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1

What is the most common skin disorder in adolescents?

Acne.

2

What are different things to treat to clear up acne?

Bacteria, sebum chemistry, sebum quantity, keratinocyte proliferation, terrain.

3

What is the first treatment of acne listed?

Don’t treat the bacteria, change the sebum.

4

What is the most common choice for treating acne?

Benzoyl peroxide.

5

What will make for healthy sebum?

It is a product of our environment so good foods and clean water with less pollution and low stress.

6

What type of diet may improve acen?

Low-glycemic diet with high protein. So avoid high glycemic foods.

7

Why will acne be a adolescent condition?

Androgen hormones during puberty stimulate increase of sebacous glands.

8

How will high glycemic foods create more sebum?

They stimulate production of insulin and growth factors (IGF-1), IGF-1 stimulates 5-alpha reductase which leads to increased sebum.

9

How will genetics play a role in acne?

Dry skin vs. oily skin.

10

Name 2 supplements that will help to inhibit sebaceous gland functions?

Zinc, and Vitamin A. Omega 3s.

11

Isotretinoin (acutane) does what?

It inhibits sebaceous gland function.

12

How can keratinocyte hyper proliferation and shedding/ clumping in follices be prevented?

Less high glycemic foods.

13

What are the western treatments of acne?

Kill bacteria, inhibit sebum, stop inflammation, normalize the pattern of follicular keratinization.

14

What are the natural treatments of acne?

Encourage healthy bacteria, encourage healthy sebum production, reduce inflammation, normalize the pattern of follicular keratinization.

15

What are some ways to detox for an acne treatment?

Fasting, sauna, colonics, chelation, anit-inflammatory/elimination diet.

16

What are some physical medicine for acne treatment?

Sun, contrast bath with calendula.

17

What is a topical botanical that can be used to treat acne?

Tea tree oil, azelaic acid, calendula succus, grindelia tincture.

18

What ia an internal botanical treatment of acne?

Vitex tincture, gugulipid, mixture of berberis, usnea, grindelia.

19

How is rosacea diagnosed?

No comedones, rhinophyma (males),

20

What is the natural medicine etiology of Rosacea?

Terrain, genetics, poor digestion, toxic bowels.

21

What is perioral dermatitis?

Facial dermatosis characterized by papulopustules on an erythematous base.

22

What are some possible causes of perioral dermatitis?

unknown- possible aggravation by fluoride and sodium lauryl sulfate.

23

What is the chief complaint Hidradenitis suppurativa?

Tender lesion in axillary, inguinal, intermammary and or anogenital region.

24

What are the signs of hidradenitis suppurativa?

Erythema, buring, itching, discomfort, hyperhidrosis.

25

What is a conservative management of Hidradenitis suppurativa?

Like treating acne.

26

What is eczema?

Types of of skin problems also known as dermatitis.

27

What are 2 types of contact dermatits (a form of Eczema aka dermatitis)?

Irritant and allergic.

28

What is the prevention of contact dermatits?

Avoid irritant or caustic chemicals, Oral treatments of ICD.

29

What is te top allergens for contact dermatits?

Nickel sulfate.

30

Poison oak and poison ivy are create what?

Allergic contact dermatitis due to plants.

31

When would systemic steroids be used with poison ivy?

If 25% or more of the body surface in affected.

32

What is the course of poison oak like?

Rash begins quickly and lasts 3-4 days and clears within the next 5 days. 1-2 weeks total without treatment.

33

What is Atopic dermatitis?

A form of eczema aka dermatitis that causes inflammation of dermis and epidermis.

34

What is the cause of atopic dermatitis?

Unknown.

35

What is some key factors associated with getting atopic dermatitis?

IgE mediated hypersensitivity. Personal or family history.

36

What are the major diagnostic factors of atopic dermatitis?

Pruritus(itchy), chronic or chronically relapsing, typical morphology and distribution, chronic or chronically relapsing dermatitis (3 of 4 present)

37

What are the stages of atopic dermatitis?

Infant, childhood, adult.

38

What are some physical modalities to treat atopic dermatitis?

Natural sunlight, UVA-UVB phototherapy 2-3 x a week.

39

What is a nutritional supplemet for atopic dermatitis?

Defective zinc-dependent delta-6-desaturase.

40

What will botanical medicines do for atopic dermatitis?

Normalize or reduce the histamine levels and normalizing bacteriocidal activity.

41

Seborrheic dermatitis causes what in infants and what in adults?

Infants- cradle cap. Adults- dandruff.

42

What is pompholyx?

Acute, chronic or recurrent dermatitis of the hands 80% and soles.

43

What are some treatment options for Venous leg ulcers?

Silver-releasing dressings may help speed healing in chronic wounds. Manuka honey may help speed healing to venous leg ulcers.

44

What are auspitz's signs?

Suggestive of psoriasis and happen with removal of scales-reveals punctate bleeding.

45

What is Koebners phenomenon?

Physical trauma that is a major factor for elicting lesions- rubing and scratching seen with psoriasis.

46

What are some botanicals for psoriasis?

Aloe vera extract.

47

What is a a herald patch?

The first lesion seen with pityriasis rosea.

48

Common signs of rosacea?

Erythema, telangiectasia, populopustule, nodules, NO COMEDONES, rhinophyma,

49

What percent of rosacea patients have ocular symptoms?

30-50%

50

What is the age of onset for perioral dermatitis?

16-45, mostly women.

51

What is hidradenitis suppurativa?

Chronic suppuration, often fibrous tissue disease of the apocrine gland -bearing skin of the axilla and anogenital region. Sometimes seen on scalp and pilonidal sinus

52

Hidradenitis suppurativa DDX

Furuncle, carbuncle, lymphadenitis, rupture inclusion cyst, cat-scratch disease, lymphogranuloma venereum, donovanosis

53

What type of hypersensitivity is allergic contact dermatitis?

Class - type 4 delayed hypersensitivity

54

What is seborrheic dermatitis?

Common, chronic, inflammatory disease.

55

What effects the onset of seborrheic derm?

Pityrosporum yeast (malassezia), genetics, stress and dietary factors.

56

What does seborrheic derm look like?

Rash is red and scaly, except in skin folds, where it is red, smooth and glazed. Sticky crusts and fissures are common when ear and scalp are involved. Dry or greasy scales.

57

Where do you find seborrheic derm?

Areas rich in sebaceous glands : scalp, eyebrows, eyelids, nasolabial fold, para nasal area, sternum, ears, axilla, public area,

58

What is the etiology of pompholx (dyshidrotic eczema)?

Unknown, possible association with stress, allergens, metals (Ni, Co, Cr).

59

How is pompholx characterized?

Sudden onset of deep-seated pruritic, clear "tapioca-like" vesicles on palms and sides of fingers; later scaling fissures and lichenification can occur.

60

Name a treatment of pityriasis rosea?

Give patients choice of acyclovir.

61

What are Wickham's striae?

Surface scales seen with lichen planus.

62

Lichen planus is best seen with what?

Mineral oil application.

63

What is a topical treatment for Lichen planus?

Mositerizing cream-use within 3 minutes of bathing.