Dermatology



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

Jul 5, 2016 | Posted by in GASTROENTEROLOGY | Comments Off on Dermatology

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