Dermatology
Melissa Peck Piliang
Kenneth J. Tomecki
RAPID BOARD REVIEW—KEY POINTS TO REMEMBER:
An awareness and appreciation of the cutaneous manifestations of systemic diseases help guide the internist in determining the diagnosis, therapy, or need for referral to a dermatologist.
Common Benign Cutaneous Disorders
Acne vulgaris: comedones, papules, pustules, and nodules, occasionally with scars, on the face, neck, chest, and back. Concomitant hyperandrogenism may occur in women with acne, hirsutism, and irregular menses.
Rosacea: erythema, telangiectasia, papules, and pustules.
Seborrheic dermatitis: erythematous plaques with greasy, yellow scale. Common and extensive in adults with neurologic disorders such as Parkinson’s disease and human immunodeficiency virus infection.
Seborrheic keratoses: warty, age-related plaques. May indicate an underlying adenocarcinoma of the gastrointestinal tract.
Urticaria: pruritic, edematous, evanescent wheals that usually resolve within 24 hours.
Pruritus: aquagenic pruritus is unique to polycythemia vera.
Drug eruptions: occur in approximately 2% of all hospitalized patients.
Erythema multiforme: the most common cause is recurrent herpes simplex virus infection; less common: Mycoplasma pneumonia and medications.
Psoriasis: silvery-white scaly papules and plaques commonly on the scalp, elbows, and knees, and/or nail dystrophy. Patients are at an increased risk for the metabolic syndrome.
Vitiligo: depigmented macules. Some patients have an associated autoimmune disease.
Erythema nodosum: painful reddened nodules on the shins, thighs, or forearms. Common causes: streptococcal pharyngitis, drugs, illnesses (inflammatory bowel disease, sarcoidosis).
Autoimmune Bullous Diseases
Pemphigus vulgaris: painful mucosal erosions and flaccid eroded blisters. Immunoglobulin (Ig)G deposits within the epidermis. Even with treatment, associated with a high morbidity and mortality.Stay updated, free articles. Join our Telegram channel
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