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402: Rheum and derm > Inflammatory skin conditions > Flashcards

Inflammatory skin conditions Flashcards

(60 cards)

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1
Q

First line management for polymorphic light eruption

A

Oral antihistamines
- Loratidine

Hydrocortisone

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2
Q

Eczema rash is characterised by…

A

Vesicles/ papules on a erythematous base

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3
Q

Complications of eczema

A

Eczema herpeticum

Molluscum contagiosum

Secondary bacterial infections

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4
Q

What % of children are affected with eczema?

A

20%

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5
Q

Eczema is associated with…

A

Positive family history

Atopic history: asthma, allergic rhinitis

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6
Q

General advise for atopic dermatitis

A

Avoid fragranced creams/ soaps

Avoid foaming agents (SLS)/ soaps

Good hydration

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7
Q

First line management for atopic dermatitis

A

Emollient + mild topical steroid (hydrocortisone)

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8
Q

What treatment is indicated for severe atopic dermatitis/ high risk sites

A

Calcineurin inhibitors

- Tacrolimus, pimecrolimus

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9
Q

Calcineurin inhibitors is not licensed in …

A

Age <2

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10
Q

Pompholyx dermatitis typically affects what region?

A

Hands, fingers, soles of feet

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11
Q

Asteatosis is also known as…

A

Eczema craquele

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12
Q

Contact dermatitis involves what hypersensitivity reaction?

A

Type 4

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13
Q

Atopic dermatitis typically affects what regions?

A

Flexors
- inner elbow, back of knees

Extensors in infants

Face

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14
Q

Acute atopic dermatitis can present as…

A

Exudative, vesicular rash

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15
Q

Exacerbating features of atopic dermatitis [4]

A

Allergen exposure

Sweating/ Heat

Severe stress

Hormonal changes in women

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16
Q

Discoid dermatitis presents as…

A

Discoid shaped plaques

- Afffects the limbs

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17
Q

Varicose dermatitis can present as….

A

Erythematous, dry itchy skin

Haemosiderin deposits

Lipodermatosclerosis

Atophie blanche

Corona phlebactatica

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18
Q

Eczema craquele presents as…

A

Dry, cracked skin

Diamond shaped plates in skin
- Separated by red bands

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19
Q

Lichenification describes…

A

Skin thickening as a result of chronic scratching

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20
Q

First line investigation for contact dermatitis

A

Patch test

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21
Q

What scoring system is used for eczema in children?

A

Children’s dermatology life quality index (CDQLI)

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22
Q

What scoring system is used for eczema in adults

A

What scoring system is used for eczema in Adults

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23
Q

General advise for contact dermatitis

A

Avoid the precipitating cause

Avoid soap

Dry skin carefully

Use gloves in hand dermatitis

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24
Q

First line management of contact dermatitis

A

Avoiding/ removing the cause

Potent corticosteroids
- Betnovate/ Dermovate

Emollient

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25
First line management of seborrhoeic dermatitis
Non soap cleanser ``` Topical antifungal (OD 2-4 weeka) - Ketoconazole/ clotimazole ``` Mild topical corticosteroid (BD, 1-2 weeks and wean) - Hydrocortisone
26
Triggers of psoriasis [5]
Streptococcal infections (and other infections) Stress Medications Smoking/ alcohol Skin injury
27
Types of psoriasis
Plaque Pustular Guttate Flexural Erythrodermic (medical emergency)
28
Pustural psoriasis mainly affects what regions?
Hands and feet (if localised)
29
Primary care management of psoriasis
Emollient Medium-high potent topical steroids Salicylic acid Vitamin D cream (Calcipotriol)
30
______ is a vitamin D cream that can be used to treat psoriasis
Calcipotriol
31
Biologics is indicated in psoriasis when...
Systemic DMARDs fail/ Body surface areas >10 is affected
32
Lichen planus affecting the mouth carries a risk of...
Squamous cell carcinoma
33
Lichen planus is associated with which GI conditions
Primary biliary cirrhosis Hepatitis B/C
34
Wilkham straie describes ________ and is a feature of _______
Describes white streaks seen in lichen planus
35
Lichen planus typically affects
Flexor surfaces: Wrist Forearms Legs
36
First investigation for lichen planus is ______ which shows ______
Skin biopsy and histology Saw-tooth epidermal hyperplasia
37
Lichen planus typically ...
Resolves within a year
38
Lichen planus presents as...
Skin - Pruritic, pupuric/ hyperpigmented patch - Polygonal shape - Wilkham straie Nails - Thin plate, longitudinal ridging Oral - White-lacy pattern in buccal mucosa
39
Pharmacological treatment of lichen planus
Moderate/ potent steroid - Betnovate/ Eumovate Antihistamines for pruritis
40
Pharmacological treatment of lichen planus
Moderate/ potent steroid - Betnovate/ Eumovate Antihistamines for pruritis
41
What drugs can trigger lichen planus?
Gold Quinine Thiazide
42
Examples of medications that exacerbate psoriasis
Cardiac drugs - Beta blockers - ACEi Antimalarials Lithium NSAIDs
43
First line management for mild acne
Topical benzoyl peroxide / topical retinoids
44
First line management for moderate acne
``` Topical macrolide (clindamycin) + topical benzoyl peroxide/ retinoid - Antibiotics used up to 6 weeks ```
45
Second line management for moderate acne
Oral antibiotic (lymecycline) + topical retinoids/ benzoyl peroxide/ COCP
46
Management of severe, cystic acne
Oral isotretinoin
47
Side effects of retinoids
Dry skin Low mood Hypersensitivity to the sun
48
What COCP is prescribed for acne?
Co-cyprindiol (Ethinylestradiol/cyproterone acetate)
49
First line management of urticaria
Non-sedating antihistamine | - i.e. cetirizine
50
Examples of drugs that cause urticaria
Aspirin/ NSAIDs Penicillins Opioids
51
Management of recurrent/ severe urticaria
Oral prednisolone
52
Types of urticaria
Acute - IgE, allergy mediated Chronic - Chronic idiopathic - Chronic inducible - Autoimmune
53
Triggers for chronic, inducible urticaria
Exercise Temperature changes Pressure Sunlight Strong emotions
54
Anti-leukotrienes such as ______ may be used by specialist to manage chronic urticaria
Montelukast
55
Erythema nodosum is associated with which chronic diseases?
Sarcoidosis Inflammatory bowel disease Lymphoma, leukaemia
56
What medications can trigger erythema nodosum
COCP NSAIDs
57
Erythema nodosum describes...
Inflammation of subcutaneous fat (panniculitis) on the shin
58
What triggers are associated with erythema nodosum?
Infections - Strep throat - Mycoplasma pnuemoniae - TB - gastroenteritis Pregnancy
59
Features of eyrthema multiforme
Erythematous, pruritis rash - Targe lesion Sides on arm/ legs- spreads to trunk
60
Most common cause of erythema multiforme is...
HSV infection

402: Rheum and derm (12 decks)

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