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30 Cards in this Set

  • Front
  • Back
What is the ratio of melanocyte to normal skin cell?
1:36
1 melanocyte for 36 keratinocytes
What are the immune cells in the skin called?
Langerhans cells
What are Merkel cells
sensory
What do each of these glands secrete?
eccrine
sebaceous
apocrine
sweat
sebum, oily substance
scent
What is dermatitis
describe
1. acute
2. chronic
inflamm of dermal layers
1. acute - blistering of skin, inflamm cells, edema, and blisterming, no scar, regneration
2. chronic - proliferaion, thicked raised plaque
What is the definition of Atopy
Give one example where it is found
Atopy = allergic reaction at a site NOT in contact with the allergen
type 1 hypersensitivity
What is dermatitis herpeetiformis
give an example
immune complex deposition at the skin
gluten in lumen in SI defective ,mucoal epithelial barrier and immune complex
What is the substance released from poison ivy? (2 names from notes)
What does it cause?
1. Uroshiol OR radicans
2. contact dermatitis
What is psoriasis
Caused by?
Where does it happen usually?
hyperkeratotic lesion
p. vulgaris
happens to places where there is trauma, eg knees, elbows, scalp, back
Psoriasis involves what two steps (2)
Psoriasis are characterized by what (4) things?
1. angiogenesis
2. inflammation
1. angiogenesis
2. hyper-keratosis
3. numerous inflammatory
4. thickness of the keratin surface
What immune cells are involved in psoriasis
(1) cell (2) cytokines
T cells, mainly memory CD4
IL2 and IL12
What is is the genetic determinant of psoriasis
What account does it determine
1. PSORS1
35-50%
What are {2) newish therapies to treat psoriasis
1. stat 3 decoy - stat3 is inolved in the signaling of the inflamm reaction
2. IL-17 blocker - an inflamm mediator
What are the degrees of burns (4)
1. epi
2. dermis
3. layer of fat under
4. muscle below fat
What causes acne
increased in what (2)
hyperplasia of sebaceous glands
1. keratin
2. melanocytes
hair shaft blocked
What is blackhead?
What is whitehead?
blackhead - follicle dilated and filled w keratin and pigment + bac + neutrophils
whitehead - or micromedo - sebaceous gland reuptures and releases proteases and neutrophil which destroys the wall of the follicle
What does sun damage cause (4)
1. photoagin
2. cancer (basal cell and squamous cell carcinoma)
3. wrinkles
4. actinic keratosis
Which UV is able to penetrate deeper in the skin, how far?
UVA, to the dermis
(UVB blocked at epidermis)
What is polymorphic light eruption?
when systemic drugs are affected by sunlight
What is
solar lentigines?
lentigo maligna
actinic keratosis
solar lentigines - discrete dark spots
actinic keratosis - red patch, hypperkertosis
lentigo maligna - in situ carcinoma --> can develop malignant melanoma
What does UV light promote keratinocytes to express?
What about langerhans?
RANKL
Treg --> immunosuprression
What is the mech of UV radiation damage
RNA released from keratinocytes and --> imflamm cytokines TNFalph and IL6 --> TLR3 --> UVB induced immune suppression
Where is the pigment Melanin found ?
melanosomes
What is vitiligo
mlanomsomes present but nonfunctional - cause patches of lighter coouring
Name the three types of skin cancer + brief description
which his the most common?
the most aggressive
1. basal cell carcinoma - most common - very discrete - small bomp, and ulceration
2. melanoma - slightly flatter, irr border and dakrer, ABCD signs, - most aggressive malignant /aggressive
3. squamous cell carcinoma- ulceration in the middle and bleeding
Skin disease higher incidence in males or females?
males
Where does skin cancer metastasize to? (2)
1. gall bladder
2. spleen
What is a nevus?
What is a nodular melanoma?
nevus = superficial spreading (of melanoma?)
nodulalar melanoma = discrete tumor of surface of the skin
What is dermatophytosis
Cause?
Lead to?
athletes foot
fungus
grow on keratin
foot ulceration
What do the HPV viruses cause ?
in general
in particular (2)
Warts
1. epidermal hyperplasia
2. cytoplasmic vacuoles (koilocytosis)