4.23 path derm 2 Flashcards

(34 cards)

0
Q

Macules and papilla of hypopigmentation

A

Vitiligo

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1
Q

Autoimmune destruction of melanocytes

A

Vitiligo

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2
Q

Absent melanocytes

A

Vitiligo

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3
Q

Melanocytes present but don’t produce enough melanin

A

Albinism

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4
Q

Tyrosinase defect

A

Albinism

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5
Q

Abnormal melanocyte migration

A

Albinism

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6
Q

Associated with pregnancy and oral contraceptives

A

Melasma

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7
Q

Labial melanocytic macule associated with

A

Peutz-jeghers disease

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8
Q

Peutz-jeghers disease is associated with

A

Labial melanocytic macule

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9
Q

Melanocytic hyperplasia

A

Lentigo

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10
Q

3 types of melanocytic nevi

A

Junctional
Compound
Intradermal

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11
Q

Red pink nodule

A

Spitz nevus / spindle and epithelioid cell nevus

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12
Q

Blue to black macule

A

Blue nevus

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13
Q

White rim around nevus

A

Halo nevus

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14
Q

Halo nevus adolescent vs old

A

Adolescent benign

>40 could be melanoma

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15
Q

Nevi molecules

A

Mutations in BRAF or RAS

Dysplasic nevi don’t make p16 or CDK4/6

16
Q

Melanoma molecules

A

Mutations in RAS BRAF and MEK

17
Q

Med for melanoma and what it inhibits

A

Vemurafenib

BRAF

18
Q

ABCDE of melanoma

A
Asymmetry
Border
Color
Diameter (>6mm)
Evolution
19
Q

Depth of invasion is also called

A

Breslow depth

20
Q

Most important prognostic feature of melanoma

A

Depth of invasion / brea low depth

21
Q

How to measure depth of invasion

A

Granular cell layer to base of tumor

22
Q

Level (not depth) of invasion

23
Q

Upward pagetoid spread of atypical melanocytes

A

Melanoma in situ

24
Patterns of spread
Vertical worse than horizontal
25
Vertical growing melanoma
Nodular melanoma
26
Treatment of melanoma
Early detection | Complete excision
27
Stuck on brown to tan papules
Seborrheic keratosis
28
Velvety thick hyper pigmented skin
Acanthosis nigricans
29
Skin tag called
Fibroepithelial polyp
30
Common in pregnancy
Melasma | Fibroepithelial polyp
31
Firm and movable with keratin debris
Epidermal inclusion cyst
32
Rupture can lead to inflammation and pain
Epidermal inclusion cyst
33
Muir Torre syndrome comprised of
Sebaceous adenomas