Beruflich Dokumente
Kultur Dokumente
ERYTHROSQUAMOUS
Def: disease are characterized by
erythema and scale (squama)
1.
2.
3.
4.
PSORIASIS
PITYRIASIS ROSEA
DERMATITIS SEBORHEIC
ERYTHRODERMIA
PSORIASIS
Clasification :
- Psoriasis Vulgaris :
- Psoriatic Erythroderma
- Pustular Psoriasis
- Acut Guttate
- Chronic Plaque
- Palmo Plantar
PSORIASIS VULGARIS
Pathogenesis:
abnormality in psoriasis :
alteration of the cell kinetic of
keratinocytes
Clinical features :
of
DINA
Management :
- Treat the trigger factor
- Topical Steroid high potency oint
- Occlusive dressing
- Vit D analogues
- Topical Anthralin
- Tar/ketokonazol shampoo-steroid
scalp
lot
PUSTULAR PSORIASIS
Def :characterized by pustules arising on
normal/inflamed, erythematous skin.
2 types : generilized & palmo-plantar
Palmo-plantar :
Def : - chronic, relapsing eruption limited to the palms
&soles.
- steril, yelow, deep-seated pustules dusky-red
crusts
-Symp :tingling, burning iching
- Skin lessions : pustules 2-5 mm, deep-seated, duskyred macules crusts in erythema, scaling
or normal skin
- DD : T Manus, Dyshidrotic eczematous Dermatitis,
HSV Inf
PSORIATIC ERYTHRODERMA
- Def : condition in which psoriasis
involve practically the entire
skin and leads to
constitutional symptoms
Management :
Topical : - steroid agent in oint base
- hydrocolloid dressing
- anthralin
- analog vit D (calciprotriene
0,05%)cream
- Tacrolimus 0,1%
- Tazarotene (retinoid 0,050,1%)
- PUVA
Scalp : tar/ketokonazol
shampoo
betametason valerat lot
PITYRIASIS ROSEA
Def: acute exanthematous with distinctive
morphology & often with characteristic
self-limited course
first: single primary/herald plaque
1-2w
generalized secondary eruption
(typical distribution)
6w
remits spontaneously
Etiol : ? herpes virus type-7
Pysical exam :
Characteristic dist:
long axes of the oval lesion following
the lines of cleavage in a christmas
tree pattern
SEBORHEIC DERMATITIS
Physical exam :
orange-red or gray-white skin
often with greasy or white dry
scaling macules & papules (5- 20mm)
sticky crusts & fissures
(fold
behind the external ear), scalp
marked scaling (dandruff)
Tx : topical :glucocorticoid,
ketokonazol 2%, tar,
tacrolimus
UV radiation
syst : 13-cis retinoic acid
1mg/kgbw
ERYTRODERMA
Physical exam :
* Dermatitis & lymfoma/leucemia acute
erythema patch
12-48 h
erythroderma
(fever, shivers, hot & cold)
2-6 d
dequamation
w
hair loss (scalp & body)
onycolysis,thicken nail
*History most important
Management :
- Topical : water bath + bath oil
bland emollients
- Oral : - glucocorticoid remission