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    Dermatology - Papulosquamous

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    Sherif Makkawy

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    Dermatology - Papulosquamous

    Uploaded by

    Sherif Makkawy
    11 views1 page

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    11 views1 page

    Dermatology - Papulosquamous

    Uploaded by

    Sherif Makkawy

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Dermatology [PAPULOSQUAMOUS RXNS]

    Seborrheic Dermatitis (NOT Seborrheic Keratosis) You know what’d be sweet over here? Images! Unfortunately, we
    Think of this as super-dandruff. Dandruff is flaking of the scalp. can’t swipe off Google; we’re currently developing our own
    It’s treated with selenium shampoo. Seborrheic Dermatitis is a dermatology atlas. Derm is a very visual field, so make sure YOU
    Google the dz until then (some imgs already in the qbank).
    fungal infection that causes an inflammatory reaction in areas
    rich in sebaceous glands. That means hair. Look for a rash on the
    scalp and eyebrows that spares other areas of the face and ears.
    Treat with selenium shampoo. Topical steroids can be used as
    well if the inflammation doesn’t settle with selenium. Low-yield
    test associations include: HIV infection, cradle cap (infants),
    and Parkinson’s disease.

    Psoriasis
    Psoriasis is an autoimmune disease which causes proliferation of
    keratinocytes with excessive accumulation of the stratum
    corneum. It’s thought to be caused by dysregulation of T-Helper
    cells. The patient will have symmetric, well-demarcated silvery
    scales that bleed when picked that commonly affect the scalp,
    gluteal fold, elbows, and knees. Nail pitting and onycholysis
    (detachment of the nailbed) are common. If joint pains are
    present, consider Psoriatic Arthritis (see rheumatology –
    seronegatives). The first step is UV light (sunlight or artificial
    exposure). Topical steroids are used in flares. Other agents, both
    topical and systemic, are beyond the scope of a med student
    (methotrexate, calcineurin-inhibitors, Anti-TNF-alpha). There
    MAY be the need to biopsy to rule out lymphoma if the diagnosis
    is in question.

    Pityriasis Rosea
    A benign and self-limiting condition that resolves on its own (~6
    weeks). We don’t know what causes it. The disease begins with a
    flat, oval, salmon-colored macule (hyperpigmentation in darker
    skinned races) called the herald patch. The disease then
    progresses to several salmon-colored scaling lesions with a
    trailing scale (the scale does not reach the border of the salmon-
    colored lesion). This will always spare the palms and soles.
    While it is self-limiting, it may be the presentation of syphilis;
    rule it out with an RPR. Involvement of the hands and soles
    greatly increases the chance of syphilis.

    Lichen Planus
    Lichen Planus is an inflammatory disorder of unknown etiology.
    It causes an intensely pruritic pink or purple flat topped
    papules (you can feel them) with a reticulated network of fine
    white lines. It usually involves the wrists and ankles but may
    involve the trunk, the oral mucosa or the vaginal mucosa.
    Treatment is similar to psoriasis. Topical steroids are the
    mainstay of therapy, but should not be continued long term. UV
    light can be used as an adjunct (as opposed to psoriasis where it’s
    more effective). Topical and systemic immune modulators are
    beyond the scope of this text. Be aware that a lichenoid drug
    eruption (drug-induced lichen planus) can occur with Ace-I,
    thiazides, furosemide, and Beta-blockers.


    © OnlineMedEd. http://www.onlinemeded.org

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