Sebaceous & Sweat Glad disorders

Question 1

Hidradenitis suppurativa- Eti

Answer 1

Affects more females than males- anogenital or axillary involvement- predisposing factors plus genetics.

Question 2

Hidradenitis suppurativa- Sx

Answer 2

Keratinous plugging of follicle-> inflammation->tissue destruction-> ulceration and fibrosis

Question 3

Hidradenitis suppurativa- Dx

Answer 3

Clinical- keratin occlusion of hair follicle and inflammation

Question 4

Hidradenitis suppurativa- Tx

Answer 4

I & D, doxycycline, prevention & glucocorticoids

Question 5

Hyperhindrosis- Eti

Answer 5

Excessive sweating beginning in childhood, commonly family history. Affects palms, axilla, forehead, feet

Question 6

Hyperhindrosis- Sx

Answer 6

Excessive sweating for 6 months or more without apparent cause- bilateral, affects ADLs at least 1 per week, onset before age 25

Question 7

Hyperhindrosis-Dx

Answer 7

Clinical

Question 8

Hyperhindrosis- Tx

Answer 8

Aluminum chloride

Question 9

Rosacea- Eti

Answer 9

Chronic facial disorder- unknown pathology

Question 10

Rosacea- Sx

Answer 10

3 stages- flushing to temperature, spicy food, emotions-. persistent erythema, telangiectasias, papules & pustules-> deep erythema, nodules.

Question 11

Rosacea- Dx

Answer 11

Clinical

Question 12

Rosacea- Tx

Answer 12

Topical metronidazole or systemic minocycline

Question 13

Perioral dermatitis- Eti

Answer 13

Unknown- aggravated by topical corticosteroids. Affects teens to mid ages

Question 14

Perioral dermatitis- Sx

Answer 14

1-2 mm erythematous papulopustules with erythematous background- central confluence with satellites. perioral, nasiolabial and periorbital

Question 15

Perioral dermatitis- Tx

Answer 15

Metronidazole or minocycline

Question 16

Acne vulgaris- Eti

Answer 16

Affects 85% population- more severe in males, begins at puberty to 3-4th decade

Question 17

Acne vulgaris- Sx

Answer 17

Comedones- open or closed papules and papulopustules. Inflammatory

Question 18

Acne vulgaris- Dx

Answer 18

Culture if necessary, otherwise clinical

Question 19

Acne vulgaris- Tx

Answer 19

Topical clinda and erythro, bezoyl peroxide- oral minocycline if moderate to severe

Question 20

Acne conglobata- Eti

Answer 20

Severe cystic acne on trunk. Coalescing nodules, cysts abscesses and ulcers

Question 21

Acne conglobata- Tx

Answer 21

Isotretinoin- retinoid which inhibits sebaceous gland function

Question 22

Epidermal inclusion cysts- Eti

Answer 22

Cutaneous cyst arising from hair follicle- face, trunk & scrotum in young to mid-aged adults

Question 23

Epidermal inclusion cysts - Sx

Answer 23

Thin cyst wall with cheese like discharge when squeezed. Becomes inflamed rather than infected. Overlying comedone or punctum

Question 24

Epidermal inclusion cysts - Tx

Answer 24

No abx- sterile. Surgical removal of cyst sac.

Question 25

Sebaceous hyperplasia- Eti

Answer 25

Enlargement of sebaceous gland

Question 26

Sebaceous hyperplasia- Sx

Answer 26

Yellow, umbilicated asymptomatic papules. Common on face

Question 27

Sebaceous hyperplasia- Tx

Answer 27

Cosmetic removal- not medically required