dermatology

Question 1

clinical presentation of em minor

Answer 1

target lesions mainly on distal extremeties

Question 2

clinical presentation of em major

Answer 2

extensive target lesion with mucous membrane involvement

Question 3

clinical presentation of sjs

Answer 3

widespread blisters on trunk and face with epidermal detachment <10% and mucous membrane involvement

Question 4

clinical presentation of TEN

Answer 4

sheet like erosion>30% of body area and involvement of multiple mucous membranes

Question 5

most common cause of em

Answer 5

HSV

Question 6

drug classes most commonly causing em/sjs

Answer 6

antibiotics, anticonvulsants, nsaid, allopurinol

Question 7

non-infective/drug causes of em/sjs

Answer 7

idiopathic, physical (e.g. tattooing/radiotherapy), autoimmune disease, haematological malignancy

Question 8

how to differentiate ssss from ten

Answer 8

TEN has full thickness epidermal necrolysis, superficial only in SSSS

Question 9

what is eryhtroderma?

Answer 9

any inflammatory skin disease with erythema and scaling affecting >90% of the body

Question 10

treatment for hereditary angioedema

Answer 10

c1 esterase inhibitor concentrate

ffp is an alternatie

Question 11

causes of acquired angioedema

Answer 11

b cell proliferative disorders and autoimmune disease

Question 12

most common causes of drug induced angiodema

Answer 12

acei a2rbs

Question 13

dermatitis herpeteformis is

Answer 13

cuteneous manifestation of coeliac disease

Question 14

treatment fo dermatitis herpitiformis

Answer 14

dapsone and gluten free diet

Question 15

description of dermatitis herpetiformis

Answer 15

vescicles and papules on extensor srufaces and bottocks

Question 16

rash of kawasaki disease

Answer 16

polymorphou erythematous rash of trubk with desquamation of hands feet and genitalia

Question 17

diagnosis of kawasaki disease

Answer 17

five days of fever and 4 of the following

• eye involvement
• vervical lymphadenopathy
• rash
• oral inveolvement
• erythema/desquamation fo hands and feet

Question 18

main complicatino of kawasaki disease

Answer 18

coronory artery aneurysm, echo required 2 weeks post onset

Question 19

treatment of kawasaki disease

Answer 19

high dose aspirin, ivig and steroids in resitant cases