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04 Inflammatory Skin Disorders II
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Published
01/12/2024
The dermatitis herpetiformis that arises with celiac disease is due to {{c1::IgA}} deposition at the tips of the dermal papillae
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01/12/2024
Coccidioidomycosis can also cause {{c1::erythema nodosum}}, characterized by painful red nodules, typically on the shins
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01/12/2024
{{c1::Acne}} (pictured below) varies clinically but typically presents with pustules, papules, comedones, cysts, or scarring
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In acne, keratin blocks the outflow tract of the sebaceous gland causes inflammation and comedo wall rupture, causing {{c1::comedones}}
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Acne is most often on the {{c1::face}} and {{c1::upper trunk}} because these areas have well-developed sebaceous glands
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{{c1::Acne fulminans}} is the most severe form of acne and comes with significant scarring
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What condition is shown below?{{c1::Acne}}
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{{c1::Inflammatory::inflammatory vs. non-inflammatory}} acne presents with papules, pustules, nodules, and/or cysts
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What condition is this?{{c1::Acne}}
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First line treatment of acne is {{c1::topical retinoids}}, but if these aren't strong enough, you can give {{c1::oral retinoids (i.e. acutan…
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Antibiotics can be given to treat acne as they {{c1::decrease}} inflammation
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{{c1::Rosacea}} is a skin condition defined by facial erythema, telangiectasis, flushing, papules, pustules, but no comedones
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What skin condition is this?{{c1::Ocular rosacea}}
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Some environmental triggers of {{c1::rosacea::skin condition}} include heat, alcohol, spicy foods, UV light. As such, the main treatment is to {{c2::a…
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These patients come into your clinic because they are concerned about their skin condition, but they say that their face doesn't itch or bother them. …
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Topical medications, like antibiotics and selective alpha-adrenergic agonists, are used to treat rosacea, but if these don't work, we move to {{c1::sy…
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Pilonidal cysts typically occur in the 2nd decade of life in {{c1::hirsute (hairy) males}}
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01/12/2024
Erythema nodosum is also associated with various drugs such as {{c1::OCPs}}, sulfonamides, and penicillin
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Erythema nodosum is {{c1::bi}}lateral, tender and affects the {{c1::pretibial}} areas
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Erythema nodosum is associated with {{c1::sarcoidosis}} and {{c1::inflammatory bowel}} disease among other systemic disorders and infections
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Pemphigus is characterized by intra-{{c1::epidermal}} blisters which are fragile
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This immunofluorescence of the epidermis shows what conditions?{{c1::Pemphigus}}
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Pemphigus {{c1::vulgaris}} shows painful mucosal involvement in almost all patientsPemphigus {{c1::foliaceus}} does not show mucosal involvement
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{{c1::Paraneoplastic}} pemphigus shows intractable stomatitis (lots of pain and inflammation around the mouth) and is associated with under…
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What type of pemphigus is this?{{c1::Pemphigus foliaceus}}
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To treat pemphigus give {{c1::systemic corticosteroids}}, but you can't keep them on this forever, so many physicians now give {{c2::rituximab}}
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{{c1::Bullous pemphigoid}} is the most common autoimmune sub-epidermal blistering disease and presents with tense blisters
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Bullous pemphigoid presents with tense blisters because the autoantibodies target {{c1::dermal-epidermal}} cohesion
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Bullous pemphigoid is significantly associated with {{c1::neurological}} disorders and can be caused by {{c2::systemic}} medications (classically diur…
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To treat bullous pemphigoid that is localized/mild -> give {{c1::topical corticosteroids}} or {{c1::antibiotics}} (tetracycline) To treat bull…
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01/12/2024
Dermatitis herpetiformis has a compliex pathogenesis but involves {{c1::TG2}} and {{c1::TG3}}
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01/12/2024
Dermatitis herpetiformis responds to {{c1::gluten restriction::diet change}}
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01/12/2024
Dermatitis herpetiformis presents with vesicles and papules that are intensely {{c1::pruritic}} and typically on the extensor surfaces
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