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Tx: Systemic glucocorticoids; corticosteroid sparing agents and aggressive wound care
Increased incidence in those with malignancy or neuro disorders (eg Parkinson’s; MS)
Linear IgG Abs against hemidesmosome and BM zone: bullous pemphigoid Ags 1&2
Dx via biopsy
Epidermolysis Bullosa
Inflamm disease of scalp (dandruff), face, chest, umbilicus and intertriginous areas (diaper)
—-> areas with numerous sebaceous glands but sebum production normal
Age >50
Velvety/greasy surface
Acne Vulgaris
Inflammatory Acne:
Teratogenic
Hyperlipidaemia
Myalgia
Erythematotelangiectatic rosacea
Phymatous rosacea
Pityriasis Rosea
Nummular Eczema
Idiopathic
Characteristic round, pruritic, scaly plaques that would fit under large coin
Deep seated vesicles that preferentially affect palms, soles and sides of digits
Extensor surfaces (knees, elbows), hands (dorsum), scalp, back, nail plates
Can be triggered by
Tx: Topical: High potency glucocorticoids, Vit D Analogs, tar, retinoids, calcineurin Is
Tazarotene
UV/Phototherapy
Pseudofolliculitis barbae
Resolve spontaneously
Ganglion cyst
Skin appears dry and rough w horny plates resembling fish/reptile scales
Tx: Emollients, keratolytics (coal tar, salicylic acid) and topical retinoids
Necrobiosis lipoidica
Livedo Reticularis
Painless papules, rough skin and mottled perifollicular erythema, pruritus poss/asymp
Tx: Gluocorticoids
Overlying telangiectasias
Actinic keratosis is precursor lesion (tx w 5FU or excision) —> sun exposed areas
Melanoma
Longitudinal melanoychia that involves multiple nails, stable over years or <3mm wide
Angiosarcoma
Erysipelas: GAS
Cellulitis (purulent)
Folliculitis
Systemic sx
School aged
Tx: PCN
—>>> flaccid blisters predominantly in flexor areas exposed to mechanical P (axilla, groin)
Associated with tampons; nasal packing (nose bleed) and post surgery infections
Skin desquamation inc palms and soles 1-2 wks post illness
DDX: Meningococcemia
—->> Petechial rash that progresses to ecchymosis, bullae, vesicles and ultimately
Intertrigo
Tinea Cruris
Annular lesions w partial central clearing (may be absent) and scaly, raised border
hyperpigmentation
Sun exposed regions of head and neck —> often also chest and arms
Lesions slowly expand over months to years —> dermal atrophy and scarring
Tinea Versicolor
Malassezia globosa