Dermatology Kodachromes 298-fin

1. Old World Cutaneous Leishmaniasis (multiple lesions)

2. Sporotrichosis

3. Histoplasmosis

4. Furuncle/Carbuncles

5. Mycobacterium marinum infection

+ Patient recently visited Middle East and was bitten by something

1. New World Cutaneous Leishmaniasis (single lesion)

2. Mycobacterium marinum infection

3. BCC

4. Sporotrichosis

5. Paracoccidioidomycosis

+ Patient recently visited Central America and was bitten by something

1. New World Cutaneous Leishmaniasis (single lesion)

2. Mycobacterium marinum infection

3. BCC (rolled borders)

4. Sporotrichosis

5. Paracoccidioidomycosis

+ Patient recently visited Central America and was bitten by something

1. Erythema Multiforme

2. SJS/TEN

3. Reactive infectious mucocutaneous eruption (2/2 mycoplasma infection)

4. Fixed drug eruption

5. Erythema annulare centrifugum

1. Erythema Multiforme

2. SJS/TEN

3. Reactive infectious mucocutaneous eruption (2/2 mycoplasma infection)

4. Fixed drug eruption

5. Erythema annulare centrifugum

1. Erythema Multiforme

2. SJS/TEN

3. Reactive infectious mucocutaneous eruption (2/2 mycoplasma infection)

4. Fixed drug eruption

5. Erythema annulare centrifugum

1. Steven Johnson Syndrome

2. Toxic epidermal necrolysis (> 30% BSA)

3. Erythema Multiforme

4. Staphylococcal scalded skin syndrome (MC in young kids)

5. Purpura fulminans/DIC

< 10% BSA

+ Recent new medication

1. Steven Johnson Syndrome

2. Toxic epidermal necrolysis (> 30% BSA)

3. Erythema Multiforme

4. Staphylococcal scalded skin syndrome (MC in young kids)

5. Purpura fulminans/DIC

< 10% BSA

+ Recent new medication

1. Toxic Epidermal Necrolysis

2. Steven Johnson Syndrome (< 10% BSA)

3. Erythema Multiforme

4. SSSS

5. Purpura fulminans/DIC

> 30% BSA

+ Recent bone marrow transplant or new medication

1. Toxic Epidermal Necrolysis

2. Steven Johnson Syndrome (< 10% BSA)

3. Erythema Multiforme

4. SSSS

5. Purpura fulminans/DIC

> 30% BSA

+ Recent bone marrow transplant or new medication

1. Erythema nodosum

2. Nodular vasculitis (MC on posterior calves)

3. Subacute migratory panniculitis (more focal, painless and unilateral)

4. Arthropod bites

5. Trauma

6. Sarcoidosis

+ URI sx 1-3 wks before rash

1. Erythema nodosum

2. Nodular vasculitis (MC on posterior calves)

3. Subacute migratory panniculitis (more focal, painless and unilateral)

4. Arthropod bites

5. Trauma

6. Sarcoidosis

+ URI sx 1-3 wks before rash

1. Erythema nodosum

2. Nodular vasculitis (MC on posterior calves)

3. Subacute migratory panniculitis (more focal, painless and unilateral)

4. Arthropod bites

5. Trauma

6. Sarcoidosis

+ URI sx 1-3 wks before rash

1. Leukocytoclastic vasculitis

2. Other vasculitis depending on DIF

3. Traumatic purpura

4. Capillaritis

5. Pre-ulcerative pyoderma gangrenosum

Palpable

1. Leukocytoclastic vasculitis

2. Other vasculitis depending on DIF

3. Traumatic purpura

4. Capillaritis

5. Pre-ulcerative pyoderma gangrenosum

Palpable

1. Leukocytoclastic vasculitis

2. Other vasculitis depending on DIF

3. Traumatic purpura

4. Capillaritis

5. Pre-ulcerative pyoderma gangrenosum

Palpable

1. Henoch-Schonlein purpura (IgA vasculitis)

2. Other vasculitis

3. Acute hemorrhagic edema of infancy (children are well-appearing and less likely to have systemic sx)

4. Erythema multiforme

5. Gianotti-crosti syndrome

+ Palpable

+ Arthralgia and abd pain

1. Henoch-Schonlein purpura (IgA vasculitis)

2. Other vasculitis

3. Acute hemorrhagic edema of infancy (children are well-appearing and less likely to have systemic sx)

4. Erythema multiforme

5. Gianotti-crosti syndrome

+ Palpable

+ Arthralgia and abd pain

1. Sweet syndrome (acute febrile neutrophilic dermatosis)

2. Pyoderma gangrenosum

3. Necrotizing fasciitis

4. Erythema multiforme

+ fever

+ acute

1. Sweet syndrome (acute febrile neutrophilic dermatosis)

2. Pyoderma gangrenosum

3. Necrotizing fasciitis

4. Erythema multiforme

+ fever

+ acute

1. Sweet syndrome (acute febrile neutrophilic dermatosis)

2. Pyoderma gangrenosum

3. Necrotizing fasciitis

4. Erythema multiforme

+ fever

+ acute

1. Erythema elevatum diutinum

2. Sweet syndrome

3. Erythema multiforme

4. Granuloma annulare

1. Erythema elevatum diutinum

2. Sweet syndrome

3. Erythema multiforme

4. Granuloma annulare

1. Pyoderma gangrenosum

2. Necrotizing fasciitis

3. Cellulitis

4. Ecthyma

5. Calciphylaxis

1. Pyoderma gangrenosum

2. Necrotizing fasciitis

3. Cellulitis

4. Ecthyma

5. Calciphylaxis

1. Pyoderma gangrenosum

2. Necrotizing fasciitis

3. Cellulitis

4. Ecthyma

5. Calciphylaxis

1. Capillaritis

2. Stasis dermatitis

3. Drug-induced nonpalpable purupura

4. Lichen planus

5. Vasculitis

1. Capillaritis

2. Stasis dermatitis

3. Drug-induced nonpalpable purupura

4. Lichen planus

5. Vasculitis

1. Androgenetic alopecia

2. Telogen effluvium

+ family history of hair loss

1. Androgenic alopecia

2. Telogen effluvium

1. Alopecia areata

2. Trichotilomania

3. Telogen effluvium

4. Tinea capitis

5. Secondary syphilis

Exclamation point hairs a/w alopecia areata

What is this called? What disorder is it associated with?

1. Trichotilomania

2. Alopecia areata

3. Telogen Effluvium

1. Traction alopecia (scarring)

Tx with ILK, Minoxidil

History of tight braids

1. Central Centrifugal Cicatricial Alopecia

2. Alopecia Areata

3. Traction alopecia

4. Trichotillomania

+ Scarring

1. Central Centrifugal Cicatricial Alopecia

2. Alopecia Areata

3. Traction alopecia

4. Telogen effluvium

5. Androgenic alopecia

+ Scarring

1. Chronic cutaneous lupus erythematous

2. Sarcoidosis

3. Granuloma faciale

4. Rosacea

1. Chronic cutaneous lupus erythematous

2. Sarcoidosis

3. Granuloma faciale

4. Rosacea

1. Chronic cutaneous lupus erythematous

2. Sarcoidosis

3. CCCA

4. SLE

1. Chronic cutaneous lupus erythematous

2. Sarcoidosis

3. Lichen planus

4. SLE

5. SCC

1. Lichen planopilaris

2. Seborrheic dermatitis

3. Discoid lupus erythematous

4. CCCA

Perifollicular scaling a/w lichen planopilaris

What disorder is this associated with?

1. Frontal fibrosing alopecia

2. Other form of LPP

3. Alopecia areata

4. Traction alopecia

pseudopelade of brocq

"Footprints in snow" appearance is associated with what disease?

1. Folliculitis decalvans

2. Acne necrotica

3. Folliculitis

4. Tinea capitis

5. LPP

1. Dissecting cellulitis of the scalp

2. Acne keloidalis nuchae

3. Folliculitis decalvans

4. Cellulitis

1. Dissecting cellulitis of the scalp

2. Acne keloidalis nuchae

3. Folliculitis decalvans

4. Cellulitis

1. Acne keloidalis nuchae

2. Dissecting cellulitis of the scalp

3. Tinea capitis

4. Sarcoidosis

1. Erosive pustular dermatosis

2. Impetigo

3. SCC

4. Kerion

Recently treated AKs

Trichomycosis

1. Bullous pemphigoid

2. Epidermolysis bullosa acquisita

3. Dermatitis herpetiformis

4. Porphyria cutanea tarda (if in sun-exposed areas)

Negative Nikolsky

1. Cicatricial pemphigoid

2. Other bullous Disorder

3. Cellulitis or other infection

1. Pemphigus vulgaris

2. Pemphigus foliaceus

3. Erythema multiforme

4. SJS/TEN

+ Nikolsky sign

+ Mucosal involvment

1. Pemphigus foliaceus

2. Pemphigus vulgaris (has mucosal involvement)

3. Erythrodermic psoriasis

4. SJS/TEN

+ Nikolsky

No mucosal involvement

1. Dermatitis herpetiformis

2. Scabies

3. Papular urticaria

4. bullous pemphigoid

1. Dermatitis herpetiformis

2. Scabies

3. Papular urticaria

4. bullous pemphigoid

1. Herpes gestationis

2. Polymorphous eruption of pregnancy

3. Allergic contact dermatitis

4. Bullous drug eruption

+ Pregnant in third trimester

1. Epidermolysis bullosa acquisita

2. Bullous pemphigoid

3. Porphyuria cutanea tarda

4. Dermatitis herpetiformis

+ blistering that healed with milia

1. Hailey-Hailey Disease

2. Candidiasis

3. Inverse psoriasis

4. Intertrigo

5. Tinea

6. Paget's Disease

1. Hailey-Hailey Disease

2. Candidiasis

3. Inverse psoriasis

4. Intertrigo

5. Tinea

Erythema Toxicum Neonatorum

+ Begin with 48-72 hours of birth and healed within 7 days

+ Very Common

Transient neonatal pustular melanosis

+ Lesions are present AT BIRTH

+ No treatment necessary

Miliaria rubra

+ Avg occurs 1 wk after birth

+ Baby was in warming incubator or heat

+ Cool water compress = tx

1. Acute paronychia (< 6 wks)

2. Chronic paronychia

3. Trauma

4. Herpetic whitlow

5. Felon

1. Chronic paronychia

2. Onychocryptosis (ingrown nail)

3. Acute paronychia

4. Felon

> 6 wks

Pseudomonas green nail infection

Proximal subungual onychomycosis - A/w HIV

What disease is this and what condition is it MC a/w?

White superficial onychomycosis

distal subungual onychomycosis

Onycholysis

Pincer nail - Refer to podiatry

- Beau's lines (transverse depression)

- Seen with syphilis, uncontrolled DM, vascular disease, zinc deficiency, chemo, myocarditis

What are these called? What diseases are they MC seen in?

- Yellow nail syndrome

- A/w chronic respiratory etiologies

- Tx: PO Vit E

What is this called? What disease it is commonly seen in? Tx?

- Koilonychia (spooning)

- A/W iron deficiency anemia or idiopathic hemochromatosis

What is this called? What two diseases is it MC a/w?

- Clubbing

- A/W: lung diseases, HIV, cirrhosis, colitis, thyroid disease

- Can also be a normal variant

What is this called? What diseases is it a/w?

- Terry nails (retain distal band)

- A/w: cirrhosis, CHF, DM

What are these called? What diseases are they a/w?

- Trachyonychia (Twenty nail dystrophy)

- A/w: psoriasis, lichen planus, atopic dermatitis, amyloidosis, sarcoidosis, primary biliary cirrhosis

What is this called? What diseases is it a/w?

1. Polymorphous light eruption

2. SLE

3. Sunburn

4. Solar urticaria

5. Porphyria cutanea tarda

+ Occurs in the summer months when in sun

+ Itches and burns

1. Porphyria cutanea tarda

2. Pseudoporphyria

3. Bullous lupus erythematosus

4. Acute dermatomyositis

5. Polymorphous light eruption

1. Porphyria cutanea tarda

2. Pseudoporphyria

3. Bullous lupus erythematosus

4. Acute dermatomyositis

5. Polymorphous light eruption

1. Phytophotodermatitis

2. Medication-induced phototoxic reaction

3. Bullous pemphigoid

4. Contact dermatitis

+ Grocer, Bartender, Works in agriculture

1. Phytophotodermatitis

2. Medication-induced phototoxic reaction

3. Bullous pemphigoid

4. Contact dermatitis

+ Recent sun exposure at beach bar

1. Vitiligo

2. Discoid lupus erythematous

3. Scleroderma

4. Lichen sclerosus

1. Vitiligo

2. Discoid lupus erythematous

3. Scleroderma

4. Lichen sclerosus

1. Nevus anemicus

2. Tinea versicolor

3. Vitiligo

+ Only one lesion, MC on trunk

+ No scale

1. Tuberous sclerosis (Shagreen patch)

2. Nevus anemicus

3. Vitiligo

1. Tuberous sclerosis (Shagreen patch)

2. Nevus anemicus

3. Vitiligo

1. Tuberous sclerosis (Hypomelanotic macule)

2. Nevus anemicus

3. Vitiligo

+ Ash-leaf appearance

1. Melasma

2. Post-inflammatory hyperpigmentation

3. Drug-induced hyperpigmentation

4. Exogenous ochronosis

5. Addisons Disease

1. Erythema ab igne

2. livedo reticularis

3. calciphylaxis

4. Lupus

1. Exogenous ochronosis

2. Melasma

3. Postinflammatory hyperpigmentation

4. Nevus of Ota

5. Lichen planus pigmentosus

6. Minocycline induced pigmentation

+ History of long-term Hydroquinone use

1. Exogenous ochronosis

2. Melasma

3. Postinflammatory hyperpigmentation

4. Nevus of Ota

5. Lichen planus pigmentosus

6. Minocycline induced pigmentation

+ History of long-term Hydroquinone use

1. Necrobiosis lipoidica

2. Majocchi granuloma

3. Pretibial myxedema

4. Granuloma annulare

5. Sarcoidosis

6. Xanthomas

+ History of DM

1. SubQ Granuloma Annulare

2. Xanthomas

3. Rheumatoid nodules

4. Panniculitis

5. Sarcoidosis

1. Granuloma annulare

2. Erythema annulare centrifugum

3. Tinea corporis

4. Nummular dermatitis

1. Granuloma annulare

2. Erythema annulare centrifugum

3. Tinea corporis

4. Nummular dermatitis

1. Acanthosis nigricans

2. CARP

3. Addisons disease

4. Hemochromatosis

Xanthoma tendinosum

Xanthelasma palpebrarum

1. Eruptive xanthoma (Clears with correction of triglycerides)

2. Granuloma annulare

3. Folliculitis

4. Pityrosporum folliculitis

Suddenly appear