Harmless Lumps & Bumps Flashcards Preview

Dermatology Diploma > Harmless Lumps & Bumps > Flashcards

Flashcards in Harmless Lumps & Bumps Deck (34)
Loading flashcards...
1

What is this and what is the treatment?

Plane Warts

Treat with Topical retinoids, cryotherapy or imiquimod.

Cryotherapy can cause Koebnerisation.

2

What is this?

What is the treatment

Molloscum Contagiosum

Treat with Molludab, topical imiquimod.

3

If a giant molloscum or many molloscums appear in an adult, what should you suspect?

Immunocompromise. (HIV etc)

4

What is this?

How is it treated?

Sebaceous Hyperplasia

  • Removal with curretage, cauteryor excision
  • Deep Peels with TCA also help.

5

How do you remove milia?

A green needle (to extrude the calcified contents)

6

What is this?

How is it treated?

Syringoma (Benign tumours of sweat glands)

Occur under the eyes

Often run in families

Best left alone

7

What is this?

How is it treated?

 

Pyogenic Granuloma

  • Curettage and cautery BUT always send for histology.

8

Why must you always send pyogenic granulomas for histology?

Differential diagnosis of amelanotic melanoma

9

Where do pyogenic granulomas usually occur?

  • Head
  • Neck
  • Upper trunks
  • Hands
  • Feet

10

What is the cause of pyogenic granulomas?

  • Infection (usually Staph)
  • Hormonal influences - pregnancy, COCP
  • Drug induced (retinoids & Protease Inhibitors)

11

How are skin tags removed?

Snip Excision or Ablation

12

What is this?

Dermatosis Papulosa Nigra

(Think Morgan Freeman)

13

How are Dermatosis Papulosa Nigra treated?

Usually left alone.

If removed, consider low pwer hyfrecation after a test area.

14

What are these?

How are they treated?

 

Cherry Angiomas

(Campbell De Morgan Spots)

 

Harmless - best leftalone.

15

Where and at what age do Cherry Angiomas appear?

  • 30 years old
  • Tunk and proximal limbs

16

What is this?

 

 

 

 

 

 

 

Stucco Keratosis

A variant of a seborrheic keratosis that is exclusively onthe acral locations as smallscaly papules.

17

What is this called and what should you consider if you see this?

Lesar-Trelat sign

 

Eruptive onset of many seborrhoeic keratoses inconjunction with anunderlying malignancy.

18

How do you treat xanthelasma?

Using TCA

19

What is this?

Naevus sebaceous

It appears in childhood on the scap or face.

20

How do you treat Naevus sebaceous

Why should they be monitored?

Excision not needed.

Monitor 25% will develop a malignant tumour.

21

What is this?

Granuloma Annulare

Red papules that appear over the distal extremeties

22

What 2 conditions is grannuloma annulare associated with?

Diabetes

Thyroid disease

23

How is grannuloma annulare treated?

50% resolve spontaneously within 2 years

Potent corticosteroids or intralesional steroids can help.

24

What is this?

Dermatofibroma

(Dimple sign upon squeezing)

25

What is this?

Pilomatricoma

  • (A beign tumour of a hair follicle)
  • It occurs in children on the face or arms.
  • Removed with simple excision

26

What is this?

Leiomyoma

A benign smooth muscle tumour of the erector pili muscle

27

What is HLRCC?

Hereditary Leiomyomatosis and Renal Cell Cancer Syndrome

What are themanifestations of this syndrome?

 

  • Cutaneous leiomyomas
  • Uterine leiomas (Fibroids)
  • Uterine Leiomyosarcomas
  • Renal Cell Cancers

28

What else are Leiomyomas associated with?

  • Gardner Syndrome
  • HIV
  • CLL
  • Polycythaemia

29

What is this?

An infundibular (epidermoid) cyst

30

What is this?

A Tricilemmal (Pilar) Cyst.

Arises froma hair root sheath.