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Flashcards in Hurwitz02 Deck (51):
1

infant skin is ***% thinner

40-60

2

normal reticulated bluish mottling of the skin seen on the trunk and extremities of infants and young children

Cutis marmorata

3

treatment for cutis marmorata

none, transitory and benign

4

white negative pattern of cutis marmorata

cutis marmorata alba

5

if cutis marmorata changes are persistent even with rewarming, and are deep violaceous in color, what is possible dx?

cutis marmorata telangiectatica congenita

6

occurs when the infant is lying on his or her side and consists of reddening of one-half of the body with simultaneous blanching of the other half

Harlequin color change

7

cause of Harlequin color change

immaturity if hypothalamic centers for peripheral blood vessel tone

8

a term used to describe infants who develop a grayish-brown discoloration of the skin, serum, and urine while undergoing phototherapy for hyperbilirubinemia

Bronze baby syndrome

9

a subperiosteal hematoma overlying the calvarium

cephalohematoma

10

localized edema of the newborn scalp related to the mechanical forces involved in parturition

Caput succedaneum

11

severe Caput succedaneum may cause

alopecia

12

refers to an annular alopecia that presents in a circumferential ring around the scalp in infants with a history of caput

Halo scalp ring

13

macular depressions or outpouchings of skin associated with loss of dermal elastic tissue seen in premature infants

Anetoderma of prematurity

14

may occur on the scalp or chest of infants or children at sites of electroencephalograph or electrocardiograph electrode placement, as a result of diagnostic heel sticks performed during the neonatal period, or after intramuscular or intravenous administration of calcium chloride or calcium gluconate for the treatment of neonatal hypocalcemia

Calcinosis cutis

15

wax-like hardening if skin and subQ covering whole body in premature infants with serious underlying condition; poor prognosis

sclerema neonatorum

16

circumscribed, indurated erythematous nodules and plaques on buttucks, thighs,arms, face, shoulders in full term, healthy newborns; good prognosis

subcutaneous fat necrosis

17

mortality in scerema neonatorum

50-70%

18

etiology of subQ fat necrosis

perinatal trauma, asphyxia, hypothermia, hypercalcemia

19

lab abnormalities of subQ fat necrosis

thrombocytopenia, hypoglycemia, hypertriglyceridemia

20

vesicular eruption with subsequent maceration and obstruction of the eccrine ducts (sweat retention)

Miliaria

21

miliaria which consists of clear superficial pinpoint vesicles without an inflammatory areola;

Miliaria crystallina (sudamina

22

miliaria deeper level of sweat gland obstruction and characterized by small discrete erythematous papules, vesicles, or papulovesicles

Miliaria rubra (prickly heat),

23

Discrete, 2- to 3-mm round, pearly white or yellow, freely movable elevations at the gum margins

bohn nodule

24

Discrete, 2- to 3-mm round, pearly white or yellow, freely movable elevations at midline of the hard palate

epstein pearls

25

erythema toxicum may be confused with

transient neonatal pustular melanosis (TNPM) or congenital infection like candidiasis, herpes simplex, bacteria

26

EPF

Eosinophilic pustular folliculitis

27

immune disorder associated with Eosinophilic pustular folliculitis

hyperimmunoglobulinemia E syndrome (HIES)

28

EPF treatment

topical corticosteroids and antihistamines for symptom control

29

bacteria of impetigo

staph

30

superficial vesiculopustular lesions that rupture easily and evolve into hyperpigmented macules with collarette of fine white scale

Transient neonatal pustular melanosis (TNPM)

31

treatment for Transient neonatal pustular melanosis (TNPM)

none, is a benign disorder

32

recurrent, pruritic, vesiculopustular lesions that recur every few weeks to months on palms and soles

Acropustulosis of infancy

33

how to diagnose acropustulosis of infancy

pustule smear shows large neutrophils and few eos

34

treatment for severe Acropustulosis of infancy

dapsone

35

erosive and bullous lesions present at birth that lead to reticulated supple scarring of trunk, extremities, scalp, face in premature infants

Congenital erosive and vesicular dermatosis

36

in Congenital erosive and vesicular dermatosis
Hair:
Nails:
Dentition:
Eyes:
Other:
Neuro:

Hair: may have alopecia
Nails: may be hypoplastic or absent
Dentition: normal
Eyes: chronic conjunctivitis
Other: hyperthermia
Neuro: defects, such as retadation, hemiparesis, microcephaly, CP, seizures

37

disease with severe seb derm, exfoliation, failure to thrive, diarrhea

Leiner disease

38

Leiner disease associated with the following immune diseases:

deficiency or dysfunction of complement, Bruton agammaglobulinemia, severe combined immunodeficiency, and HIES.

39

consider this dx in any infant with a recalcitrant or hemorrhagic seborrheic dermatitis-like eruption and/or flexural papules with discrete erosions

Langerhans cell histiocytosis (LCH)

40

benign disorder of infancy characterized by purple-red nodules in the skin of the groin, lower abdomen, and inner thighs

Granuloma gluteale infantum

41

Granuloma gluteale infantum etiology

unique response to local inflammation, maceration, and possibly secondary infection

42

spectrum of disorders defined by absent or incomplete fusion of the midline bony elements and may include congenital spinal-cord anomalies

Spinal dysraphism

43

Spinal dysraphism stigmata

hypertrichosis (the classic “faun tail” or finer, lanugo hair), lipomas, vascular lesions (infantile hemangioma, port wine stain) prominent sacral dimples, sinuses, appendages (skin tag, tail), ACC, and melanocytic nevi

44

congenital defect of the skin characterized by localized absence of the epidermis, dermis, and at times, subcutaneous tissues; generally occurs on scalp; presents as solitary or multiple, sharply demarcated, weeping or granulating, oval to circular, stellate defects

Aplasia cutis congenita (ACC)

45

defects associated with aplasia cutis congenita

rare: cleft lip and palate, ophthalmologic defects, limb reduction defects, cardiac anomalies, gastrointestinal tract malformations, spinal dysraphism, hydrocephalus, defects of the underlying skull, congenital midline porencephaly, spastic paralysis, seizures, mental retardation, and vascular anomalies

46

syndrome: atrophic skin at the temples (historically likened to forceps marks), coarse facial appearance, absent or duplicated eyelashes of the upper eyelids (distichiasis), eyebrows that slant sharply upward and laterally, and periorbital puffiness; Lips may be large with an inverted V contour; developmental delay

Setleis syndrome

47

congenital rubella complication

cataracts, deafness, cardiac defects

48

distinct cutaneous feature of congenital rubella

diffuse eruption composed of blue-red infiltrative papules and nodules and occasionally smaller purpuric macules, measuring 2 to 8 mm in diameter, representing so-called “blueberry muffin” lesions

49

treatment for congenital rubella

supportive care

50

Congenital varicella syndrome may present with

low birthweight, ophthalmologic defects (including microphthalmia, Horner syndrome, cataracts, and chorioretinitis), neurologic defects (including mental retardation, seizures, cortical atrophy, encephalomyelitis, and developmental delay), limb hypoplasia with flexion contractures and malformed digits, and gastrointestinal and genitourinary defects and vesicles and/or scarring in dermatomal distribution

51

Congenital Parvovirus B19 Infection may cause

anemia, hydrops fetalis, and even intrauterine fetal demise