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58 Cards in this Set

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