Dermatologic Diseases

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laurenbrightwing
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Last updated: July 16, 2024
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First submittedJuly 16, 2024
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PRESENTATION: Scurvy
PRESENTATION: Acne
DX: Bullous pemphigoid
TX: Seborrheic Dermatitis (Dandruff)
TX: Scurvy
PRESENTATION: Verruca Vulgaris (common wart)
DX: Tinea Corporis (Ringworm)
TX: Tinea versicolor
TYPE: Acanthosis Nigricans
TYPE: Seborrheic Dermatitis (Dandruff)
TYPE: Acne
TYPE: Scurvy
CAUSE: Tinea Corporis (Ringworm)
TX: Rosacea
PRESENTATION: Seborrheic Dermatitis (Dandruff)
CAUSE: Melasma
TX: Adrogenetic Alopecia
CAUSE: Grave's Disease
CAUSE: Pyoderma Gangrenosum
TYPE: Contact Dermatitis
PRESENTATION: Tinea versicolor
TYPE: Vitiligo
TX: Vitiligo
TYPE: Coma Bullae
PRESENTATION: Herpes simplex virus
TYPE: Psoriasis
CAUSE: Molluscum contagiosum
PRESENTATION: Keloid
DX: Delusions of Parasitosis
TX: Tinea Corporis (Ringworm)
CAUSE: Keloid
CAUSE: Scabies
PRESENTATION: Alopecia areata
DX: Scabies
CAUSE: Pemphigus vulgaris
TYPE: Bullous impetigo
CAUSE: Adrogenetic Alopecia
PRESENTATION: Psoriasis
PRESENTATION: Acanthosis Nigricans
TX: Solar/Simple Lentigo
DX: Lichen Planus
PRESENTATION: Contact Dermatitis
CAUSE: Seborrheic Dermatitis (Dandruff)
TX: Cellulitis
CAUSE: Rosacea
PRESENTATION: DRESS Syndrome
PRESENTATION: Pyoderma gangrenosum
TX: Verruca Vulgaris (common wart)
CAUSE: Cellulitis
CAUSE: Bullous pemphigoid
TYPE: Urticaria (Hives)
TYPE: Varicella zoster virus (shingles)
PRESENTATION: Molluscum contagiosum
DX: Pyoderma Gangrenosum
DX: Acanthosis Nigricans
TX: Psoriasis
CAUSE: Pyoderma gangrenosum
PRESENTATION: Solar/Simple Lentigo
TYPE: Bullous pemphigoid
TYPE: Verruca Vulgaris (common wart)
PRESENTATION: Pyoderma Gangrenosum
PRESENTATION: Tinea Corporis (Ringworm)
PRESENTATION: Bullous impetigo
TX: Melanocytic Nevus (mole)
CAUSE: Hidradenitis Suppurativa
PRESENTATION: Adrogenetic Alopecia
CAUSE: Tinea versicolor
TX: Hidradenitis Suppurativa
TX: Coma Bullae
TX: Scabies
CAUSE: Liver disease / Cirrhosis
DX: Liver disease / Cirrhosis
CAUSE: Scurvy
TX: Molluscum contagiosum
TX: Atopic Dermatitis (Eczema)
TYPE: Tinea Corporis (Ringworm)
TX: Delusions of Parasitosis
CAUSE: Stevens-Johnson Syndrome or Toxic Epidermal Necrolysis
PRESENTATION: Urticaria (Hives)
PRESENTATION: Melasma
TYPE: Hidradenitis Suppurativa
PRESENTATION: Grave's Disease
CAUSE: Kawasaki's Disease
PRESENTATION: Pemphigus vulgaris
PRESENTATION: Melanocytic Nevus (mole)
TYPE: Delusions of Parasitosis
PRESENTATION: Vitiligo
TYPE: Atopic Dermatitis (Eczema)
TYPE: Melanocytic Nevus (mole)
CAUSE: Telogen effluvium
TX: Bullous impetigo
TX: Grave's Disease
PRESENTATION: Bullous pemphigoid
TX: Pemphigus vulgaris
DX: Herpes simplex virus
TX: Herpes simplex virus
PRESENTATION: Dermatomyositis
TYPE: Grave's Disease
CAUSE: Acne
TX: Erythema Chronicum Migrans (Lyme)
DX: Contact Dermatitis
DX: Pemphigus vulgaris
CAUSE: Varicella zoster virus (shingles)
TYPE: Kawasaki's Disease
PRESENTATION: Scabies
INTERLEUKINS: RA
TX: Erythema nodosum
CAUSE: Acanthosis Nigricans
DX: Erythema Chronicum Migrans (Lyme)
PRESENTATION: Stevens-Johnson Syndrome or Toxic Epidermal Necrolysis
TX: Acne
TYPE: Keloid
TX: Bullous pemphigoid
CAUSE: Solar/Simple Lentigo
PRESENTATION: Coma Bullae
PRESENTATION: Erythema Chronicum Migrans (Lyme)
TX: Keloid
CAUSE: Psoriasis
CAUSE: Erythema Chronicum Migrans (Lyme)
CAUSE: Verruca Vulgaris (common wart)
CAUSE: Herpes simplex virus
CAUSE: Stasis dermatitis
TX: Lichen Planus
TYPE: Morbilliform Eruption
CAUSE: Coma Bullae
PRESENTATION: Telogen effluvium
PRESENTATION: Lichen Planus
CAUSE: Atopic Dermatitis (Eczema)
TYPE: Liver disease / Cirrhosis
TYPE: Cellulitis
TX: Varicella zoster virus (shingles)
DX: Grave's Disease
TX: Kawasaki's Disease
CAUSE: Alopecia areata
CAUSE: Melanocytic Nevus (mole)
CAUSE: Morbilliform Eruption
CAUSE: Urticaria (Hives)
PRESENTATION: Erythema nodosum
TX: Pityriasis Rosea
TYPE: Pemphigus vulgaris
TX: DRESS Syndrome
PRESENTATION: Morbilliform Eruption
TYPE: Lichen Planus
TYPE: Herpes simplex virus
DX: Varicella zoster virus (shingles)
PRESENTATION: Delusions of Parasitosis
TX: Pyoderma gangerenosum
CAUSE: DRESS Syndrome
TX: Liver disease / Cirrhosis
PRESENTATION: Hidradenitis Suppurativa
CAUSE: Lichen Planus
CAUSE: Bullous impetigo
TX: Acanthosis Nigricans
TX: Urticaria (Hives)
TX: Telogen effluvium
TYPE: Scabies
CAUSE: Delusions of Parasitosis
CAUSE: Dermatomyositis
PRESENTATION: Varicella zoster virus (shingles)
TX: Melasma
TX: Morbilliform Eruption
TYPE: Molluscum contagiosum
CAUSE: Contact Dermatitis
PRESENTATION: Rosacea
TYPE: Adrogenetic Alopecia
TYPE: Stevens-Johnson Syndrome or Toxic Epidermal Necrolysis
CAUSE: Erythema nodosum
PRESENTATION: Cellulitis
INTERLEUKINS: Psoriasis
TYPE: Tinea versicolor
CAUSE: Vitiligo
CAUSE: Pityriasis Rosea
TYPE: DRESS Syndrome
PRESENTATION: Liver disease / Cirrhosis
TYPE: Erythema Chronicum Migrans (Lyme)
DX: Bullous impetigo
PRESENTATION: Pityriasis Rosea
TX: Contact Dermatitis
DX: Tinea versicolor
TYPE: Pityriasis Rosea
PRESENTATION: Stasis dermatitis
PRESENTATION: Atopic Dermatitis (Eczema)
TX: Stevens-Johnson Syndrome or Toxic Epidermal Necrolysis
PRESENTATION: Kawasaki's Disease
TX: Stasis dermatitis
CAUSE: Acquired autoimmune disorder of pigmentation w loss of epidermal melanocytes resulting in depigmented patches. Genetic predisposition activated by environmental trigger/stress, autoimmune T cell process acting on JAK/STAT = kills melanocytes.
CAUSE: Acquired hyperpigmentation of the skin resulting from chronic UV exposure (increases MMP2/9 = decrades collagen, melanin descends into dermis). Female hormonal stimulation, genetics involved.
CAUSE: Acute bacterial infx of dermis and subcutaneous tissues, often group A strep or staph aureus (except in immunocompromised). Commonly lower extremity. Bacteria inoculated thru skin, release virulence factors/toxins, activate immune system
CAUSE: Androgen sensitivity of pilosebaceous unit = obstructive plugs = follicle wall rupture = inflammation = infection, sebum (?). Triggered by stress, occlusion, medications.
CAUSE: Assoc w malignancy (preceding, co-occurring, following), mostly within first year w elevated risk for 3-5 years. Ovarian cancer overrepresented. Also w interstitial lung disease & aspiration due to esophageal involvement
CAUSE: Assoc w underlying disease (IBD, hematologic malignancy)
CAUSE: Autoantibodies to BP180 and BP230 of hemidesmosomes disrupt epidermal attachemnt to TEJ, causing blistering/erosion, severe pruritis.
CAUSE: Autoantibodies to DSG-1 and DSG-3 in desmosomes (connect keratinocytes), causing blistering.
CAUSE: Autoimmune hair loss
CAUSE: Autoimmune hyperthyroidism.
CAUSE: Chronic inflammatory disorder resulting from skin barrier dysfx and immne rxn to Malssezia yeast.
CAUSE: Conglomerations of melanocytes (derived from neural crest), most often in sun-exposed areas
CAUSE: Drug rxn w eosinophilia and systemic sx. Systemic immune response triggered by longer term drug exposure reactivation of underlying latent virus. Many causative drugs, especially aromatic anticonvulsants (i.e. carbamazepine)
CAUSE: False delusion of parasite infections
CAUSE: Fungal infx of epidermus and stratum corneum by dermatophytes (Trychophyton/Microsporum). Enter thru direct contact w broken skin, produce keratinases (digest keratin) = inflammatory response = redness, spreads outward from origin
CAUSE: Genetic factors (hair follicle genes), elevated cytokines, environmental factors, hormonal factors lead to inflammatory nodule formation in skin folds.
CAUSE: Genetic predisposition with environmental trigger activates inflammatory pathway involving TH17, IL-17.
CAUSE: Hairs shift into 'shed' phase, stress-related hair loss
CAUSE: HPV infection - enters thru broken skin, infects basal keratinocytes, replicates w keratinocyte/vascular proliferation, evades immune system by preventing MHC antigenic expression.
CAUSE: Hyperpigmentation of keratinocytes due to sun damage. NOT a melanocytic lesion - autophagy of keratinocytes to neighboring melanocyte.
CAUSE: Inflammatory dermatitis in which T cells react to unknown antigen at dermal-epidermal junction. May be drug-induced or assoc w Hep C.
CAUSE: Inflammatory disorder related to demodex mite, triggered by sun, spicy food, wine, steroids
CAUSE: Injury leads to upregulated cytokines, fibroblast proliferation, and ECM synthesis
CAUSE: Irritant (chemical/mechanical irritation directly damages skin) vs. allergic (allergen causes type IV delayed hypersensitivity). Often poison ivy.
CAUSE: Liver disease (alcoholic/viral/autoimmune hepatitis, malignancy)
CAUSE: Mast cell degranulation triggered by drugs, foods, infx, stress, autoimmune = mast cell degranulation = histamine release, capillary permeability
CAUSE: Mite sarcoptes scabiei, person-to-person contact, very common.
CAUSE: Molluscipox virus, skin-to-skin contact or STI
CAUSE: Neurtropic dsDNA virus. Virally-mediated destruction of keratinocytes forms blisters
CAUSE: Neutrophilic infiltration causes soft tissue necrosis resembling an infx.
CAUSE: Panniculitis (fat inflammation)
CAUSE: Pressure-induced keratinocyte necrosis, within 48-72 hrs of imobility. Clamps off blood vessels = skin cells die = blister forms.
CAUSE: Proliferative disorder resulting from insulin resistant states (obesity, diabetes mellitus) = epidermal growth and thickening
CAUSE: Reactivation of primary varicella (chickenpox)
CAUSE: Severe T-cell-mediated allergic rxn to systemic medication 7-21 days after drug initiation, often sulfonamides, anticonvulsants, allopurinol, lamotrigine. Full-thickness keratinocyte apoptosis and necrosis.
CAUSE: Skin barrier dysfx (genetic, mutations in fillagrin? itch-scratch cycle, exposure to environmental antigen), inflammatory dysregulation (skewed to Th2 cytokines). Part of atopic triad (allergic march)
CAUSE: Skin infx w staph aureus or group A strep. Exfoliative toxin causes blistering (cleaves desmosomes of upper epidermis)
CAUSE: Swelling in legs (irritation/inflammation)
CAUSE: Testosterone (converted to DHT) miniaturizes and eliminates terminal hairs. Males over 40, post-menopausal females.
CAUSE: Tickborne infection by spirochete, 7-14 days post-bite.
CAUSE: Type IV hypersensitivty rxn to drug or one of its metabolites. T-cell-mediated, triggers immune cascade.
CAUSE: Unknown, possibly viral
CAUSE: Viral exanthem (HHV-6)
CAUSE: Vitamin C deficiency (alcohlism, gastric bypass, malabsoprtive syndromes). Cofactor in collagen production = weakens blood vessels, bones/teeth, skin/hair.
CAUSE: Yeast infx by Malassezia furfur (normal organism on skin) - lipophilic organism overgrows in oily skin/sweat, converts to yeast. Inhibits tyrosinase in melanin synthesis
DX: A1C, check family hx
DX: Biopsy (H&E and IF), DSG-1 and DSG-3 serologies
DX: Biopsy (shows neutrophilic infiltration) and tissue cultures (will be negative). Frequently misdiagnosed
DX: Biospy (H&E and IF - subepidermal split and strong line at dermoepidermal junction), BP-180/230 serologies
DX: Clinical dx, history (occupation, exposures, hobbies), physical exam (exposure distribution), patch testing for allergen
DX: Clinical, biopsy, differentiate from psoriasis by purple color
DX: Clinical, KOH ("spaghetti and meatballs" hyphae and spores)
DX: Clinical, skin scraping (mite or feces)
DX: Dx of exclusion. Rule out all organic causes before concluding delusion.
DX: KOH prep, culture, biopsy
DX: Liver function tests (AST/ALT)
DX: Serologic test (ELISA, Western blot), test ticks for lyme
DX: Swab blisters for bacterial cx
DX: TSH, free T4
DX: Viral PCR
INTERLEUKINS: IL-17, IL-23
INTERLEUKINS: TNF, IL-6, IL-1, RANKL
PRESENTATION: Acquired hyperpigmentation of the skin typically affecting sun-exposed areas of the face, more commonly in child-bearing women and darker skin types.
PRESENTATION: Annular to round, scaly red - brown plaques w central clearing and leading scale. Athlete's foot (maceration/moist white skin breakdown bt toes, painful/itchy), tinea capitis (scaly red plaques w hair breakage, itchy), onychomycosis/tinea unguis (white-yellow discoloration w subungual debris and crumbling nails)
PRESENTATION: Begins as small red macule, spreads to large targetoid patch. May have fevers, chills.
PRESENTATION: Blistering lesions resembling HSV in dermatomal distribution. Disseminated disease (across dermatomes) highly infectious, requires hospitalization
PRESENTATION: Blistering virus, affecting oral or genital regions (cold sores, fever blisters)
PRESENTATION: Brown macules, usually in sun-exposed areas
PRESENTATION: Decreased hair density and/or miniaturization of frontal hairline, sometimes vertex/partline. Temporal/occipital scalp generally preserved.
PRESENTATION: Depigmented patches. Non-segmental vs. segmental (rapid onset, recalcitrant, dermatomal). Active disease marked by Koebner phenomenon (trauma-induced spreading), confetti-like morphology, trichrome coloration, inflammation (pink/inflamed appearance).
PRESENTATION: Diffuse, sudden hair loss following stressful event/period
PRESENTATION: Dusky tender patches w bullae and skin fragility/sloughing. Nikolsky (pushing on skin forms blister) and Asboe-Hansen (blister expands when pushed) sign positive. Prodrome of fever, malaise, arthralgias. Acute onset tender skin. SJS if under 10%, TEN if over 30% of surface area. Ocular, mucosal, genital involvement.
PRESENTATION: Epidermal blisters on skin/mucous membranes. Painful, itchy, burning. Life-threatening if untreated.
PRESENTATION: Erythrotelangiectatic, papulopustular, rhinophymatous, ocular
PRESENTATION: Fever lasting over 5 days. Strawberry tongue (extreme erythema of tongue), bilateral conjunctivitis, swollen/red hands, erythematous desquamating patches on extremities/buttocks, cervical lymphadenopathy. May induce vasculitis with CV complications (aneurysms, MI).
PRESENTATION: Hair falls out in small circles, progresses to entire scalp then body
PRESENTATION: Heliotrope + Gottron's papules (flat topped, erythematous to violaceous somewhat scaly papules predominantly occurring over extensor surfaces of hand joints). Both pathognomonic. Skin rash plus muscle involvement (though many never have clinically significant muscle involvement). Nail fold capillary changes (pericuticular erythema, micro-infarcts). Photosensitive condition ("shawl sign"). Muscle weakness ranging from non-clinically impairment to debilitating
PRESENTATION: Herald lesion (largest and first-appearing), spreads to trunk in "christmas tree pattern" w colarette of scale
PRESENTATION: Honey-colored crust and flaccid, superficial, fragile blisters. May develop staphylococcal scalded skin syndrome when toxin enters blood, causing widespread superficial bullae/erosions (though cx negative bc no disseminated infx).
PRESENTATION: Hypopigmented-to-hyperpigmented well-demarcated macules coalescing into patches, SCALY WHEN STRETCHED (furfuricious scale). Multiple color patterns (tan-pink, hypopigmented in dark skin). Chest, back, upper arms, abdomen, thighs. Generally asymptomatic
PRESENTATION: Inflammatory nodules in folds of skin, more common in black individuals. Painful, draining, often foul odor.
PRESENTATION: Itchy rash in webspaces of hands/feet, wrists, armpits, navel, groin. In critically ill or immunocompromised, may be crusted.
PRESENTATION: Linear excoriations, prurigo nodules, ulcerations, spares areas the patient cannot reach
PRESENTATION: Non-healing ulcer often assoc w IBD and malignancy. Not responsive to Abx
PRESENTATION: Non-inflamed bullae on dependent sites in immobilized patients. May be red/purple w hemorrhage
PRESENTATION: Nonhealing ulcer despite routine wound/infection healing management, often on lower extremities. Can show pathergy (worsens w trauma at site including biopsy). If mistaken for infx, can be debrided = ulcer worsens!
PRESENTATION: Occurs in areas rich in sebaceous glands (scalp, eyebrows, nasal folds, retroauricular, presternal). May be itchy. Cradle cap in infants. May occur in assoc w psoriasis. Petaloid variant presents on scalp and can extend onto face.
PRESENTATION: Open comedones (blackheads) vs. closed comedones (whiteheads, pustules). Cysticnodulocystic acne is severe and can have permanent scarring. May cause hyperpigmentation.
PRESENTATION: Palmar erythema, Terry's nails (whitened nailbeds), spider angiomas/telangiectasis, pruritis, jaundice
PRESENTATION: Petechiae and ecchymoses, perifollicular hemorrhage, corkscrew hairs, hemorrhagic gingivitis, halitosis, loose teeth
PRESENTATION: Pink-to-brown well-circumscribed macules or papules. Evaluate risk based on asymmetry, borders, colors, diameter, evolution
PRESENTATION: Pitting edema, small purpuric non-blanching areas, signs of chronic venous stasis, thickened skin, itchy
PRESENTATION: Poorly circumscribed, erythematous patches w excoriations at flexural surfaces. Tends to improve with age. Lichenification, post-inflammatory changes (hypopigmentation, hyperpigmentation)
PRESENTATION: Pretibial myxedema, opthalmopathy (bulging eyes), acropachy (bulging of proximal nail fold)
PRESENTATION: PURPLE, polygonal, pruritic, papules affecting skin, mucosal surfaces, nails, hair. Pruritic. Can cause Wickham's striae.
PRESENTATION: Rash (morbilliform), heme (eosinophilia, atypical lymphocytes), systemic sx (hepatitis, interstitial nephritis, lymphadenopathy, thyroiditis, carditis). 2 weeks - 3 months after starting medication.
PRESENTATION: Resembles warts. Single-to-multiple, yellow or pink, shiny, umbilicated papules. May itch.
PRESENTATION: Sharp lines of demarcation, geometric/linear shapes, bullae and vesicles in severe rxns
PRESENTATION: Smooth overgrown scar extending past boundary of injury. Can be painful or itchy.
PRESENTATION: Tender multifocal nodules on lower extremities
PRESENTATION: Tense blisters and erosions of skin/mucous memranes, often w urticarial or eczematous base. Severe pruritis. Tends to have eosinophilic infiltrate.
PRESENTATION: UNILATERAL erythema, edema, tenderness, warmth. Acute, painful, indurated/swollen, rarely increased WBC, fever, bullae. (Do not confuse for DVT, erythema nodosum, stasis dermatitis)
PRESENTATION: Velvety plaques manifesting in body folds in patients w insulin resistance. Cutaneous signs of diabetes (diabetic dermopathy, xanthelasma, skin tags)
PRESENTATION: Verrucous (thickened/hyperpoliferative skin), thromobsed capillaries (black dots), single or clustered or scattered, mucosal or nonmucosal. If extensive/refractory, consider immunosuppression.
PRESENTATION: Well-circumscribed erythematous plaques with overlying silver-white scale at the elbows, knees, scalp, lumbosacral region. Classically not itchy. Koebner phenomenon (occurs at sites of injury/irritation). Several types: plaque, guttate (scattered red papules scale), inverse (occurs in body folds w no scale). NO MACULES ON HANDS OR FEET (unlike secondary syphilis). Comorbid w metabolic syndrome, diabetes, stroke, MI/CVA, psoriatic arthritis (dactylitis).
PRESENTATION: Wheals, individually lasting under 24 hours. Very itchy. May be acute (<6 wks) or chronic (>6 wks).
PRESENTATION: Widespread erythematous macules and thin papules on trunk/extremities. 7-14 days after exposure. Starts on the chest and moves to extremities, patient looks well, typically asymptomatic or pruritic. Reexposure can cause rapid recurrence.
TX: Abx, topical if localized, consider MRSA coverage
TX: Acute (antihistamines, topical steroids) vs. chronic (H1 antihistamines + H2 antihistamines/leukotriene modifiers + steroids + immunosuppressants)
TX: Appropriate Abx regimen, often outpatient. Caution for gas/crepitus, necrosis, rapid progression.
TX: Aspirin for CV complications (monitor for Reye syndrome - brain/liver failure)
TX: Avoid triggers, acne treatments
TX: Avoidance, barriers, topical steroids, oral steroids if severe, antihistamines for pruritis
TX: B cell suppression (corticosteroids, rituximab, IVIG)
TX: Benign, no tx necessary, but melanomas may develop from pre-existing nevus and biopsy may be needed in worrisome cases
TX: Corticosteroids, oomalizumab, rituximab, steroid-sparing immunosuppressives
TX: Destructive (cryotherapy, laser, salicylic acid), immunologic (Imiquimod, Candida Ag, Cimetidine, vaccination)
TX: Difficult to tx, as patients usually unwilling to see psychiatrist. Tx underlying disease (thyroid, vitamin B12), topical moisturizers/steroids, doxepin, atypical antipsychotics
TX: Doxycycline
TX: Environmental modifications (diet, weight loss), for skin plaques use moisturizers w keratolytics (lactic acid, urea cream, salicylic acid), topical retinoids
TX: Evaluate liver disease, manage itching (topical moisturizers/corticosteroids, cholestyramine, narrow band UV)
TX: Inhibit tyrosinase (decreases melanin production), sunscreen (prefer tinted sunscreens w iron oxides), flucinolone, hydroquinone, tretinoin.
TX: None needed, can destroy w laser. Sunscreen prevention key. Monitor to rule out melanoma.
TX: Nonsegmental - topical tx, UVB, surgical if no response, systemic oral steroids if rapid progression, opzelura
TX: Nothing in children, cryotherapy/electrodessication in adults. Self-limiting but may last years.
TX: Permethrin cream, Ivermectin, tx close contacts
TX: Prevention (no traumatic procedures), corticosteroid injection, lasers, rarely radiation if large/nonresponsive/functionally impairing
TX: Prevention, keep dry and air-exposed, antifungal cream and/or powder (miconazole, clomitrazole), topical antifungals, systemic antifungals
TX: Remove fluid, compression stockings, topical corticosteroids
TX: Remove trigger, NSAIDs
TX: Reposition patient, supportive care (drain fluid PRN)
TX: Self-resolving in 6-12 weeks
TX: Skin-directed (corticosteroids, topical calcineurin inhibitors, phototherapy), systemics (small molecules), targeted (dupilumab)
TX: Skin-directed (corticosteroids, vitamin D3 analogs, phototherapy, etc.), systemics (small molecules, biologics for IL-17)
TX: Skin-directed (topical steroids, topical calcineuron inhibitors, phototherapy) vs. systemic (oral corticosteroids, methotrexate, azathiorpine)
TX: Staged using Hurley Stages I-III (isolated boils, recurring boils w scarring and sinus tracts, widespread boils w interconnected tracts). Antibiotics (topical -> systemic), escalates to biologics and surgical excision. Pain management, superinfection tx, weight loss.
TX: Steroids. DO NOT DEBRIDE. Do culture just inc ase to ENSURE it isn't a deep infx before you give immunosuppressants
TX: Stop all drugs that could be responsible, trend organ dysfx (if worsens, add steroids), taper steroids to prevent flares.
TX: Stop the drug unless necessary, rule out dangerous drug rashes, treat sx, oral antihistimanes & topical steroids for pruritis
TX: Supportive (hairs regrow after stress ends), Minoxidil
TX: Supportive tx (wound care, humectant application), manage fluid/electrolyte abnormalities, aggressive tx. Active therapies controversial.
TX: Topical (minoxidil, finasteride, DHT blockers), systemic (finasteride, spironolactone, minoxidil), procedural (hair transplant)
TX: Topical (selenium sulfide shampoo, azoles), systemic (azoles)
TX: Topicals (benzoyl peroxide, saliclyic acid, antibiotics, retinoids), systemic (antibiotics, OCPs, spironolactone, isotretinoin)
TX: Tx hyperthyroidism, topical steroids/moisturizers, compression stockings
TX: Tx yeast (selenium sulfide shampoos, ketoconazole), tx scaling (salicylic acid) topical steroids, topical calcineurin inhibitors, Apremilast (PDE-4 inhibitor)
TX: Valacyclovir
TX: Vitamin C
TYPE: Immunologic
TYPE: Infectious
TYPE: Inflammatory
TYPE: Mechanical
TYPE: Non-infectious
TYPE: Skin growth
TYPE: Systemic
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