Scribd Logo
Upload

Welcome to Scribd!

  • 106 views

    Eps

    Uploaded by

    Rosaldy Muhamad
    This document discusses several common papulosquamous skin conditions characterized by erythema, papules or plaques, and scaling, including psoriasis, seborrheic dermatitis, pityriasis rosea, and erythroderma. For each condition, it describes the epidemiology, etiology, clinical manifestations, histopathology, diagnosis, and treatment. Psoriasis is identified as a common chronic papulosquamous disease with a genetic predisposition. Seborrheic dermatitis commonly affects areas with many sebaceous glands and has multiple potential causes. Pityriasis rosea typically affects young adults and presents with a herald patch followed by additional scaly

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd

    Eps

    Uploaded by

    Rosaldy Muhamad
    106 views24 pages
    This document discusses several common papulosquamous skin conditions characterized by erythema, papules or plaques, and scaling, including psoriasis, seborrheic dermatitis, pityriasis rosea, and erythroderma. For each condition, it describes the epidemiology, etiology, clinical manifestations, histopathology, diagnosis, and treatment. Psoriasis is identified as a common chronic papulosquamous disease with a genetic predisposition. Seborrheic dermatitis commonly affects areas with many sebaceous glands and has multiple potential causes. Pityriasis rosea typically affects young adults and presents with a herald patch followed by additional scaly

    Original Description:

    EPS

    Copyright

    © © All Rights Reserved

    Available Formats

    PPT, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document discusses several common papulosquamous skin conditions characterized by erythema, papules or plaques, and scaling, including psoriasis, seborrheic dermatitis, pityriasis rosea, and erythroderma. For each condition, it describes the epidemiology, etiology, clinical manifestations, histopathology, diagnosis, and treatment. Psoriasis is identified as a common chronic papulosquamous disease with a genetic predisposition. Seborrheic dermatitis commonly affects areas with many sebaceous glands and has multiple potential causes. Pityriasis rosea typically affects young adults and presents with a herald patch followed by additional scaly

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    106 views24 pages

    Eps

    Uploaded by

    Rosaldy Muhamad
    This document discusses several common papulosquamous skin conditions characterized by erythema, papules or plaques, and scaling, including psoriasis, seborrheic dermatitis, pityriasis rosea, and erythroderma. For each condition, it describes the epidemiology, etiology, clinical manifestations, histopathology, diagnosis, and treatment. Psoriasis is identified as a common chronic papulosquamous disease with a genetic predisposition. Seborrheic dermatitis commonly affects areas with many sebaceous glands and has multiple potential causes. Pityriasis rosea typically affects young adults and presents with a herald patch followed by additional scaly

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    You are on page 1of 24

    CHARACTERIZED BY ERYTHEMA, PAPULES OR

    PLAQUES AND SCALING



    A. TRUE EPS
    1. PSORIASIS
    2. P. ROSEA
    3. SEBORRHEIC DERMATITIS
    4. ERYTHRODERMA
    5. PARAPSORIASIS
    6. PITYRIASIS RUBRA PILARIS
    7. LICHEN PLANUS
    8. LICHEN STRIATUS
    9. LICHEN NITIDUS
    B. EPS - LIKE

    1. DERMATOFITOSIS
    2. T. VERSIKOLOR
    3. DRUG ERUPTION
    4. SYPHILIS II
    5. LUPUS ERYTHEMATOSUS
    6. MORBUS HANSEN
    7. MYCOSIS FUNGOIDES
    PSORIASIS
    * IS A COMMON PAPULO SQUAMOUS DISEASE
    * E/ ?
    * SHOWING WIDE VARIATION IN SEVERITY & IN
    DISTRIBUTION
    * CHRONIC
    EPIDEMIOLOGY :
    - PSORIASIS IS FOUND ALL OVER THE WORLD
    - MALES FEMALES
    - THE ONSET OF THE DISEASE IS LESS COMMON
    IN THE VERY YOUNG & THE ELDERY
    ETIOLOGY & PATHOGENESIS
    AT THE CELLULAR LEVEL IT IS ACCEPTED
    THAT PSORIATIC KERATINOCYTE DIFFERS
    FROM THE NORMAL KERATINOCYTE
    GENETICALLY IN ITS RESPONSE TO
    VARIOUS STIMULI
    ENDOGENOUS & EXTERNAL STIMULI
    CLINICAL MANIFESTATIONS
    - A SHARPLY DEFINED BORDER, A BRIGHT RED
    COLOR & A SILVERY - WHITE SCALE DELINEATE
    THE LESION OF PSORIASIS
    - SITE OF PREDILECTION THE ELBOWS &
    KNEES, THE
    SCALP & LUMBO
    SACRAL SKIN
    - SUBTLE DISTORTIONS OF NAILS, MUCOSAL
    CHANGES, ISOMORPHIC PHENOMENON
    CLINICAL FORMS OF PSORIASIS
    - COMMON PLAQUE OR NUMULAR PSORIASIS
    - INVERSE OR FLEXURAL PSORIASIS
    - GUTTATE PSORIASIS
    - FOLLICULAR PSORIASIS
    - PALMAR PSORIASIS
    - PUSTULAR PSORIASIS
    - EXFOLIATIVE PSORIASIS
    - PSORIATIC ARTHRITIS
    HISTOPATHOLOGY
    - ACANTHOSIS WITH ELONGATION OF THE RETE RIDGES
    - ELONGATION OF THE DERMAL PAPILLAE
    - PARAKERATOSIS
    - MUNROS MICROABSCESSES
    TREATMENT
    - TOPICAL : * SALICYLIC ACID
    * TARS
    * CORTICOSTEROIDS
    * SUN - UV LIGHT THERAPHY
    ANTHRALIN GOECKERMAN TECHNIQUE
    AND THE INGRAM TECHNIQUE
    * PUVA
    - SYSTEMIC : * CORTICOSTEROIDS
    * ANTIMITOTIC AGENTS
    * ETRETINATE
    * AROXMATIC RETINOIDS
    - DIALYSIS

    PROGNOSIS QUO AD VITAM TYPE OF PSORIASIS
    QUO AD FUNCTIONAM AD BONAM
    QUO AD SANATIONAM DUBIA AD
    BONAM
    SEBORRHEIC DERMATITIS
    CHRONIC DERMATOSIS CHARACTERIZED BY
    REDNESS & SCALING
    ITS OCCURS IN THE AREAS OF THE SKIN IN WHICH
    THE SEBACEOUS GLANDS ARE MOST ACTIVE
    FACE, SCALP, IN THE BODY FOLDS, PRESTERNAL
    REGION
    ETIOLOGY ?
    MANY HYPOTHESES HAVE BEEN MADE
    AS TO ITS CAUSE
    - SEBORRHEA
    - PITYROSPORUM OVALE INFECTION
    - INFECTION BY CANDIDA OR STAPHYLOCOCCI
    - EMOTIONAL RESPONSES TO STRESS OR FATIQUE
    - ABNORMAL DIET
    EPIDEMIOLOGY
    - AGE : * INFANCY
    * PUBERTY
    * > 50 YEARS
    - SEX : MALES
    - INCIDENCE : VERY COMMON
    - PREDISPOSING FACTOR : OFTEN A GENETIC DIATHESIS
    CLINICAL MANIFESTATIONS
    INFANCY
    * CRADLE CAP
    * GLABROUS : FLEXURAL, DIAPER AREA &
    TRUNK
    * GENERALIZED : LEINERS DISEASE
    ADULTS
    * SCALP PITYRIASIS SICCA
    * FACIAL, FLEXURAL & TRUNCAL
    * GENERALIZED ERYTHRODERMA
    LABORATORY FINDINGS
    HISTOPATHOLOGY
    DIFFERENTIAL DIAGNOSIS
    - ATOPIC DERMATITIS
    - ALLERGIC AND IRRITANT CONTACT
    DERMATITIS
    - PITYRIASIS ROSEA
    - DERMATOPHYTE INFECTION
    - CANDIDIASIS
    TREATMENT :
    * CONSERVATIVE
    - SHAMPOO
    - EMOLLIENTS & CREAMS
    * INTENSIVE
    - KETOCONAZOLE CREAM
    - TOPICAL STEROIDS
    - TAR PREPARATIONS
    PROGNOSIS : QUO AD VITAM AD BONAM
    QUO AD FUNCTIONAM AD BONAM
    QUO AD SANATIONAM DUBIA AD -
    BONAM
    PITYRIASIS ROSEA
    PROBABLY CAUSED BY AN INFECTIOUS AGENT
    AGE : 10 - 35 YEARS
    DURATION OF LESIONS :
    - A HERALD PATCH PRECEDES THE
    EXANTHEMATOUS PHASE
    - THE EXANTHEMATOUS PHASE DEVELOPS OVER A
    PERIOD OF 1 TO 2 WEEKS
    PHYSICAL EXAMINATION :
    - SKIN SYMPTOMS : PRURITUS ABSENT, MILD OR
    SEVERE
    - SKIN LESIONS
    * HERALD PATCH 2 - 5 CM, BRIGHT RED, SCALE
    * FINE SCALING MACULES AND PAPULES WITH
    MARGINAL COLLARETTE
    CHARACTERISTIC PATTERN OF THE LESIONS
    THE LONG AXES OF THE LESIONS FOLLOW
    THE LINES OF CLEAVAGE IN A
    CHRISTMAS TREE DISTRIBUTION
    TRUNK & PROXIMAL OF THE ARMS & LEGS
    DIFFERENTIAL DIAGNOSIS
    - DRUG ERUPTIONS
    - T. CORPORIS
    - SECONDARY SYPHILIS
    - T. VERSICOLOR
    TREATMENT
    - TOPICAL : * POWDER
    * CREAM ( CORTICO STEROID )
    - SYSTEMIK : ANTIHISTAMINES
    PROGNOSIS :
    QUO AD VITAM AD BONAM
    QUO AD FUNCTIONAM AD BONAM
    QUO AD SANATIONAM AD BONAM

    SPONTANEOUS REMISSION IN 6 - 12 WEEKS
    ERYTHRODERMA
    REACTION PATTERN OF THE SKIN CHARACTERIZED BY
    GENERALIZED, CONFLUENT REDNESS, SCALING &
    ASSOCIATED WITH SYSTEMIC SYMPTOMS
    AGE ~ ETIOLOGY
    ETIOLOGY
    - EXTENSION OF PREEXISTING DERMATOLOGIC
    DISEASE
    PSORIASIS, ATOPIC DERMATITIS, SEBORRHEIC
    DERMATITIS
    - DRUGS REACTIONS
    - SEZARY SYNDROME
    - EXTENSION OF SYSTEMIC DISEASE
    LUPUS ERYTHEMATOSUS
    SKIN LESION :
    SKIN IS RED, THICKENED & SCALY UNIVERSALIS
    LABORATORY & HISTOPATHOLOGY ~ ETIOLOGY
    TREATMENT ~ ETIOLOGY
    - THE PATIENT SHOULD BE HOSPITALIZED
    - TOPICAL : EMOLLIENTS
    - SYSTEMIC : CORTICOSTEROID

    PROGNOSIS ~ ETIOLOGY

    You might also like