Skin pathology Flashcards

(36 cards)

1
Q

where are melanocytes found

A

dermo-epidermal junction

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2
Q

what does the corneal layer consist of

A

differentiated keratinised cells

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3
Q

How do melanocytes transfer pigment

A

transfer pigment to keratinocytes via dendritic processes

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4
Q

where does the papillary dermis lay

A

below epidermis

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5
Q

What layer of the dermis contains appendage structures

A

reticular dermis

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6
Q

What is the basal membrane made from

A

laminin and collagen IV

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7
Q

What class of inflammatory skin disease is eczema?

A

Spongiotic- intraepiderma oedema

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8
Q

What type of inflam diseases is psoriasis

A

psoriasiform elongation of rete ridges

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9
Q

What is lichen plans or lupus

A

lichenoid- basal layer damage

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10
Q

What type of diseases is pemphigoid, pemphigus, dermatitis herpetiformis

A

Vesiculobullous- blistering

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11
Q

Where does psoriasis usually present

A

Extensors

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12
Q

Where does acne most commonly affect

A

face, back, chest

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13
Q

Why does acne occur

A

increase androgens during puberty, causes increase sebaceous gland activity. Causes keratin plugging of the pilosebaceous units and infection with corynebacterium acnes

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14
Q

What is rosacea

A

recurrent facial flushing with visible blood vessels

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15
Q

What can trigger rosacea

A

sunlight, alcohol, stress, spicy foods

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16
Q

What are the primary presentations of immunobullous disroders

17
Q

What is pemphigus

A

superficial blisters, IgG autoantibodies produced against desmoglein 3. Immune complexes form on cell surface, complement activation and protease release = acantholysis (breakdown of desmosomes/ connections)

18
Q

When fluid filled blisters rupture what do they cause?

19
Q

Is a bullous pemphigoid superficial or deep?

20
Q

there is evidence of acantholysis in pemphigoid true or false

21
Q

How does pemphigoid arise

A

IgG reacts with antigens of hemidesmosomes anchoring basal cells to basement membrane. Complement activation and tissue damage

22
Q

What disease is dermatitis herpetiformis associated with

A

coeliac disease

23
Q

IS dermatitis herpetiformis itchy or nor?

24
Q

Where does herpetiformis effect?

A

elbows, knees, buttocks

25
What is the hallmark of dermatitis herpetiformis
papillary dermal abscesses
26
Which antibody is associated with dermatitis herpetiformis
IgA
27
What does psoriasis look like
scaly, erythematous plaques
28
What is guttate psoriasis
Due to a throat infection causing salmon coloured drops on the skin
29
Name 4 types of nail disease
onycholytic, pitting, dystrophic and subungal hyperkeratosis
30
How do you treat Psoriasis
Emollients, Vit D analogues, Coal tar, Steroids
31
How would you treat widespread psoriasis
Phototherapy
32
What are typical acne treatments
benzoyl peroxide, Vit A derivatives, antibiotics. If really bad, isotretinoin
33
What medication should you avoid in rosacea
Topical steroids
34
How do you treat rosacea
antibiotics- metronidazole, tetracycline
35
How do you treat pemphigoid and pemphigus
steroids, immunosuppressive agents- azathioprine
36
Specific pemphigoid treatment
tetracycline