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CMT > Papular Disease > Flashcards

Papular Disease Flashcards

1
Q

Verruca Vulgaris

caused by which viruses?

A

human papilloma virus

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2
Q

Verruca Vulgaris

pathophys

A

HPV infected keritinized skin causing excessive proliferation and retention of the stratum corneum

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3
Q

Verruca Vulgaris

Types

3

A
  1. common (vulgaris)
  2. plantar (plantaris)
  3. flat (plana)
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4
Q

Verruca Vulgaris

describe common infection

A
  • vulgaris
  • common on hands
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5
Q

Verruca Vulgaris

where are flat infections found?

A

face, hands, knees, shins

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6
Q

Verruca Vulgaris

clinical presentation

A
  • firm, hyperkeratotic papules between 1-10mm in size
  • red/brown punctuations
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7
Q

Verruca Vulgaris

hallmark sx

PPP- pathognomonic

A

THROMBOSED CAPILLARIES

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8
Q

Verruca Vulgaris

dx

A

clinical

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9
Q

Verruca Vulgaris

absolutely don’t ____ to dx?

A

BIOPSY

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10
Q

Verruca Vulgaris

tx

A
  1. most immunocompetent pts will resolve within 2 yrs
  2. topical: OTC salicylic acid
  3. cryotherapy possible
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11
Q

Condyloma Accuminata

caused by what infection?

A

HPV

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12
Q

Condyloma Accuminata

what can these become if left untreated?

A

squamous cell carcinoma

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13
Q

Condyloma Accuminata

clinical presentation

3 components

A
  1. varying in presentation (small, flat topped painless raised papules to large, soft, flashy, cauliflower like lesions and clusters)
  2. ranging from skin colored to pink/red
  3. lesions persist for months; they may spontaneously resolve, remain unchanged, or grow if left untreated
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14
Q

Condyloma Accuminata

dx

A
  • clinical
  • biopsy can be done
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15
Q

Condyloma Accuminata

what is seen on biopsy?

3 things

A
  • acanthosis w/ overlying hyperplastic hyperkeratosis
  • koilicytotic squamous cells
  • atypical keritanocytes w/ papillomatosis hyperplasia
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16
Q

Condyloma Accuminata

tx

first line OTC vs prescribed

A
  1. antiproliferative agents (imiquimod/immunomodulators)
  2. cryotherapy, trichloracetic acid, surgical removal
17
Q

Condyloma Accuminata

prevention

A

gardasil 9 vaccination

18
Q

Molluscum Contagiosum

caused by what virus?

A

Poxviridae

19
Q

Molluscum Contagiosum

seen most commonly in who

A

young, school aged children

20
Q

Molluscum Contagiosum

clinical manifestations

A
  • characterized by small, skin color to pink, dome shaped papules with central umbilication
  • lesions can develop anywhere in the body, usually in areas w/ high friction
  • can last months to years
21
Q

Molluscum Contagiosum

dx

A

clinical

22
Q

Molluscum Contagiosum

tx

asx vs first line

A
  • asx: observe
  • first line: curettage (cryotherapy, imiquimod, topical retinoids)

CMT (72 decks)

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