Scaling Lesions

Helpfulness: 0
Set Details Share
created 10 years ago by brclancy
406 views
I got skills! ...I mean scales.... *must be above 18 to use these I believe*
updated 10 years ago by brclancy
Grade levels:
Graduate school, Professional
show moreless
Page to share:
Embed this setcancel
COPY
code changes based on your size selection
Size:
X
Show:
1

Tinea

Dermatophyte infection; annular, scaly patch with a discrete pink border (classic lesion)

2

Dermatophyte

group of fungi capable of infecting keratinized tissue (skin, hair, nails)

3
card image

Tinea Capitis
Scaling patches, with patchy alopecia
can be pustulous or a boggy mass (kerion)
associated pruritis/fever/pain

Tx: systemic antifungal (terbinafine, griseofulvin)

4
card image

Tinea Corporis
(ringworm)

annular lesions; erythmatous; scaling; with raised margins and central clearing

direct contact transmission

Tx: topical, systemic antifungals

5
card image

Tinea Faciei
(ringworm)

annular lesions; erythmatous; scaling; with raised margins and central clearing

direct contact transmission

Tx: topical, systemic antifungals

6
card image

Tinea Cruris

Multiple red papulovesicles with well marginated raised border

Scrotum usually spared (differentiate from candidal infections)

Tx: topical, systemic antifungals

7
card image

Tinea Pedis

Infection on interdigital spaces and soles of feet

Scaling and Fissuring is common

similar presentation as Tinea Manum (also two feet one hand)

Tx: topical, systemic antifungals

8
card image

Tinea Versicolor KOH prep

"spaghetti and meatballs" appearence

9
card image

Onychomycosis (Tinea Ungum)

Thickened yellow nails with subungual debris

often patient will present with Tinea on another part of the body

Tx: systemic (Lamisil, Sporonox)
ciclopirox nail lacquer (Penlac), requires year of treatment

10
card image

Candida Albicans (yeast)
*notice budding yeast forms and pseudo-hyphae

may present as thrush, vaginitis, balanitis, diaper dermatitis, intertrigo, nail infections

11
card image

Thrush (oral candidiasis)

white patches on the tongue and buccal mucosa
scrapes off leaving bright red surface

Tx: nystatin swishes, clotrimazole

12
card image

Candidal Angular Cheilitis
(Perleche)

Redness and fissuring at oral commissures
associated with lip licking or sagging skin

Tx: topical nystatin, clotrimazole, myconazole, ketoconazole

13
card image

Candidal Intertrigo

occurs in skin fold type areas (intertrigenous)
Vesicopustules; eryethema, erosions surrounded by peripheral scaling
satellite lesions common

Tx: topical clotrimazole, miconazole, nystatin

14
card image

Candidal Intertrigo

*Not diaper rash! because of occurrence in skin folds and satellite lesions*

15
card image

Tinea Versicolor

Scaly hypopigmented patches (can be hyperpigmented)
Scales can be scraped off easily
Patches fail to tan

Tx: Ketocnazol shampoo, or Selsun Blu

16
card image

Seborrheic Dermatitis

Greasy yellow scales on erythematous background
Can be found on scalp, beard, eyebrows, cheeks, eyelid margins, sternum
Called cradle cap in infants

Tx: Ketoconazole or selsun blu shampoos; topical ketoconazole cream or mid potency steroid creams

17
card image

Psoriasis

red, demarcated plaque with adherentsilver scales
often found on extensor surfaces, but can be found anywhere, including genitals (the scrotum is not spared, like Tinea Cruris)

Can be chronic, or occur after trauma or stressful events, pregnancy, metabolic syndrome

Tx: topical steroids, retinoids, Vit. D analogues, UV therapy, biologics, acitretin, methotrexate, cyclosporin

18
card image

Psoriasis

pitting, oil spots, onycholysis

19
card image

Pityriasis Rosea

Oval, erythematous, papules and plaques with trailing scale
often found on trunk, prox. limbs and along skin tension lines
Often preceded by a herald patch

acute and self-limiting

Tx: symptomatic treatment only; topical corticosteroids, UV therapy, oatmeal baths, calamine lotion

20

Atopic Triad

asthma, allergic rhinitis, eczema

*the three factors often associated with atopic dermatitis

21
card image

Atopic Dermatitis
(in infants)

pruritic, pink papules and plaques on extensor surfaces and face
erythematous scaling
can be associated with nasal crease or Dennie-Morgan folds (infraorbital creases)

risk for bacterial infections

Tx: HYDRATION, topical steroids/calcineurin inhibitors, antihistamines, UV therapy

22
card image

Atopic Dermatitis

pruritic and associated with xerosis
erythematous patches and plaques, with scaling, excoriations or lichenification
often found on flexor surfaces in adults
can be found on hands

Tx: HYDRATION, topical steroids/calcineurin inhibitors, antihistamines, UV therapy

23

Allergic Contact Dermatitis

pruritic, eczematous reaction to allergen
ie poison ivy, nickel

can also present as vessicles and bulla

Tx: History is important! Identify allergen and avoid it, topical steroids, immunomodulators, taper of oral corticosteroids

24

Irritant Contact Dermatitis

reaction ranging from erythema, edema, vesicles, bulla, oozing, and in severe cases, necrosis or ulceration
Due to irritants such as acids and alkalais
(low grade irritants such as solvents can produce less severe results

Tx: avoid insult; emollients; topical steroids

25
card image

Stasis Dermatitis
(leaky veins)

Chronic erythema and scaling often seen in association with other signs of venous hypertension (varicosities, edema, hx of DVT)

*REMEMBER, differentiate with cellulitis which is usually unilateral and is not scaling*

Tx: emollients, topical steroids, support stockings, elevation of legs, weight loss

26
card image

Nummular Dermatitis

Circular/oval shaped scaly plaques, +/- vesicles and pustules
generally found on extensor surfaces and the tibia

Can occur at any age on anyone, but common in young women

scrape and KOH to differentiate from Tinea

Tx: emollients, topical steroids/calcineurin inhibitors

27
card image

Lichen Simplex Chronicus

Hyperpigmented leathery plaques due to habitual scratching and rubbing
Pronounced skin lines

Tx: break itch/scratch cycle; antipruritics; topical/interlesional corticosteroids; antihistimines

28
card image

Asteatotic Eczema

Dry, rough, scaly, and inflamed skin often resembling a "dry river bed"

Generally effects lower body

Tx: management of xerosis: emollients, luke warm baths; topical steroids to reduce flare