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This document summarizes several common dermatological conditions. It provides details on clinical presentation, histopathology, etiology, diagnosis, and treatment for conditions like psoriasis, lichen planus, acne, scabies, tinea infections, and herpes infections. For each condition, it lists key features such as common subtypes, diagnostic tests, complications, and therapeutic approaches both topical and systemic.
Descrizione originale:
sorry salah, n susun random gila.
betulkan sendiri mana yang salah oke
sorry print sendiri :P
This document summarizes several common dermatological conditions. It provides details on clinical presentation, histopathology, etiology, diagnosis, and treatment for conditions like psoriasis, lichen planus, acne, scabies, tinea infections, and herpes infections. For each condition, it lists key features such as common subtypes, diagnostic tests, complications, and therapeutic approaches both topical and systemic.
This document summarizes several common dermatological conditions. It provides details on clinical presentation, histopathology, etiology, diagnosis, and treatment for conditions like psoriasis, lichen planus, acne, scabies, tinea infections, and herpes infections. For each condition, it lists key features such as common subtypes, diagnostic tests, complications, and therapeutic approaches both topical and systemic.
other types: - ps. vulgaris - pustular ps - eryhtrodermic (>80% of body) - arthropathic tyoe - linear/zosteriform - palmoplantar ps. - flexular ps. - circinate ps. - guttate ps.
*Auspitz sign = on removal of scales bleeding point
3 topical Rx: - emollient (Vaseline) - keratolytic (salicylic acid) - Vit D analogue - steroid in localized case - PUVA *topical steroid may cause relapse + pustular psoriasis
TINEA CORPORIS (CIRCINATA) EROSIVE INTERDIGITALIS ONYCHOMYCOSIS PITYRIASIS VERSICOLOR well defined circinate patch - scaly patch - healing centre - active margin
other types: - t. facii - t. pedia & manuum - t. corporis - t. circinata
T. Pedis subtypes: - vesiculo- bullous/eczematous - hyperkeratotic - toe web maceration (athletic foot) - circinate type
VERRUCA PLANA - HPV -minute, multiple flat topped papule w smooth surface - skin coloured - on the face & back of hands *may show Koebners phenomenon
Rx : topical retinoid
cause: Human Papilloma Virus (HPV)
malignant transformation - in HPV type 16, 18, 45, 31
C. Acuminata C. Lata HPV 6, 11, 16,18,91 (venereal verruca) Treponema Pallidum (2ry stage syphilis) - cauliflower - pedunculated - foul odour - easily bleeds on touch - sessile - flat topped - doesnt bleeds on touching Rx by podophyllin Rx by penicillin
Rx = destruction of the warts i) chemical cautery : podophyllin 25% *teratogenic ii) laser cautery iii) electrocautery iv) cryotherapy *of choice in pregnancy dome-shpaed pearly white papule + central umbilication
in children
etio: molluscum pox virus
Rx: needle transfixation + curettage
DDx of umbilicated skin lesion: - -
DDx of other lesion showing Koebners phenomenon: - - - - -
VERRUCA VULGARIS VERRUCA PLANTARIS - dome shaped
other types:
Rx:
etio:
line of Rx:
other types:
VITILIGO ALOPECIA AREATA ATOPIC DERMATITIS URTICARIA milky white depigmented macule/patch
- in any site ( at the site of trauma)
pathogenesis i. autocytotoxic theory (by toxic by-product produced during melanin production) ii. auto-immune destruction iii. intrinsic defect of structure & function iv. neural v. defective free radical defense
clinical types: 1. localized i) segmental (dermatomal) ii) focal iii) mucosal *bad prognosis (no hair follicle) 2. generalized (>60%) - vulgaris - acrofacial 3. universal localized area of hair loss devoid of hair stumps & scales (normal scalp)
bad prognostic sign: - +ve family Hx - ass w/ nail dystrophy & autoimmune disease - subcapsular cataract - ophiasis type - subtotalis/universalis - early onset *exclamation mark!
2 topical Rx 1. steroid 2. irritant althralin
DDx of non-cicatricial alopecia *if beard & adult NO tinea capitis!
*ANDROGENIC ALOPECIA minoxidil 2% in females 5% in males
Major criteria: - chronic relapsing course -pruritis - +ve family hx of atopy - typical distribution