study guide Flashcards
hyperpigmented hyperkeratotic macules/papules often coalesce into reticulated patches/plaques.
Favor neck, chest, upper back and axillae
rarely affects the face, extremities, or groin
has exacerbations/remissions
r/t inflammation to Malassezia
How do you treat?
confluent and reticulated papillomatosis
minocycline 50-100mg bid 1-3 months
azithromycin 250-500mg 3x/week 3-4 weeks
Inflammatory disease with recurrent apthous ulcers
High prevalence in patient with ancestry on silk road
20-30 years old
Behcets
Unpredictable, recurrent flares of inflammation
almost always oral ulcers
>6 oral apthae 2mm-2cm of painful rounded ulcers with surrounding erythema, heals in 1-3 weeks.
TRIAD- uveitis, oral and genital apthous stomatitis
Vasculitis of small, medium and large vessels
Behcet’s Disease
Behcet’s disease
TX of oral apthae
TX of genetial ulcers
Prevention
Goal of treatment is to reduce and quickly suppress inflammation
triamcinolone cream in orabase
sucralfate combo with topical steroid
Pimecrolimus
colchicine 1-2mg/day in divided dose
poorly defined area of vertex and crown, centrifugal expansion
shiny, smooth, white/gray perifollicular halos and broken hairs
confetti-like or blotchy hypopigmentation in severe cases
+/- infalmmation
scalp pain, tenderness or itching
How to dx and how to treat?
CCCA
dx- two site (vertical and horizontal eval) punch biopsy
High potency topical corticosteroids, ILK
Doxy 100mg q day w/ topical
topical minoxidil
If refractory- hydroxychloroquine
what should you consider when prescribing hydroxychloroquine
CBC (r/o hemolytic anemia), CMP, G6PD deficiency
perifollicular erythema
hyperkeratosis
scarring
initial involvement- most common sites are parietal and vertex scalp
FFA-loss of both terminal and vellus hair
alopecia of eyebrows precedes this condition
pruritus and tenderness are present
LPP
2 punch biopsy vertical and horizontal evaluation
TX with;
high potency topical steroids, taper when erythema resolves
ILK q 6 weeks
irregular or angular borders, with broken hair shafts distributed throughout
Trichotillomania
What do you treat hirsutism?
spiro, topical eflornithine cream
Urticarial vasculitis, exercise
induced vasculitis, and
erythema elevatum diutinum
Henoch
-Schonlein purpura, Wegener
granulomatosis, ChurgStrauss
what type of vasculitis
small vessel
Temporal arteritis, Takayasu arteritis, polymyalgia
rheumatica
what type of vasculitis
large vessel
