Shared Flashcard Set

Details

ODR ICM
Dermatitis & Acne
24
Medical
Graduate
12/16/2010

Additional Medical Flashcards

 


 

Cards

Term
acute dermatitis
Definition
erythema, edema, vesicles
histo; epidermal spongiosis (inter cellular edema)
Tx: steroid cream
Term
epidermal spongiosis
Definition
acute dermatitis
Term
subacute dermatitis
Definition
light pink to red macules, papules, patches and plaques
indistinct borders
histo: mild spongiosis, no intraepidermal vessels
Term
chronic dermatitis
Definition
scaling tan to faintly pink macules, papules, patches and plaques
excorations are less common, may be secondariliy infected
histo: epidermal hyperplasia
Term
epidermal hyperplasia
Definition
chronic dermatitis
Term
lichen simplex chronicus
Definition
circumscribed chrnoic dermatitis: markedly thickened, firm plaques with accentuation of the normal skin lines and adherent scale
histo: epidermal hyperplasia & firbosis of the papillary dermis
Term
What is the most common type of dermatitis?
Definition
contact dermatitis
Term
What is the diff between irritant and allergic dermatitis?
Definition
irritant: no delay between onset of dermatitis and contact w/irritant; no prior exposure needed
allergic: requires prior exposure, 48-72 hour delay in onset; recurs as acute dermatitis with low concentration of the agent
Term
patch testing
Definition
multiple allergens placed on individuals back in low concentrations, left for 48 hrs
Term
How is contact dermatitis treated?
Definition
acute: topical corticosteroid creams, systemic if necessary
subactive: topical steroid ointments and lotions
chronic: steroid ointments
Term
How do you differentiate between acute dermatitis and subacute?
Definition
subacute does not have intraepidermal vesicles
Term
nummular dermatitis
Definition
annular or ringed plaques of eczema simulating coins
tend to appear in areas of dryness and more common in patients w/hereditary predisposition to the condition
may be difficult to treat in the winte
Term
annular or ringed plaques of eczema
Definition
nummular dermatitis
Term
atopic dermatitis
Definition
under 18 months of age: diffuse dermatitis
>18 months: localizes on face, flexural areas; often lichenified
IgE-mediated: individual is hypersensitive to MUTIPLE allergens--patch tests are of little value
often quiets down in adulthood
Term
seborrheic dermatitis
Definition
mild dandruff or bright red erythema, edema, vesiculation of hairy areas
Term
dyshidrotic dermatitis
Definition
hands and feet w/linear, small, very pruritic vesicles along edges of fingers and toes
tends to flare in warm humid weather and under stress
difficult to treat
Term
linear, small, very pruritic vesicles along edges of fingers and toes
Definition
dyshidrotic dermatitis
Term
stasis dermatitis
Definition
erytheme, scaling and rarely vesiculation of lower extremities in association w/edema
Term
what type of dermatitis is associated w/erythema/scaling in lower extremities associated w/edema
Definition
stasis dermatitis
Term
photodermatitis
Definition
requires topical or systemic agent + sunlight exposure
Term
comedone
Definition
keratin plug in superficial portion of hair follicle
develop from swelling and edema of the sebaceous duct where it enters the hair follicle
will produce a small, white, firm papule
Term
How is acne treated?
Definition
comedones: topical retinoids and exfoliative agents
inflamm lesions: tetracycline, benzoyl peroxide, topical antibiotics
cystic acne: acutane
Term
acne rosacea
Definition
hereditary
mild flushing/redness>permanent dilated telangiectactic BVs, papular>thickening/fibrosis of central face and nose (rhinophyma)
Tx: topical flagyl, mild topical steroids and sulphur preparations
Term
perioral dermatitis
Definition
usually in women
mimics eczema
present on face: red, scaly edematous lesoins w/occasional papules
tx: systemtic meds
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