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Dermato EACMC > éruption cutanées, papules > Flashcards

éruption cutanées, papules Flashcards

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1
Q

macule?

A

< 1 cm

non palpable

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2
Q

tache?

A

> 1 cm

non palpable

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3
Q

papule?

A

< 1 cm

palpable

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4
Q

plaque?

A

> 1 cm

palpable

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5
Q

nodule?

A

lésion < 1 cm d’une profondeur significative

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6
Q

tumeur/masse?

A

lésion > 1 cm d’une profondeur significative

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7
Q

kyste?

A

lésion > 1 cm d’une profondeur significative qui contient du liquide

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8
Q

Télangiectasie?

A

vx superficiels dilatés

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9
Q

pustule?

A

lésion élevée, palpable contenant du pus

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10
Q

vésicule?

A

lésion élevée < 1 sm contenant du liquide séreux

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11
Q

Bulle?

A

lésion élevée > 1 cm contenant du liquide séreux

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12
Q

'’wheal’’

A

transient blanchable papule or plaque

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13
Q

agents communs responsable de réaction phototoxique?

A 
AINS
quinolones
tetracyclines
amiodarone
phenothiazines
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14
Q

agents communs responsables de réaction photoallergique?

A 
savon
fragrance (interaction possible des photoallergènes avec UVA)
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15
Q

localisation des zones phototoxique ou photoallergique?

A 
visage
V neck
dos des mains
avant-bras
régions exposées au soleil
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16
Q

ssx réaction phototoxique?

A

'’coup de soleil exagéré’’
érythème, oedème
vésicules, bulles

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17
Q

ssx réaction photoallergique?

A

prurit

indistinguishable from allergique contact dermatitis

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18
Q

dx?
rash malaire (butterfly rash)
et/ou
diffuse erythema in photodistribution

A

LED

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19
Q

dx?
violaceous, periorbital heliotrope rash with edema
erythma of neck and upper trunk (shawl sign)
violaceous papules over knuckles (Gottron papules)

A

Dermatomyosite

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20
Q

dx?

abnormal follicualr keratinization, increased sebum secondary to androgens, propionibacterium acnes, inflammation

A

Acné vulgaire

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21
Q

conduite acné léger?

A

atb topique (clinda, érythro_
peroxide de benzoyl
rétinoide topique (tretinoin, adapalene, tazarotene)
acide salycilique

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22
Q

conduite acée mod%

A

tx acné léger (topique)
+
ATB po (minocycline,doxy, tetracycline)
CO, antiandrogène chez F

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23
Q

conduite acné sévère?

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A

isotretinoin oral (accutane)

24
Q

conduite tinea versicolor?

Study These Flashcards
A

selenium sulfide lotion

ketoconazole p.o.

25
conduite vitiligo?
protection solaire camouflage repigmentation par UVB ou cortico topique ou immunomodulateur topique depigementaton for extensive dz using topical depigmenting agents on normally pigmented skin
26
distinction entre acné et rosacé?
rosacé: pas de comédons
27
Que considérer lors de prescription isotretinoine?
contraception/pas de désir de grossesse | car risque tératogénicité +++
28
[...] physical trauma to the skin causes a psoriasis plaque to form
phénomène de Koebner
29
[...]: scale removal results in the appearance of minute droplets of blood (note that tis is not routinely tested)
Auspitz sign (psoriasis)
30
triggers rosacea?
``` hot beverages spicy foods alcohol sun heat ```
31
conduite rosacé?
topical metronidazole gel or cream ATB po (minocycline, doxy, tetracycline) laser pour telangiectasie ou rhinophyma
32
dx? | chronic, recurrent inflammatory skin condition with abnormal epidermal differentiation and hyperproliferation
psoriasis
33
site anato psoriasis?
``` coude genou cuir chevelu ongles pli interfessier paumes plantes de pied ```
34
signe unguéal pso?
pitting, oil drop onycholyse hyperkératose sousunguéale
35
conduite pso?
``` lésion du corps: cortico med-haut crème ou onguent onguent calcipotriol tar anthralin tazarotene gel ou crème triamcinolone phototx uvb, puva rx systémique ( mtx, acitretin, cyclosporine, agents biologique) ``` lésions faciales: cortico plus faible en crème ou onguent tacrolimus en onguent/pimecrolimus en crème ``` lésion du cuir chevelu: tar shampoo cortico topique en lotion solution ou mousse calcipotriol en solution tazarotene gel ```
36
dx? | acute or chronic inflammatory disorder affecting the skin, mucous membranes, and nails
lichen plan
37
présence de Wickham striae suggère quel dx?
lichen plan
38
conduite rx lichen plan?
cortico topique en crème | si étendu: agent systémique (acitretin, cyclosporine)
39
conduite dermatite périorale?
metronidazole topique érythromycine topique ATB systémique (minocycline, doxycycline, tetracycline)
40
lichen plan has been associated with [...] although infrequently.
hépatite C donc faire une sérologique hépatique si lichen plan
41
% de surface corporelle dans SJS?
< 10 %
42
% de surface corporelle dans SJS/TEN?
entre 10 et 30 %
43
% de surface corporelle dans TEN?
> 30 %
44
conduite pemphigoide bulleux?
cortico topique fort localisé | +/- pred ou MTZ azathiprine, mycophenolate mophetil
45
conduite pemphigus vulgaire?
admission --> H ou centre de brulé pred haute dose puis steroid sparing agent (en maintenant cortico) azathioprine, mycophenolate mofetil, methotrexate, cyclosphosphamide, IVIG ATB si infection secondaire
46
signe clinique de nécrose de l'épiderme?
Nikolsky sign: rubbing the skin causes separation of epidermis and formation of a neur blister Asboe-Hanson sign: rubbing the lesion in the latera direction causes it to extend
47
conduite herpès simplex?
support antiviral po: réduit dlr, viral shedding, healing time si initié dans les premières 72h pas antiviraux topique
48
conduite herpès zoster?
support *tx si sévère/disséminé antiviral po: réduit dlr, viral shedding, healing time si initié dans les premières 72h pas antiviraux topique
49
conduite SJS/TEN?
cesser le rx en cause tx support dont H USI/centre de brulé, ohptalmoATB si infection IVIG = controversé
50
rx en cause SJS/TEN?
``` carbamazépine phénytoine allopurinol lamotrigine AINS sulfa ``` (anticonvulsivant antidépresseur AINS ATB)
51
néo ovaire, sein, GI et lymphome --> quel patho dermato associée?
DM --> néo associé dans 15% des cas
52
[...] are used in the tx of severe poison ivy dermatitis that is widespread and severe for topical tx alone, especially if involving the face or genital region.
Systemic glucocortico
53
tx acné chez femme enceinte?
``` #1 topique si plus sévère: poou topique érythomycine ou clindamycine ```
54
[...] is a clinical diagnosis which should be suspected in a child or young adult who develops a tear-drop shaped paupalr rash on the trunk and/or extremities, 2-3 weeks after a streptococcal infection.
Psoriasis en goutte
55
Vrai ou faux: Etanercept, a commonly used anti-TNF medicthat can be employed in the tx of pso, can put pt at increased risk for ingfection and reactivation of latetnt infections such as TB; therefore, a baseline chest XR and PPD skin test/Quantiferon test is necessary to assess for latent TB before commencing tx.
Vrai

Dermato EACMC (3 decks)

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