;
-Dx: mite, eggs, feces on scrapping
Tx: whole family: perithrin (elimite) topically x 8 -14 hrs;
-wash bedding, clothes in hot water, treat prurutis (last wks after treatment)
-resistant cases: ivermectin orally

Front 14

hypersenstivity response to bites of mosquitos, fleas, bedbugs, mites or other insects

Back 14

Papularlar urticaria
-Tx: topical CS, oral antihistamines

Front 15

how long can lice last? whose more effected? cz?

Back 15

Cz: pediculosis, capitis: F> M; Whites > AA;
-last 36 hrs w/o blood meal, eggs on hair shafts can hatch 10 d later;
-pubic lice can exist on other hair (face), slower, impact all races equally

Front 16

tx lice?

Back 16

Tx: permithrin 1%

Front 17

cz of warts? tx?

Back 17

Cz: paillomavirus;
-spont resolve: ½ by 1 year, 70% by 2 years;
Tx: cryotherapy w/ liquid nitrogen; salicylic acid preps; duct tape, topical retinoic acid

Front 18

white yellow or skin colored papules, w/ Central umbilication

Back 18

Cz: poxvirus:
-molluscum; no tx; resolves on own

Front 19

school aged, adolescents; starts w/ herald patch, mimics tinea coprois-oval red, scaly plaques
-followed in days – wks by multiple oval, red plaques w/ central scale; * most prominent on trunk, long axis follows skin cleavage lines; *spares soles, and palms (vs syphilis, + LAD, F); what's pattern? tx?

Back 19

Pityriasis Rosea -winter/early spring
-christmas tree pattern
-Tx: supportive : sun decreases itching; antipruritis;
-erythromycin po may speed resolution

Front 20

dDX of p. rosea:
** R/o secondary syphilis in sex active teen; consider guttate psoriasis if doesn’t clear over time
-Tinea corporis: elevated border w/ central clearing
-nummular eczema: crusting erosions
- Tinea Versicolor: hyper/o pigmented scaling macules

Back 20

d

Front 21

-skin colored or red, firm nodules that can form a ring w/ central atrophy or depression; NON scaling (Vs. Tinea)
-most commonly on dorsum of writs and ankles, no epidermal involvement;
-dx, tx?

Back 21

Granuloma Annulare
--resolves spontaneously;
-occasionally : high potency toical CS or local steroid injections

Front 22

cz of acne? cz of closed, open lesions?
-Moderate: red papules w/ many pustules→ tretinoin + BP; topical antbx prn;
-Severe: papules, pustules, cysts, scarring→ BP, antbx, tretinoin; if resistant, use Isotreninoin: decreases sebaceous gland x 5 mo

Back 22

-P. acnes;
-closed : - white heads, open – blackheads;
Tx: topical tretinoin: * comedones (liquids > gels > creams)-SE: sun sensitivity;

Front 23

Mild comedonal acne tx?

Back 23

→low strength tretinoin cream or BP

Front 24

red papupues w/ few pustules: what class of acne, and tx?

Back 24

-Mild inflamm: →BP

Front 25

red papules w/ many pustules→? kind of acne, tx?

Back 25

Moderate acne: tretinoin + BP; topical antbx prn

Front 26

: papules, pustules, cysts, scarring; ? kind of acne, tx?

Back 26

Severe: → BP, antbx, tretinoin; if resistant, use Isotreninoin: decreases sebaceous gland x 5 mo;

Front 27

naturally occurring psoralens (limes, lemons, celery, grasses) →dermatitis > UVA exposure;
Sx: redness, blister, streaky hyperpigmentation

Back 27

Phytophotodermatitis

Front 28

AI d/o w/ T lymph attacking hair follicle; ~ thyroiditis
-no inflamm or scarring; diffuse hair loss; near margins – exclamation hairs;
~?; dx ?

Back 28

alopecia areata;
~ nail defects: pitting,

Front 29

- Most common diffuse thinning of scalp hair; round patches, well defined
-Meds: ACEI, antibocag, anticonvuls, propanolol, OCP, isotrention; thyroid, SLE, iron def, hypervitam

Back 29

T. effluvium

Front 30

: incomplete alopecia w/ broken off hairs

Back 30

Traction Alopecia

Front 31

F > M; scalp, eyebrows, eyelashes; irreg patch of incomplete alopecia w/ broken off hairs of diff lengths, irregular patch ~ thumb sucking, nail biting, nose picking, lip biting; ~ OCD

Back 31

Trichotilomania

Front 32

most common : scalp, also face, trunk, ext;
-sharply demarcated, superficial erosions or deep ulcers w/ granulation

Back 32

Aplasia cutis congenital: congen absence of skin

Front 33

-partially or completely depigmented macules or patches w/ sharply defined borders
- spontaneous repigmentation in 10-20% ANA, CBC, fasting blod glucose; TSH
-Woods lamp: ivory appearance; BX: no melanocytes
-dx, tx?

Back 33

vitiligo; tx: Cs

Front 34

Sharply defined depigmentaion on NB ~?

Back 34

piebaldism~ Waardenburg’s: white forelock, white patches on skin, heterocrhomia of iris, B/L sensorinueral deafness, some forms w/ skeletal abnl, hirschprungs

Front 35

Silvery, whites, small red papules→ bright red well defined plaques w/ silver grey scale at center of lesion
*? : removal of scale →pinpoint bleeding;
~ nail involvement (pitting, discoloration, onycholysis);
*?phenomenon: lesions are induced > local truama

Back 35

psoriasis; Immune mediated d/o; genetic + envtl trigger (skin injury, GAS)
-scale removal--> bleeding: auspitz
-koebner: phenomenon: lesions are induced > local truama
-Tinea corpus: scaly lesions –thin not thick; w/ central clearing

Front 36

DDX: psoriasis
- non bullous impetigo: oozing, crusting
-nummular eczema: round, oozing, crusting erosions, dry macules w/ fine scaly pattern
-pityriasis rosea: small oval, thick scaling plaques- long axis of lesions parallel skin: christmas tree

Back 36

d

Front 37

Small round lesions over trunk,
-tear drop lesions ~ arthritis, uveitis;
+ by what? dx?

Back 37

guttate psoriasis; + by GAS phargyntitis or perianal cellutlits, often URI sx w/in 3 weeks of onset
-tx: TX: GAS infx;
-topical CS: first line;
-Tar

Front 38

Pigmented lesions→hives,blisters w/ rubbing (? sign); infant 1st 6 mo life

Back 38

-urticaria pigmentosa;
-Darrier sign
-No tx; avoid narcotic pain meds, radiocontrast dye