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(20 cards)
First line mng vitiligo
Sun protection
Topical CS for non sensitive areas
Calcineurin inhibitors for sensitive areas
vitiligo characterisitic findings`
well-demarcated, depigmented patches and Wood’s light fluorescence
Second line mng vitiligo
Narrowband UVB phototherapy, systemic CS, topical vit d analogues
non healing painless ulcer associated with a chronic scar =??
Squamous cell carcinoma
Risk factors for SCC
excessive exposure to sunlight / psoralen UVA therapy
actinic keratoses and Bowen’s disease
immunosuppression e.g. following renal transplant, HIV
smoking
long-standing leg ulcers (Marjolin’s ulcer)
genetic conditions e.g. xeroderma pigmentosum, oculocutaneous albinism
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scc
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SCC
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scc
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SCC
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SCC
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SCC
Management of SCC
if <20mm - then surgical excision with 4mm margins
If >20mm - then excision with 6mm margins
If high risk pt or cosmetically sensitve areas- mohs micrographic surgery
lichen planus
purple pruitic papular polygonal rash on flexor surfaces. Mucous membrane involvement is common - wickhams striae in oral or genital mucosa
koebner phenomeon
treatment for lichen planus
potent topical steroids
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lichen planus
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lichen planus
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lichen planus
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wickhams striae - seen in lichen planus
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lichen planus
