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Dermatology: Eczematous/Glandular
Eczematous/Glandular Diseases
23
Medical
Graduate
09/18/2010

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Term
Atopic Dermatitis
Definition
Defective barrier function leads to entry of antigens. Defective lipid (ceramide) production. Increased levels of IgE. S. aureus. Children. Recurring pruritis. History of asthma, allergic rhinitis etc. Xerotic, erythematous, lichenified. Possible Dennie-Morgan folds below eyes.
Term
Irritant Contact Dermatitis
Definition
Direct contact of skin with irritant. More common form of this condition. Irritants = air, water, soap, solvents. Fair skinned women. Itching and pain. Can be acute or chronic. Repeated hand washing, cleaning etc.
Term
Allergic Contact Dermatits
Definition
Direct contact with allergen causes immune reaction. 20% of this type of condition. Delayed sensitivity possible so it may take days to years to react. Memory T cells still exist even after condition is resolved. Poison ivy, nickel dyes, fragrance. Patch testing to determine allergen if needed.
Term
Dishidrotic Eczema
Definition
Intensely itching, chronic. Unknown cause. Distant fungal infection may cause id reaction/autoeczematization. Common in warmer weather. Can be once/month to once/year. Clear tapioca like vesicles. Palms/soles/lateral fingers. Doesn't rupture, but peels.
Term
Nummular Eczema
Definition
Pruritis, erythematous, coin-shaped. Fall/winter. Trunk/extremities, not head.
Term
Lichen simplex chronicus
Definition
Localized form of lichenification. Circumscribed plaques. Repeated rubbing/scratching. Pruritis. Possibly started with a bite or rash that itched. Anxiety, obsession. Mid to late adulthood, females. Automatic, reflexive habit. Erythematous, scaly, well demarcated, lichenified.
Term
Perioral Dermatitis
Definition
Papulopustular facial dermatosis. Women. Asymptomatic or burning/tightness. Erythematous papulopustules. Can become confluent, forming plaques. Can be around the eye, nose or mouth.
Term
Seborrheic Dermatitis
Definition
"Dandruff" "Cradle Cap". Increased sebum and abnormal immune response to Pityosporum. Burning, scaling, itching. Inactive periods. Worse in winter, dry environments. Yellowish-red to gray-white. Crusty, greasy, dry scaly patches. Sharply marginated. Common in sebum rich areas.
Term
Acne Vulgaris
Definition
Epidermal hyperproliferation with subsequent plugging of follicle. Excess sebum. Can be caused by bacteria. Whiteheads (closed comedones) or blackheads (open comedones). Black due to oxidation. Treat with topical retinoids, topical Abx. Oral contraceptives decrease free testosterone . Istotretinoin for severe cases.
Term
Mild acne
Definition
Comedones and inflammatory papules.
Term
Moderate Acne
Definition
Comedones, inflammatory papules, pustules, increased number of lesions.
Term
Nodulocystic acne
Definition
Comedones, inflammatory papules/pustules. Large, numerous nodules greater than 5 mm.
Term
Rosacea
Definition
Facial flushing. Erythema, telangiectasia, possibly inflammatory papulopustular resembling acne. Increased vasculature, environmental, spicy food, alcohol, hot drinks.
Term
Erythematotelangiectatic Rosacea
Definition
Central facial flushing, burning and stinging.
Term
Papulopustular rosacea
Definition
Facial flushing, small erythematous papules/pustules.
Term
Phymatous rosacea
Definition
Facial flushing with skin thinkenings and irregular surface.
Term
Ocular rosacea
Definition
Facial flushing with eye stinging, burning, dryness. Irritation with light, grittiness.
Term
Hyperhidrosis
Definition
Sweating in excess of that required for normal thermoregulation. Onset <25. Focal sweating that stops during sleep. Bilateral, symmetric. Axillae, palms, soles. Treat with topical Drysol or Xerac.
Term
Hidradenitis Suppurativa
Definition
Chronic, suppurative (purulent) occulusion of follicles. Secondary inflammation of apocrine glands. Trapped bacteria multiply and spread. Tissue destruction and skin damage. Pruritis, erythema, local hyperhidrosis. Painful. Intertriginous areas. Tender papules, nodules, abscesses. Often draining. Double ended comedones.
Term
Miliaria
Definition
Heat rash disorder of eccrine sweat glands. Blockage of sweat ducts leads to leakage of eccrine sweat into epidermis/dermis.
Term
Miliaria Crystallina
Definition
Most common form of miliaria. Superficial, tiny clear vesicles appear in crops. Asymptomatic. Neonates.
Term
Miliaria rubra
Definition
Deeper form of miliaria. Pruritic, erythematous papules. Anhidrosis. Resolves when moved to a cooler area.
Term
Miliaria profunda
Definition
Most severe form of miliaria. Dermal-epidermal junction. Repeated miliaria rubra can cause. Asymptomatic, flesh-colored papules. Increased sweating in unaffected skin. Widespread inability to sweat can lead to heath exhaustion.
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