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Dermatology Diploma > Body Parts Connected to the Skin > Flashcards

Flashcards in Body Parts Connected to the Skin Deck (58)
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1

How many telangiectasia on the body are considered to be pathological?

More than 5

2

If you see multiple Telangiectasia around the mouth, what condition should you consider?

Osler Weber Rendu

3

In what conditions do multiple telangiectasia appear?

  • Liver disease
  • Rheuamtoid Arthritis
  • Pregnancy
  • Various Drugs (COCP)
  • Post Radiation
  • Connective Tissue Disease (Systemic Sclerosis)

4

What are some viral causes of oral lesions?

  • Herpes Simplex 1 & 2 - grouped vesicles.
    • Gingivostomatitis
  • Chicken pox
  • Measles - Koplik spots
  • Coxsackie Viruses - mouth ulcers - herpangina
  • Hand Foot and Mouth - greyish mouth ulcers.
    • + fever, lymphadenopathy and malise

5

This child had a sore mouth, bad breath, pain on swallowing and swollen gums.

What is this?

Gingivostomatitis due to HSV

6

What is this?

Herpangina

Usually due to coxackie virus.

7

What are these?

Koplik Spots

8

What is this and what are some causes of it?

Cheilitis

  • Atopic eczema
  • Irritant dermatitis (usually from saliva)
  • Contact dermatitis
  • Nutritional deficiencies (especially Vit C and Zinc deficiency)
  • Drug-induced cheilitis
  • Angular cheilitis
  • Actinic cheilitis
  • Granulomatous cheilitis
  • Trauma

 

9

In younger patients, what is the main cause of angular cheilitis?

Irritant contac with saliva or licking of lips

10

In older patients, what is the main cause of angular cheilitis?

Poorly fitting dentures.

11

If a patient has angular cheilitis, what should also be considered?

Secondary infection with Staph or candida.

12

What nutritional deficiencies can cause angular cheilitis?

Vitamin C and Zinc

(Most commonly caused by alcoholism and eating disorders)

13

What is the treatment for angular cheilitis?

  1. Mild to moderate topical steroid +/- antibiotic/ antifungal.
  2. Once resolved, give soft white paraffin to maintain control.

14

What are the 2 main causes of contact dermatitis on the lips?

  1. Agents put directly on the lips (lipstick, mouthwashes)
  2. Agents transferred to the lips fom the hands (e.g nail varnish)

15

What is this and what is the management for this?

Acitinic Cheilitis

  • Ablative therapy -e.g. cryotherapy; curettage and cautery; shave cautery
  • Topical agents -e.g. 5-fluorouracil (Efudix) or Imiquimod cream (Aldara)
  • Daily use of a high factor sunscreen for the lips

16

What is this and what is the treatment?

SCC of the lip

Excision.

17

This patient has Granulomatous Cheilitis.

What diseases is it associated with?

What investigations should be done?

  • Crohn's disease
  • Sarcoidosis
  • Chronic Contact Dermatitis due to dental materials such as cinnamates.

Investigations

  • Biopsy
  • Chest X-Ray
  • Bowel investigations for crohns
  • Patch Testing.

18

What syndrome can granulomatous cheilitis be associated with?

Melkerson-Rosenthal Syndrome

  • Tongue swelling (Scrotal tongue)
  • Recurrent facial palsy

Usually idiopathic or associated with the aforementioned conditions on the other card.

19

What is the treatment for Granulomatous Cheilitis?

  • Topical steroids (usually moderately potent is enough)
  • Intralesional steroids (be careful of skin atrophy)
  • Oral immunomodulatory drugs (rarely needed)

20

What is the treatment for an apthous ulcer?

  • Hydrocortisone buccal tablets.
  • Chlorhexidine mouthwash.

21

What rare conditions can cause oral ulcers to form?

  • Behçet’s disease
  • Drugs
  • Irradiation
  • Blistering disorders
  • Systemic diseases (Crohn’s disease)
  • Metabolic deficiency diseases (vitamin C deficiency i.e. scurvy, zinc deficiency)
  • connective tissue disorders (e.g. SLE)
  • HIV
  • Other viral illnesses.

22

What is the treatment approach to apthous ulcers?

  • Exclude systemic disease - 10% of Crohn's patients have recurrent apthous ulcers.
  • Exclude infection - herpes etc.
  • Advice good oral hygeine
  • Symptomatic treatment - hydrocortisone buccal tablets and chlorhexidine mouthwash.

23

What are the features of Behcet's Syndrome?

Triad of:

  1.  Recurrent oral ulcers
  2. Genital ulcers
  3. Uveitis
  • Other features include: arthropathy, meningo-encephalitis, colitis, neuropathies, vasculitis.

24

What test is indicative of Behcet's disease?

Pathergy test - pustules at the site of venepuncture.

25

What are the causes of Behcet's Disease?

  • It is generally not known.
  • Genetic link to HLA B51
  • Correlated with Streptococcal infection
  • Considered an auto-inflammatory disorder.

26

What ethnic group is Behcet's disease more common in?

Eastern Mediterranean and Middle Eastern.

27

What is the management of Behcet's Disease?

  • Apthous Ulcers - treat.
  • Resistant disease - consider Prednisolone, Colchicine, Dapsone, Sulfasalazine.

28

Which of the two will affect the oral mucosa?

Bullous Pemphigoid or Pemphigus Vulgaris?

Pemphigus Vulgaris

29

What is this?

What malignancy is it associated with?

  • Paraneoplastic pemphigus - severe and painful oral ulcerations of the lips and lateral borders of the tongue.
  • Associated with B Cell Lymphoproliferative disorders.

30

What condition is this?

Oral Lichen Planus