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20 Cards in this Set
- Front
- Back
A group of inflammatory pruritic skin disorders. Etiology: allergy (usually type IV hypersensitivity), chemical injury, or infection.
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Dermatitis
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Pruritic eruption, commonly on flexor surfaces. Often associated with other atopic diseases (asthma, allergic rhinitis).
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Atopic dermatitis (eczema)
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Type IV hypersensitivity reaction that follows exposure to allergen (poison ivy, poison oak, nickel, rubber, chemicals). Lesions occur at site of contact.
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Allergic contact dermatitis
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Epidermal hyperplasia (acanthosis) with parakeratotic scaling (nuclei still in stratum corneum) especially on knees and elbows. ↑ stratum spinosum, ↓ stratum granulosum. Auspitz sign.
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Psoriasis
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Auspitz sign
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Psoriasis
-punctuate bleeding b/c you took off outer layer |
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Pruritic papules and vesicles. Associated with celiac disease.
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Dermatitis herpetiformis
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Pruritic, purple, polygonal papules; infiltrate of lymphocytes at dermoepidermal junction.
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Lichen planus
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Associated with infections, drugs, cancers, and autoimmune disease. Presents with
multiple types of lesions, including macules, papules, vesicles, and target lesions (red papules with a pale central area). |
Erythema multiforme
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Major form of Erythema multiforme
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Stevens-Johnson syndrome is the major form of erythema multiforme. Characterized by high fever, bulla formation and necrosis, ulceration of skin, and a high mortality rate.
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Flat, pigmented squamous epithelial proliferation with keratin-filled cysts (horn cysts).
Benign. |
Seborrheic keratosis
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Caused by sun exposure. Small, rough erythematous or brownish papules. Premalignant lesion. Risk of carcinoma is proportional to epithelial dysplasia.
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Actinic keratosis
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Tumor of connective tissue elements of dermis that causes raised, thickened scars.
Follows trauma to skin, especially in African-Americans. |
Keloid
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Autoimmune disorder with IgG antibody against epidermal basement membrane (linear immunofluorescence). Similar to but less severe than pemphigus vulgaris––affects skin but spares oral mucosa
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Bullous pemphigoid
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Potentially fatal autoimmune skin disorder. Intradermal bullae involving the oral mucosa and skin. Findings: acantholysis (breakdown of epithelial cell-to-cell junctions), IgG antibody against epidermal cell surface(immunofluorescence throughout epidermis)
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Pemphigus vulgaris
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_____ precursor to Squamous cell carcinoma
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Actinic keratosis
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Very common. Associated with excessive exposure to sunlight and arsenic exposure. Commonly appear on hands and face. Locally invasive, but rarely
metastasizes. Histopathology: keratin “pearls” |
Squamous cell carcinoma
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Most common in sun-exposed areas of body. Locally invasive, but almost never metastasizes. Gross pathology: pearly papules
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Basal cell carcinoma
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____ have “palisading” nuclei.
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Basal cell carcinoma
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______is a precursor to Melanoma
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Dysplastic nevus
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Common tumor with significant risk of metastasis. Associated with sunlight exposure; fair-skinned
persons are at ↑ risk. Incidence ↑. Depth of tumor correlates with risk of metastasis |
Melanoma
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