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V|ra| Lxanthems

8ubella plnklsh maculopapular rashesŤ faceţ chesL whlch spread Lo Lhe exLremlLlesŤ lasLlng for
3 Lo7 daysŤ heals wlLhouL desquamaLlon nor plgmenLaLlon

CongenlLal
8ubella
1hromobocyLopenlc purpuraŴ ºblueberry muffln skln"

varlcella 4 veslcular erupLlons on Lhe skln and mucus membranesŤ usually mlldŤ
4 rash sLarL aL Lrunkţ spreads Lo oLher parLs of Lhe body
4 rapld progresslonť LranslLlon compleLed ln 6Ŵ8 hours
4 all sLages occur slmulLaneously
4 rash beglns wlLh crops of small red papules
4 veslcles are noL umblllcaLed
ConLenLs become cloudy wlLhln 24 h
veslcles break easlly and become scabbed
May be prurlLlc
Some are hemorrhaglc ln lmmunocompromlsed


nne
Acne vulgarls Chronlcţ lnflammaLory dlsease of Lhe pllosebaceous folllcles
Comedonesţ papulesţ pusLulesţcysLsţnodules
ÞlLLedţ depressedţ hyperLrophlc scars
laceţ neckţ upper Lrunkţupper arms

Acne ConglobaLa unsually severe
numerous comedonesţ large abscesses wlLh lnLerconnecLlng slnusesţ cysLs wlLh clear
vlscld fluldţ grouped lnflammaLory nodules
SuppuraLlon
Þronouced scarsţ keloldal

PldradenlLls
SuppuraLlva
Chronlcţ suppuraLlve Ǝ cysLlc dlsease of Lhe apocrlne gland
Axlllaeţ grolnsţ perlanal area
Þrlmary leslons are sLerlle

Acne lulmlnans Plghly lnflammaLory nodules Ǝ plaques whlch undergo swlfL suppuraLlve
degeneraLlon leavlng ragged ulceraLlonsţ mosLly on Lhe chesL Ǝ back

Acne keloldalls Secondary pyogenlc lnfecLlon ln Ǝ around pllosebaceous sLrucLures ends ln keloldal
scarrlng
SubocclplLal areaţ back of Lhe neck

8osacea Chronlc lnflammaLory erupLlon of Lhe flush areas of Lhe face espŦ Lhe nose
LryLhemaţ papulesţ pusLulesţ LelanglecLaslaţ Ǝ hyperLrophy of Lhe sebaceous glands

8hlnophyma PyperLrophlcţ hyperemlcţ large nodular masses cenLered around Lhe dlsLal half of Lhe
nose

Þerloral
dermaLlLls
ulscreLe papules Ǝ veslcopusLules on eryLhemaLous Ǝ scallng base
SymmeLrlcally around Lhe mouLh wlLh a clear zone of some 3 mm bLw Lhe vermlllon
border ans Lhe affecLed
Acnelform
erupLlons
Þapules Ǝ pusLules resembllng acne noL necessarlly conflned Lo Lhe usual slLes of acne
vulgarls
Sudden onseLţ well pasL adolescence
Skln exposure Lo varlous lndusLrlal chemlcals

1oplcal acne unusually severe acne occurrlng ln Lhe Lroplcs durlng hoL Ǝ humld weaLher
ÞremensLrual
acne
esLrogen domlnanL pllls wlll dlmlnlsh or prevenL flares
ÞreadolescenL
acne
neonaLalţ lnfanLlleţ chlldhood
Acne veanaLa acnegenlc chemlcals
rug keant|ons
LxanLhemaLous
urug 8eacLlons
Morbllllform/Maculopapular rashesţ 93Ʒ of cases
symmeLrlc from Lrunkţ spreads Lo perlphery
prurlLlc
1 week wlLhln lnlLlaLlon of Lherapy
brlghL redŴƽbrownŴƽdesquamaLlon/scallng

PypersenslLlvlLy
syndrome
reacLlon
exanLhemaLous erupLlon + fever + lnLernal organ lnvolvemenL
flrsL exposure Lo drugs
1Ŵ6 weeks afLer exposure

urLlcarlal
reacLlon
prurlLlc red wheals
Ƽ24 hours

Angloedema lnvolvemenL of dermls and subcuLaneous Llssue
unllaLeralţ prurlLlc
Acnelform
erupLlons
monomorphousŤ absence of comedones
Arms and legs

ACLÞ acuLe febrlle erupLlon LhaL ls ofLen assoclaLed wlLh leukocyLosls
maybe 1Ŵ3 weeks afLer drug admlnlsLraLlon
ln prevlously senslLlzedţ leslon may occur ln 2Ŵ3 days

Þseudoporphyrla cuLaneous phoLoLoxlc dlsorder
1 day afLer drug admlnlsLraLlon or
resembles Þorphyrla CuLanea 1arda (ÞC1) wlLhouL Lhe characLerlsLlc abnormal
porphyrln excreLlon
bullae and veslcles
LryLhema
MulLlforme
acuLe self llmlLlng mlld relapslng mucocuLaneous syndrome
4 1argeL/lrls leslon
dusky cenLral dlsk or bllsLer
perlpheralŴlnfllLraLlng
palms and soles

Lpldermal
necrosls
deLachmenL of epldermls
beglns wlLhln 4 weeks

AnLlcoagulanL
lnduced skln
necrosls
leslons may vary wlLh severlLy of reacLlonť peLechlae Lo ecchymoses Lo Lender
hemorrhaglc lnfarcLs Lo Lo exLenslve necrosls
LarlyŴ large lnduraLed dermal plaque
aLerŴ qulckly evolve Lo well demarcaLed deep purple Lo blackţ geographlc
areas of necrosls

llxed drug
erupLlon
characLerlzed by Lhe formaLlon of sollLary (buL aL Llmes mulLlple)
eryLhemaLous paLchţ plaqueţ bullae or eroslonsŦ
lf paLlenL ls rechallenged wlLh Lhe offendlng drugţ luL occurs aL Lhe ldenLlcal
skln slLe
Skln leslon
ƽa sharply demarcaLed maculeţ round or oval ln shape
ƽlnlLlally eryLhemaţLhen dusky red Lo vlolaceous

unga| Infent|ons




























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