Card Set Information
What are the symptoms of atopic dermatitis?
2. typical morphology/distribution
3. chronic relapsing dermatitis
4. personal/family hx of atopy
What does "atopy" consist of?
2. hay fever
3. atopic dermatitis
What is the distribution sites of 3 different phases?
1. infancy--> all over
2. kids-->neck,elbow, kneeds, feet, palms
3. Adults--> palms/feet
What is keratosis pilaris?
Type of atopic dermatitis--> seen on outer arms, chest
What disease is a topic of Atopy with chronic eczema of anterior sole of foot?
Juvenile Plantar dermatosis
What are some exacerbating factors in atopics?
1. xerosis, overbathing, soap overuse
2. contact irritants, allergens
4. food/dust mite allergies (usually not a factor)
What does staph pyodermas look like?
-pustules superimposed on atopic dermatitis
What patient education should be given for atopic dermatitis?
1. avoid precipitating factors
3. topical corticosteriods
4. new topical immunosuppressants
5. oral anti-staph antibiotics
If an infection is suspected in a patient with a history of atopic dermatitis, what bacteria should you empirically treat for?
staph until culture comes back
When should derm be referred?
-Diagnostic dilemmas (weird patterns)
-refractory to txt
What is pityraisis alba?
Asymptomatic hypopigmented patches on children's cheeks
What is the txt for pityriasis alba?
-no txt therapy
-possible trial of 1% HC cream
What are symptoms of seborrheic dermatitis?
-scalp & face
What is txt for "cradle cap" seborrheic dermatitis?
-gently debried with washcloth & baby shampoo
What are symptoms of Erythema infectiosum (Human parvovirus B19)
-"slapped cheeks", reticulated erythema
What is the treatment for erythema infectiosum (Parvovirus)?
-Observation--> no longer contagious after rash appears
What are symptoms of roseola infantum (human herpes virus 6)?
-High fever but child doesn't look ill
-Then rash breaks out (pink macules, fades away in a couple days)
Which derm disease is associated with a "harold's patch"?
Pityriasis rosea (human herpes virus 7)
What is txt for pityriasis rosea?
Observation: antipruritis prn, erythromycin?, oral corticosteroids
What are the 5 of 6 criteria for diagnosing Kawasaki Disease?
1. FUO >5 days
2. conjunctival injection
3. changes in lips or oral mucosa
4. cervical lymph
5. polymorpheus examthem
6. changes of peripheral extremities
What is the txt for Kawasaki's disease?
Diagnosis: Lesions (papules) for 1 month, "spreading", asymptomatic
Diagnosis: Pustules filled with eosinophils found on newborn
Eyrthema toxicum (resolves in a few days)
Diagnosis: Newborn with scattered pustules and small tan spots. Central pigmentatio within resolving pustules
Transient Neonatal Pustular Melanosis
Diagnosis: White bumps on newborn
Diagnosis: yellow/pink bumpy area on scalp since birth
-Should be surgically removed b/c frequent malignant changes
What is aplasia cutis congentia?
-scab looking on head near suture line--> get skull imaging
What are symptoms of Henoch-Schonlein Purpura?
-red spots on legs, abdominal pain, joint aches x days
-vascultitis with GI/urinary tract symp
-common on buttocks/extremeties
-check for systemic involvement
Diagnosis: fever and itchy spots x 2days, delicate vesicle on erythematous base
chicken pox (varicella)
Diagnosis: cough, fever, conjunctivitis, coryza (cold symptoms), Koplik's spots, diffuse maculopapular rash
-supportive txt, Vitamin A (prevents severity)
Diagnosis: linear petichiae called Pastia's lines, looks like "goosebumps on a sunburn"
Scarlet Fever: Group A strep exfoliative toxin
What is the treatment for scarlet fever?
Diagnosis: Kid brought in with fever, and football shaped pustules on his hands. What do you suspect?
Hand-foot-mouth disease (coxsackie)
Diagnosis: Kid presents with petechiae & fever. Appears toxic looking
-polymorphic lesions (hives) < 24hs, no cause usually found
What is the txt for urticaria?
-systemic antihistamines--> further eval for cause
**if lesion present--> not urticaria
Diagnosis: Kid presents with itchy rash at the boot line on his leg. What do you suspect?
What is a signifcant cause of acne vulgaris?
-overactive sebum excretion
-affects hair follicles with sebacceous gland