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42 Cards in this Set
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Tinea Capitis - Group of fungi capable of infecting keratinized tissue. - Dermatophyte infection of scalp - More common in African Americans and Hispanics. Treatment: - Topicals are ineffective for tine capitis |
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Tinea Capitis |
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Tinea Capitis |
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Favus (honeycomb) - Severe form of Tinea Capitis - Southeast Europe/Middle East |
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Tinea Faciei - Also know as Ringworm |
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Tinea Faciei |
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Tinea Corporis |
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Tinea Corporis |
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Tinea Corporis |
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Tinea Imbricata - Southwest Polynesia, India, Cenral america - Caused by tine concentricum |
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Tinea Cruris - Dermatophyte infection of genitalia, pubic area, perineal and perianal skin - scrotum usually appears normal - Mimics candidiasis, but candidal infections usually involve scrotal skin and have satellite lesions |
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Tinea Cruris |
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Tricophytan Rubrum - most common cause of tinea pedis |
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Tinea Pedis - Most commonly caused by T. Rubrum |
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Tinea Manuum |
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Onychomycosis - More common in men - Tinea Rubrum is the most common cause Treatment - Terbinafine(Lamisil) - Itraconazole(Sporonox) |
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Cutaneous Candidiasis - Associated with obesity, occlusive clothing, diabetes and antibiotic therapy - May present as thrush, vaginitis, balanitis, intertrigo, nail infections, diaper dermatitis - Systemic disease is life-threatening |
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Oral Candidiasis - Most common form of candidal infection - Scrapes off leaving a bright red beefy surface - Common in infants - Less common in adults unless immunocompromised Treatment - Nystatin swishes - Clotrimazole troches |
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Candidal Angular Cheilitis - Aka perleche - Associated w/ lip licking, poor fitting dentures, sagging skin, excessive salivation Treatment - Topical Nystatin - Miconazole - Clotrimazole - ketoconazole |
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Candidal Intertrigo - Intertriginous skin (groin, scrotum, axilla, inframammary skin) - Vesiculopustules, erythema, erosions surrounded byperipheral scaling Treatment - Topical miconazole, clotrimazole, nystatin - Keep dry |
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Candidal Intertrigo |
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Candidal Intertrigo |
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Candidal Intertrigo - Usually involves skin folds, differentiating it from diaper dermatitis |
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Tinea Versicolor - Scaly, hypo- or hyperpigmented macules on trunk and proximalextremities - Lesions fail to tan with sunexposure so are more obvious in summer when surrounding skin tans - M.Furfur oxidizes fatty acids of skin surface lipids and produces dicarboxylic acid, which inhibits tyrosinase (key enzyme in melanin synthesis) |
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Tinea Versicolor - If it scales scrape it! Treatment - Ketaconazole 2% shampoo - Selenium Sulfide Shampoo |
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Seborrheic Dermatitis - Very common, chronic, superficial inflammatory disease - "Inflammatory Dandruff" - Common in Parkinson's and HIV |
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Seborrheic Dermatitis |
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Seborrheic Dermatitis |
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Seborrheic Dermatitis Treatment - Ketoconazole 2% - Selsun blue - Short course oral antifungal Clinical Diagnosis; no biopsy indicated |
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Psoriasis - psoriasisis a complex inflammatory disorder involving interplay among genetics, theimmune system, and the environment - Nearly all body surfaces may be resolved - Patients with metabolic syndrome are 2x as likely to have Psoriasis |
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Psoriasis Treatment - Topicalsteroids - Topicalretinoids - Topicalvitamin D analogues - Ultravioletlight therapy - Systemicagents: Acitretin, Methotrexate, Cyclosporine - Biologics |
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Psoriasis |
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Psoriasis |
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Psoriasis |
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Koebner Phenomenon (Psoriasis with trauma or scarring) |
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Pustular Psoriasis - Typicalpatient has had plaque psoriasis and psoriatic arthritis - Sudden onset with generalized pustules - Triggering factors includepregnancy, rapid tapering of corticosteroids (or other systemic therapies), hypocalcemia, infections, and topical irritants Treatment - Treat symptoms - Topical steroids - Antihistamines for pruritus - UV light treatment (possible post-inflammatory hyperpigmentation) - Oatmeal baths |
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Psoriatic Arthritis |
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Psoriasis - Nailchanges (50%): pitting, onycholysis,oil spots |
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Pityriasis Rosea - Common acute, self-limited dermatosis - Affects children and young adults - Located on trunk and proximal extremities - Herald Patch: Solitary red papule or patch that precedes other lesions by 1-2 weeks - Duration is 6 weeks - Unclear etiology |
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Herald Patch of Pityriasis Rosea - Solitary red papule or patch that precedes other lesions by 1-2 weeks |
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Pityriasis Rosea "Christmas tree pattern" |
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Inverse Pityriasis Rosea - More common in young children and in those with darkly pigmented skin |
