Transcript Bomb Derm Chart - Shifa Students Corner

Skin common problems
July 19,2010
by
DR M.EJAZ BANGASH
SR.INSTRUCTOR FAMILY
MEDICINE
Seb dermatitis
Greasy yellow scaly plaques are
characteristically distributed in the scalp,
Tzone of face, hairy areas of face
(eyebrows, eyelashes, beard), behind the
ears, on the forehead, trunk, body folds,
and genitalia.Unknown etiology.
"cradle cap"
focal parakeratosis, moderate acanthosis, slight
spongiosis and a mild, mixed inflammatory infiltrate.
Scaly Red Rash 2: ?psoriasis
Red or pink papule/plaque with silvery
or micaceous scaling. The fingernails
may show dystrophy, depressions known
as "pits" and subungual debis
presence of a thickened epidermis and
stratum corneum containing neutrophils and
neutophilic debris; no granular layer,
elongation of the rete ridges; T cell
involvement in etiology
Scaly Red Rash 3: ?tinea
capitis,corpora,crora,pedis
s
PAS stain showing fungi
Scaly Red Rash 4: ?eczema
Eczema is very itchy. There are variants
of eczema, the so-called "messy" rash,
for example, "irritant" eczema, atopic
eczema, and contact eczema, all of which
are characterized by rashes that are quite
itchy and appear "messy" because they
are often scratched.TH2 mediated DTH
Flexural distribution
Lichenification from scratching
crusting in the stratum corneum (making one
think of a "messy rash") and the "spongiosis"
or epidermal edema, as evidenced by the
relative pallor around the keratinocytes.
Scaly Red Rash 5: ?scabies
Pigment Changes 1: ?vitiligo
Pigment Changes 2: ?malasma
large amount of melanin in the basal layer
Papules/Plaques 1: ?warts
t
The hallmarks of warts are hyperkeratosis, papillomatosis
(outward expansion of the spinous layer) and acanthosis.
The epidermis contains foci of vacuolated cells (koilocytes),
clumped keratohyaline granules, and vertical tiers of
parakeratotic cells (stratum corneum with retained nuclei).
Papules/Plaques 2: ?molloscum
Papules/Plaques 3: ?acne vulgaris
Papules/Plaques 4: ?urticaria
Papules/Plaques 5: ?erythema
multiforma
Nodules 1: ?erythema nodosum
.
Nodules 2: ?kaliod
Purpura 1: ?vasculitic lesions
Blisters 1: ?herpes
Blisters 2: ?bullus pempigiod
Blisters 3: ?pempigus vulgaris
Blisters 4: ?contact dermatitis
Systemic 1: ?photodermatitid..lupus
Systemic 2: ?sclero derma
Systemic 3: ?drug reaction..steven
johnson from back
Benign Growths 1: lentigo
Benign Growths 2: seboric keratosis
Benign Growths 3: navis
Premalignant Growths 1:dysplastic
navis
Premalignant Growths 2: dystinic keratosis
Malignant Growths 1:basal cell ca
c
c
Malignant Growths 2: squamous cell ca
Malignant Growths 3: melanoma