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Line 91: − − =Missed Concepts= − *Lichen Planus diagnosis is '''clinical, but a punch biopsy of prominent lesion can be sent to confirm''', presents with purple, polygonal, pruritic, papules and plaques, sometimes with '''Wickham striae'''. − *Pityriasis rosea has the classic herald patch and Christmas tree pattern, ddx includes secondary syphilis (involves palms and soles), tinea corporis, nummular eczema, psoriasis − *Hair loss: ddx male pattern baldness, tinea capitis (scaling and inflammation), '''alopecia areata''' (well demarcated, smooth, circular) − *Ichthyosis vulgaris is a familial dry fish-like scaly rash, worse in winter and fall, predominantly on the extensor surfaces of the legs. Treat with long baths to remove scales and urea-containing lotions − *Keloids are treated with '''intralesional glucocorticoids''' − *Seborrheic dermatitis, presenting as '''erythematous, pruritic plaques with greasy scale on the scalp, central face, and ears''' is associated with Parkinson disease and HIV and is treated with selenium sulfide or ketoconazole shampoos. − *Axillary skin tags are associated with obesity, diabetes, insulin resistance, and metabolic syndrome. − *Desmoid tumors are slowly growing and locally recurring benign tumors.
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=Missed Concepts=
*Lichen Planus diagnosis is '''clinical, but a punch biopsy of prominent lesion can be sent to confirm''', presents with purple, polygonal, pruritic, papules and plaques, sometimes with '''Wickham striae'''.
*Pityriasis rosea has the classic herald patch and Christmas tree pattern, ddx includes secondary syphilis (involves palms and soles), tinea corporis, nummular eczema, psoriasis
*Hair loss: ddx male pattern baldness, tinea capitis (scaling and inflammation), '''alopecia areata''' (well demarcated, smooth, circular)
*Ichthyosis vulgaris is a familial dry fish-like scaly rash, worse in winter and fall, predominantly on the extensor surfaces of the legs. Treat with long baths to remove scales and urea-containing lotions
*Keloids are treated with '''intralesional glucocorticoids'''
*Seborrheic dermatitis, presenting as '''erythematous, pruritic plaques with greasy scale on the scalp, central face, and ears''' is associated with Parkinson disease and HIV and is treated with selenium sulfide or ketoconazole shampoos.
*Axillary skin tags are associated with obesity, diabetes, insulin resistance, and metabolic syndrome.
*Desmoid tumors are slowly growing and locally recurring benign tumors.
=Derm Terms=
=Derm Terms=
*Macule/Patch, Papule/Plaque, Nodule/Tumor (2 cm cutoff), Vesicle/Bullae/Pustule
*Macule/Patch, Papule/Plaque, Nodule/Tumor (2 cm cutoff), Vesicle/Bullae/Pustule
*Dx: ABCDEs for moles. Skin biopsy shows melanocytes with cellular atypia.
*Dx: ABCDEs for moles. Skin biopsy shows melanocytes with cellular atypia.
*Tx: Surgical excision.
*Tx: Surgical excision.