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58 Cards in this Set
- Front
- Back
what langerhan cells display
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MHC Class I & II, CD40, CAMs, B7
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Dendritic shaped cells
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langerhan cells
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langerhan cells are...
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APC's
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major cell type of the epidermis
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keratinocytes
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keratinocytes present/produce?
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MHC Class I & II, cytokines, and prostaglandins
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what type of hypersensitivity is allergic contact dermatitis
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Type 4
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is an inflammatory skin disease caused by cell-mediated hypersensitivity to external agents that contact the skin
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Contact dermatitis
(Sensitization may take days or years) |
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Blisters > AB > immunofluorescence
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Immunobollous disease
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Bullous Pemphigoid
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subepidermal: IgG and complement
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Pemphigus
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intraepidermal: most serious immunobollous disease
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Dermatitis herpetiformis
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subepidermal: IgA, complement, and enteropathy
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Strong association with HLA-DRB1*0402
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Pemphigus
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Widespread blistering of skin and mucous membranes
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Pemphigus
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Intensely pruritic vesicles
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Dermatitis Herpetiformis
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Dermatitis Herpetiformis is associated with...
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gluten-sensitive enteropathy
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Chronic relapsing skin disease
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Psoriasis
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Typical features of psoriasis lesions...
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Sharply demarcated with clear-cut borders;
Noncoherent silvery scales; Glossy homogeneous erythema; Positive Auspitz sign |
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The skin changes in psoriasis stem from
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increased rate of proliferation and shedding of keratinocytes.
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Keratinocytes gone Baaaaadddd?
T-cell mediated process Role of cytokines |
Pathogenesis of Psoriasis
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Superficial Fungal Diseases
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Pityriasis versicolor;
Tinea nigra; Black/White piedra |
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Cutaneous fungal diseases
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tineas (dermatophytoses)
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Subcutaneous fungal diseases
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Chromoblastomycosis;
Sporotrichosis; Mycetoma |
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chronic, mild infection of stratum corneum, results in scaly lesions.
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Pityriasis (or tinea) versicolor
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Is there an inflammatory response in pityriasis versicolor?
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hell nah
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pityriasis versicolor is caused by?
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Malassezia furfur
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treatment of Malassezia overgrowth
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Itraconazole/ketoconazole;
Selenium Sulfide; Pyrithione zinc |
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brown/black macular lesions usually on hands and/or feet. May resemble melanoma
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tinea nigra
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is tinea nigra non scaling?
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yep
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(T-F) tinea nigra is non inflammatory
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TRUE
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brown-black pigmented yeasts, found in soil, shower curtains
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Exophiala werneckii
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Phaeohyphomycoses
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diseases caused by unrelated dark pigmented fungi
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infection on external hair shaft, forming either black nodules or white nodules
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Black piedra, White piedra
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black piedra
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Piedraia hortae
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white piedra
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Trichosporon beigelli
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classified based on location of infection. Will induce an inflammatory response. Metabolize keratin
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dermatophytoses,(ringworms)
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ringworm of trunk, legs
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tinea corporis
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concentric rings of scales over trunk, legs, forearms
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tinea imbricata
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scaling between the toes, lateral side of the foot. “Moccasin pattern”. Itching, skin cracks.
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tinea pedis (athlete's foot)
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rash, scaling, inner thighs
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tinea cruris (jock itch)
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disease of children, classified as ectothrix or endothrix
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tinea capitis (scalp ringworm, favus)
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ectothrix
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conidia outside of hair shaft
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endothrix
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conidia inside of shaft
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hair loss, scaling, and inflammation of the scalp skin,
itching; can be confused with dandruff, seborrheic dermatitis |
tinea capitis (scalp ringworm, favus)
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infection of the hair and skin around the bearded areas of the neck and face
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tinea barbae
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fungal infection of the nails, causing thickening, fissuring, colorization (brown, white, yellow).
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tinea unguium (onychomycosis)
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wart-like, cauliflower, pigmented lesions, usually of the foot.
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chromoblastomycosis
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chromoblastomycosis
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Fonsecaea pedrosoi, Cladosporium carrionii, Phialophora verrucosa
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- ulcerative papule, spreads via draining lymph channels, nodular granulomas, chronic
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sporotrichosis (rose thorn disease)
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sporotrichosis (rose thorn disease)
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Sporothrix schenckii
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infection via thorns and
splinters. Small, painless papules and nodules, sinus tract formation leads to spread, deeper tissue infiltration. Can lead to bone destruction over a period of months/years |
mycetoma (Madura foot)
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mycetoma (Madura foot)
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Pseudoallescheria boydii, Madurella mycetomatis
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tineas (dermatophytoses)
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Trichophyton, Epidermophyton and Microsporum sp. Candida sp.
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Chromoblastomycosis
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Fonsecaea, Cladosporium, Phialophora sp
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Mycetoma
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Pseudoallescheria, Madurella sp.
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a distinct acute variant of psoriasis noted for fever which may last several days, sudden generalized eruption of sterile pustules 2-3 mm in diameter, usually over the trunk; also weight loss, muscle weakness, leukocytosis, and congestive heart failure.
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Generalized pustular Psoriasis
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a generalized form of the disease which affects all body sites; erythema is the most prominent feature with less scaling.
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Psoriatic erythroderma
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small lesions over the upper trunk and proximal extremities; characteristic of psoriasis at an early age; may be preceded by streptococcal throat infection.
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Eruptive (Guttate) Psoriasis
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the most frequent clinical pattern, characterized by red scaly lesions that persist for months to years, usually on the elbows, knees, the scalp, behind the ears, and around the navel.
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Plaque Psoriasis
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