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July 19,2010 by DR M.EJAZ BANGASH SR.INSTRUCTOR FAMILY MEDICINE

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Presentation on theme: "July 19,2010 by DR M.EJAZ BANGASH SR.INSTRUCTOR FAMILY MEDICINE"— Presentation transcript:

1 July 19,2010 by DR M.EJAZ BANGASH SR.INSTRUCTOR FAMILY MEDICINE
Skin common problems July 19,2010 by DR M.EJAZ BANGASH SR.INSTRUCTOR FAMILY MEDICINE

2 Seb dermatitis Greasy yellow scaly plaques are characteristically distributed in the scalp, Tzone of face, hairy areas of face (eyebrows, eyelashes, beard), behind the ears, on the forehead, trunk, body folds, and genitalia.Unknown etiology. "cradle cap" focal parakeratosis, moderate acanthosis, slight spongiosis and a mild, mixed inflammatory infiltrate.

3 Scaly Red Rash 2: ?psoriasis
Red or pink papule/plaque with silvery or micaceous scaling. The fingernails may show dystrophy, depressions known as "pits" and subungual debis presence of a thickened epidermis and stratum corneum containing neutrophils and neutophilic debris; no granular layer, elongation of the rete ridges; T cell involvement in etiology

4 Scaly Red Rash 3: ?tinea capitis,corpora,crora,pedis
PAS stain showing fungi

5 Scaly Red Rash 4: ?eczema Eczema is very itchy. There are variants of eczema, the so-called "messy" rash, for example, "irritant" eczema, atopic eczema, and contact eczema, all of which are characterized by rashes that are quite itchy and appear "messy" because they are often scratched.TH2 mediated DTH Flexural distribution Lichenification from scratching crusting in the stratum corneum (making one think of a "messy rash") and the "spongiosis" or epidermal edema, as evidenced by the relative pallor around the keratinocytes.

6 Scaly Red Rash 5: ?scabies

7 Pigment Changes 1: ?vitiligo

8 Pigment Changes 2: ?malasma
large amount of melanin in the basal layer

9 Papules/Plaques 1: ?warts
The hallmarks of warts are hyperkeratosis, papillomatosis (outward expansion of the spinous layer) and acanthosis. The epidermis contains foci of vacuolated cells (koilocytes), clumped keratohyaline granules, and vertical tiers of parakeratotic cells (stratum corneum with retained nuclei).

10 Papules/Plaques 2: ?molloscum

11 Papules/Plaques 3: ?acne vulgaris

12 Papules/Plaques 4: ?urticaria

13 Papules/Plaques 5: ?erythema multiforma

14 Nodules 1: ?erythema nodosum
.

15 Nodules 2: ?kaliod

16 Purpura 1: ?vasculitic lesions

17 Blisters 1: ?herpes

18 Blisters 2: ?bullus pempigiod

19 Blisters 3: ?pempigus vulgaris

20 Blisters 4: ?contact dermatitis

21 Systemic 1: ?photodermatitid..lupus

22 Systemic 2: ?sclero derma

23 Systemic 3: ?drug reaction..steven johnson from back

24 Benign Growths 1: lentigo

25 Benign Growths 2: seboric keratosis

26 Benign Growths 3: navis

27 Premalignant Growths 1:dysplastic navis

28 Premalignant Growths 2: dystinic keratosis

29 Malignant Growths 1:basal cell ca

30 Malignant Growths 2: squamous cell ca

31 Malignant Growths 3: melanoma


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