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Dermal Pathology
Dermal Pathology
38
Art/Design
Undergraduate 1
06/02/2012

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Term
Fresh colored papules with rough surface
Due to HPV infection of keratinocytes
Definition
Verruca (wart)
Term
Firm, pink, umbilicated papules due to poxvirus

Keratinocytes show cytoplasmic inclusions
Definition
Molluscum contagiosum

Occurs in children and sexually active adults
Term
Sloughing of skin with erythematous rash and fever due to exfoliative A and B toxins.

Separation of the epidermis at the granulosum cell layer
Definition
Staphylococcus scalded skin syndrome
Term
Deep dermal infection usually due to S. aureus or S. pyogenes

Can progress to necrotizing asciitis with necrosis of subcutaneous tissue due to fresh eating anaerobic bacteria (CO2 causes crepitus in tissue)
Definition
Cellulitis
Term
Erythematous macules that progress to pustules, and crust over with a honey colored serum
Definition
Impetigo

(S. aureus or S. pyogenes)
Term
Malignant melanoma differentiated from nevus with ABCD. What is ABCD?
Definition
Asymmetry
Border (irregular)
Color (not uniform)
Diameter (>6 mm)
Term
Tan to brown macule
Due to increased number of melanosomes (not melanocytes)
Definition
Freckle (ephelis)
Term
Congenital lack of pigmentation due to defect in tyrosinase enzyme.

Increased risk for Basal cell ca, Squamous cell ca, and melanoma
Definition
Albinism
Term
Mask-like hyperpigmentation of the cheeks associated with pregnancy and oral contraceptives
Definition
Melasma
Term
Actinic keratosis is a precursor lesion for this. Risk factors are exposure to UVB light
Definition
Squamous cell carcinoma
Term
Presents as a elevated nodule with central ulcerated crator surrounded by dilated (telangiectatic) vessels

Pearly borders

Peripheral palisading on histology
Definition
Basal cell carcinoma
Term
Epidermal hyperplasia with darkening of skin with velvetly feel

Associated with non insulin dependent resistance or gastric malignancy
Definition
Acanthosis Nigracans
Term
Squamous proliferation that appears stuck on

Has keratin pseudocysts (pearls)

Leser Trelat sign of underlying carcinoma of GI tract
Definition
Seborrheic keratosis
Term
Hypersensitivity reaction with targetoid rash (central clearing a result of necrosis)

Commonly associated with
HSV
Penicillin
Mycoplasma
SLE
Definition
Erythema Multiforme
Term
Autoimmune deposition of IgA on the tips of the dermal papillae

Common in celiacs disease
Definition
Dermatitis Herpetaformis
Term
Firm tense bullae do not rupture easily

Seperation of the entire epidermis from the dermis

Oral mucosa spared
Definition
Bullous pemphigus

Autoimmune destruction - IgG against hemidesmosomes
Term
IgG antibody against desmoglien 3

Tombstoning appearance on histology (basal cells still present on the basement membrane)

Separation of epidermis from dermis sparing the basal cells.
Definition
Pemphigus vulgaris

Type II hypersensitivity

Blisters rupture easily (nikolsky sign)
Term
Pruritic, planar, polygonal, purple papules

Histology shows inflammation of the dermal-epidermal junction with a saw tooth appearance
Definition
Lichen Planus
Term
Acanthosis (epidermal hyperplasia)
Parakeratosis (corneum retains its nucleus)
Thinning of epidermis above the elongated dermal papillae (picking off will cause pinpoint bleeding = auspitz sign)
Definition
Psoriasis

HLA-C
Term
Well circumscribed slamon colored plaques with silvery scale on extensor surfaces and scalp
Definition
Psoriasis
Term
Propionibacterium acnes infection that produces lipases that breakdown excess sebum production
Definition
Acne vulgaris

tx: benzoyl peroxide
Vitamin A derivatives
Term
Pruritic erythematous rash with edema, arising from exposure to allergens

Type IV hypersensitivity reaction
Definition
Contact dermatitis

tx:
remove offending agent
Term
Pruritic erythematous oozing rash with vesicles and edema, face and flexor surfaces

Type I hypersensitivity
Definition
Atopic dermatitis (eczema)

Often associated with other atopy (asthma and allergic rhinitis)
Term
Name all the cell layers of the skin and its associated parts
Definition
Epidermis:
Corneum
Lucidum
Granulosum
Spinosum
Basal

Dermal layer:
Blood vessels
Nerves
Hair follicles
Sweat glands
Term
[image]
Definition

Acne Vulgaris

 

Propionibacterium Acnes

Term
[image]
Definition
Psoriasis
Term
[image]
Definition

Lichen Planus

 

Purple, polygonal, pruritic, papule

Term
[image]
Definition

Pemphigus Vulgaris

 

Tombstoning

Term
[image]
Definition
Bullous Pemphigoid
Term
[image]
Definition
Bullous Pemphigoid
Term
[image]
Definition
Pemphigus Vulgaris
Term
[image]
Definition
Seborrheic keratosis
Term
[image]
Definition
Basal Cell Carcinoma
Term
[image]
Definition
Erythema multiforme
Term
[image]
Definition
Vitiligo
Term
[image]
Definition
Melanoma
Term
[image]
Definition
Impetigo
Term
[image]
Definition
Molluscum contagiosum
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