Trigger- Papulosquamous & Inflammatory Disorders

Question 1

Herald rash and christmas tree rash

Answer 1

pityriasis rosea

Question 2

caused by HHV 6 & 7

Answer 2

Pitryiasis Rosea

Question 3

fine scaling papules and patches that are dull pink and salmon red.

MC in 10-40 and spring/fall

Answer 3

pityriasis rosea

Question 4

associated with Gold, mercury and Hep C

Answer 4

lichen planus

Question 5

flat topped papules that are annular, purple and pruritic

Answer 5

lichen planus

Question 6

dermoscopy shows flat topped papules with whickham striae

Answer 6

lichen planus

Question 7

tx for cutaneous lichen planus

Answer 7

triamcinolone under occlusion BID x 4 weeks

Question 8

treated with cyclosporine and tacrolimus mouthwash

Answer 8

lichen planus of the MOUTH

Question 9

shiny beaded skin colored/reddish brown papules in an annular arrangement

Answer 9

granuloma annulare

Question 10

biopsy shows histiocytic infiltration or necrobiosis of connective tissue

Answer 10

granuloma annulare

Question 11

this is the MC type of panniculitis

Answer 11

Erythema Nodosum

Question 12

this diagnosis involves inflammation of the SQ fat

Answer 12

erythema nodosum

Question 13

can cause secondary arthralgias

Answer 13

erythema nodosum

Question 14

close association with sarcoidosis

Answer 14

erythema nodosum

Question 15

Hyperproliferation of keratinocytes in the epidermis is what disease pathology

Answer 15

psoriasis

Question 16

what type of psoriasis is preceeded by a streptococcal infection (potentially strep throat)

Answer 16

guttate/nummular/eruptive inflammatory psoriasis

Question 17

when the removal of a scale leaves a small blood droplet it is called_______. this is an indicator of what disease

Answer 17

Auspitz sign

psoriasis

Question 18

yellow-brown oil spots on the nails with subungal hyperkeratosis or onycholysis is indicative of what

Answer 18

psoriasis with nail involvement 3

Question 19

erythematous patch with sharp margins that has silvery-white scales that fall with scratching. itchyyyyy

Answer 19

psoriasis

Question 20

a patient with a known hx of psoriasis is now breaking out into large areas of sterile pustules, what is the most common medication withdrawal assocaited w this?

Answer 20

CS

Question 21

this type of psoriasis is life threatening and presents with a positive nikolsky sign and leukocytosis with a left shift

Answer 21

generalized/von zumbusch pustular psoriasis

Question 22

How do you treat localized psoriasis of the scalp

Answer 22

tar shampoo + lotion

Last resort: Oral retinoids for thick, hyperkeratotic lesions that are unresponsive.

Question 23

how do you treat localized psoriasis on the palms/soles

Answer 23

high potency CS w occlusive dressings or PUVA soaks

Last resort: Oral retinoids for thick, hyperkeratotic lesions that are unresponsive.

Question 24

How do you treat palmoplantar pustulosis psoriasis

Answer 24

PUVA soaks!
use MTX or Cyclosporine in unresponsive cases to suppress immune response

Question 25

MC 10-40 and spring/fall

Answer 25

pitryasis rosea

Question 26

A patient presents with a flare up of their chronic stable plaque psoriasis. The have areas of moderate sized plaques on their scalp and their forearms. what do you reccomend as treatment?

Answer 26

• tazarotene (topical ret) + topical CS
• coal tar (scalp)

Question 27

Give tx for:
1. generalized inflammatory psoriasis
2. generalized plaque psoriasis
3. Generalized pustular psoriasis

Answer 27

1. refer derm, UVB irradiation or PO PUVA chemo
2. refer derm, UVB irradiation, PO PUVA chemo, PO retinoids or imunosuppressents
3. hospitalization, IV fluids, IV abx, PO retinoids