derm- systemic

Question 1

orofacial granulomatous symtoms?

Answer 1

lip swelling and fissue

oral mucosal lesions: ulcers and tags, cobblestone appearance

Question 2

what is orofacial granulomatous associated with?

tests to see if it is the associated?

Answer 2

Crohn’s disease
so check faecal calprotectin if GI symtpoms
consider path testing

Question 3

treatment for orofacial granulomatous

Answer 3

benzoate and cinnamate free diet

Question 4

Erythesum nodusom presentation

Answer 4

painful, 
erythematous subcutaneous nodules 
Over shins, sometimes other sites
slow revolution- like bruise
6-8 weeks

Question 5

causes of Erythesum nodusom

Answer 5

streptococcus, URTI
IBD
Sarcoidosis
drugs- OCP, Sulphonomides, Penicillin
Mycobacterial Infections
Idiopathic

Question 6

what is dermatitis herpetiformis

Answer 6

rare but persistent immubollous disease that has been linked to coeliac

itchy blisters can appear in clusters
often in symmetry
Scalp, Shoulders, buttocks, elbows and knees

Question 7

how to test dermatitis herpetiformis

Answer 7

Detailed history
Coeliac history
Skin biopsy

Question 8

treatment dermatitis herpetiformis

Answer 8

emoillients
gluten free diet
topical steroids
dapsone

Question 9

what is urticaria?

when is it chronic and acute?

Answer 9

wheals/hives
associated angiodemo (10%)
areas of rash can last from few minutes uo to 24hours

acute- less than 6w
chronic- more than 6 w

Question 10

causes of urticaria?
acute?
chronic?

Answer 10

viral infection
bacterial infection
food or drug allergy
NSAIDs, opiates
Vaccinations

chronic- idiopathic

Question 11

treatment of urticaria?

Answer 11

antihistamine;
desloratadine- 3times daily (off licence doses)

Ranitidine
montelukast

omiluzimab
ciclosporin

Question 12

what is infantile haemagioma?

timeline?

Answer 12

very common vascular birthmark
not present on skin at. brith
prolific phase between week 6-8 months

then starts to involute

Question 13

treatment for infantile haemagioma

Answer 13

no treatment

beta blockers can speed up involute process
timolol 0.5%

oral- proponalol solution

Question 14

infantile haemagioma ccx?

Answer 14

ulcerating-
buttocks or shoulder
post. shoulder

Question 15

What is PHASES?

Answer 15

syndrome

rare

Question 16

what does PHASES stand for?

Answer 16

Pituatiry fossa abnormality
Haemongioma
Arterial abnormalities
Arterial abnormalitities
cardiac anomalies/coartication of aorta
Eyes
Sternal cleft

Question 17

treatment of PHASES

Answer 17

low does propanol can improve segmental Haemongioma