Tiki Taka Ck Dermatology

7/25/2019 Tiki Taka Ck Dermatology

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DERMATOLOGY TIKI TAKA -----------------------

. CELLULITIS:

------------. Cellulitis with systemic mai!estati"s e.#. !e$e%&%i#"%s&chills ' c"!usi" is ttt (yI.). *A+ICILLI* "% Ce!a,"li.. cause (y stah "% st%et.. Gee%ali,e swelli# which is e%ythemat"us /liea% st%ea0s/& wa%m& tee% (ut lesswell ema%cate tha E%ysielas.. A ass"ciate !u#al i!ecti" may acts as a "%tal "! et%y.

. Tiea C"%"%is:-----------------. Ri# shae scaly atches with cet%al clea%i ' scaly ("%e%s.. D1: KO2 -----3 2yhae. . T1: L"cal Te%(ia4e "% systemic G%ise"5u$i.

. Tiea )e%sic"l"%:-------------------. 6ale $el$ety i0 "% whitish hy"i#mete macules that DO*7T TA* 8. SCALE O* SCRA6I*G.. D1: KO2 %ea%ati" ----3 Sa#hetti ' meat (all aea%ace.. T1: Seleium sul4e.

. *ECROTI9I*G +ASCIITIS:------------------------. Se$e%e ai ' swelli#.. 2O "! %ecet t%auma.

. 2i#h !e$e% 3 ;< c.. Eemat"us lim( with 6UR6LIS2 DISCOLORATIO* "! the i=u%e a%ea /e"ti#

sta%t "! #a#%ee8/.. Su%#ical e(%iemet "! all ec%"tic tissue.. Emi%ic I) Ati(i"tics e.# AM6ICILLI* > SUL?ACTAM > CLI*DAMYCI*.. ?ullae ' se%"a#ui"us ischa%#e.

. Se("%%heic e%matitis:------------------------. +ie l""se wa1y scales with ue%lyi# e%ythema.. O scal& eye (%"ws.. Ass"ciate with 2I) "% a%0is"ism.

. 6RIMARY ?ILIARY CIRR2OSIS:----------------------------. 6%u%itis& =auice& steat"%%hea& 2SM& >> AL6& >> ?ili%u(i.. >$e Ati-mit"ch"%ial Ati("ies.. Immue meiate est%ucti" "! it%a heatic (ile ucts ---3 ?ile stasis 'ci%%h"sis.. Cutae"us ass"ciati" ---3 @A*T2ELASMA


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/Yell"wish& s"!t laues " the meial asects "! the eyelis (ilate%ally/.

. C2ALA9IO*:------------. 6ai!ul swelli# that %"#%esses t" a "ula% %u((e%y lesi".. ue t" MEI?OMIA* #la "(st%ucti".

. Recu%%et chala,i" may (e ue t" mei("mia #la ca%ci"ma 8. U ca7t iBe%etiate (et. 6ERSISTE*T C2ALA9IO* ' ?ASAL CELL CARCI*OMA

e1cet th%"u#h 2ISTO6AT2OLOGICAL e1am.

. MOLLUSCUM CO*TAGIOSUM is cause (y 6O@ )IRUS "t 26) 8888888 RE6EATED+AULT 88

. ?ASAL CELL CARCI*OMA:-----------------------. +ai% s0ie ii$iual.. 6%"l"#e su e1"su%e.. Sl"wly #%"wi# "ule with %"lle ("%e%.

. S2I*Y 6EARL.. M"st c"mm" l"cati" is the l"we% eyeli ma%#i.

. Se("%%heic Ke%at"sis:-----------------------. OLD AGE.

. A@Y - /STUCK O*/ - well ci%cumsc%i(e lesi".. *"t %e-cace%"us.. *" the%ay is %eui%e.. Su%#ical %em"$al !"% c"smetic u%"se.

. MELA*OMA -----------3 E1cisi"al (i"sy / +ULL T2ICK*ESS/.

. )a%icella 9"ste% $i%us F Shi#les:------------------------------------. )esicula% e%uti" that "ccu%s i a e%mat"mal ist%i(uti".. 6%eceie (y ai.

. The %y isease i chil%e is te%me /chic0e"1/.

. A*GIO-EDEMA:--------------. 2O "! ICU t " ACEIs e.# E*ALA6RIL.. Eema i the !ace& m"uth& lis.. La%y#eal eema may "ccu% causi# ai%way "(st%ucti".. "ccu%s ue t" ?RADYKI*I* %elease.. it may "ccu% at ay time "t =ust at the sta%t "! %u# ita0e.

. D1----3 L"w le$els "! CH ' C.. T1----3 STO6 ACEIs > +RES2 +RO9E* 6LASMA > Secu%e the ai%way.

. 2ERIDITARY a#i"eema:------------------------. C este%ase ihi(it"% e!eciecy.


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. D%u# iuce 62OTOTO@ICITY:-----------------------------. The m"st c"mm" %u# is DO@YCYCLI*E TETRACYCLI*E.. Mai!est as e1a##e%ate su(u% %eacti"s with e%ythema &eema ' $esicles "$e%su- e1"se a%eas.

. AR+ARI* iuce s0i ec%"sis:---------------------------------. M"%e c"mm" i !emales.. C"mm" sites: ?%easts& (utt"c0s& thi#hs ' a("me.

. Iitial c"mlait is ai !"ll"we (y (ullae !"%mati" ' s0i ec%"sis.. Occu%s withi wee0s a!te% sta%ti# the%ay.

. T1: Disc"tiue AR+ARI* ' Gi$e )it. K ' maitai atic"a#ulati" usi# 2ea%i.

. De%matitis 2e%eti!"%mis:---------------------------. 6%u%itic aules ' $esicles "$e% the e1tes"% su%!aces.

. 6%esece "! ati-e"mysial ati("ies.. T1----------------3 DA6SO*E.

. De%matitis 2e%eti!"%mis:---------------------------. Ass. with celiac isease.. E%ythemat"us aules& $esicles ' (ullae that "ccu% (ilate%ally& symmet%ically ' i#%"us /he%eti!"%m/ a%%a#emet.. O the e1tes"% su!%aces "! the el("ws&0ees&(utt"c0s.

. T1: Glute !%ee iet ' DA6SO*E.

. 6emhi#us )ul#a%is:

---------------------. Thi ' !%a#ile la%#e wie (ullae.. >$e *i0"ls0y si#.. M"uth is i$"l$e.. 2O "! ACE Is use.. De"siti" "! I#G i the eie%mis.

. ?ull"us 6emhi#"i:---------------------. Thic0 ' itact small ' a%%"w (ullae.

. ?ullae "7t %utu%e easily.. *" m"uth i$"l$emet.. 2O "! SUL+A %u#s use.. De"siti" "! I#G ' C; i the eie%mis.

. ROSACEA:----------. ;J - J ys "l t.. TELA*GECTASIA "$e% the chee0s& "se ' chi.. +lushi# "! these a%ea is %eciitate (y h"t %i0s&heat&em"ti".


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. T1: iitial ttt is METRO*IDA9OLE.

. T"1ic Eie%mal *ec%"lysis /TE*/:----------------------------------. Much m"%e su%!ace a%ea i$"l$e.. 2i#he% m"%tality %ate.

. >$e *IKOLOSKY si#.. Alth"u#h the m"st c"mm" cause "! eath is sesis& Aiti(i"tics is "t iicate.. TE* has simila% !eatu%es t" SSSS& h"we$e%& TE* is DRUG I*DUCED (ut SSSS iscause (y a t"1i.

. )ilitili#" Leu0"e%ma:--------------------------. Y"u# HJ-;J ys.

. 6ale whitish macules with hye%i#mete ("%e%s.. A%"u ("y "%i4ces.. Aut"-immie est%ucti" "! mela"cytes.

. STE)E*S O2*S Y*DROME:-------------------------. Immue c"mle1 meiate hye%sesiti$ity.

. 2O "! SUL+O*AMIDES& *SAIDs ' 62E*YTOI* ita0e.. Cha%acte%istic /TARGET/ aea%ace.. +e$e%& c"=ucti$itis& >>2R& --?6& alte%e c"sci"usess& c"ma& c"$ulsi"s may"ccu%.

. RU?ELLA:---------. Mile a#e !emale.

. Macul"-aula% %ash sta%ti# " the !ace ' e1tes t" i$"l$e the t%u0 '

e1t%emeties *"t i$"l$i# th alms ' s"les.. Tee% lymhae"athy 6"st. au%icula% ' "st. ce%$ical L*s.. 6"ly-a%th%itis.

. Sec"a%y yhhilis:----------------------. Macul"aula% %ash i$"l$i# the alms ' s"les.

. The aules may c"alese t" !"%m CO*DYLOMA LATA i se$e%e cases8

. *ICKEL =ewel%y ca cause alle%#ic c"tact e%matitis Tye hye%sesiti$ity.

. +%"st-(ite i=u%y:--------------------. Rai %e-wa%mi# with wa%m wate%.. Dea Tissue e(%iemet is RO*G.. Rai %e-wa%mi# with !%y heat "% !a is RO*G.

. SNUAMOUS CELL CARCI*OMA:--------------------------. *"-mela"ma s0i cace%.


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. Sec" m"st c"mm" s0i cace% a!te% ?asal cell ca%ci"ma.. A##%essi$e ue t" istat mateastasis.. E@6OSURE t" SU* LIG2T is the m"st im. %is0 !act"%.

. MILD AC*E ' *O*-I*+LAMMATORY COMEDO*ES -----3 T"ical %eti"is.

. MILD I*+LAMMATORY AC*E ---------------------3 T"ical (e,yl e%"1ie.

. MODERATE t" SE)ERE AC*E *ODULO-CYSTIC ----3 ORAL ISOTRETI*OI*.

. GRA+T )ERSUS 2OST DISEASE G)2D:-----------------------------------. i ts with ("e ma%%"w t%aslatati".

. ue t" acti$ati" "! the DO*OR /T/ lymh"cytes.. S0i ---3 Macul"aula% %ash.. Itestie ---3 ?l""y ia%%hea.

. Li$e% ---3 A("%mal L+Ts ' =auice.

. D%u# iuce tye hye%sesiti$ity %eacti": -----------------------------------------------

. IMMEDIATE O*SET.. Meiate (y I#E ' Mast cells.. U%tica%ia ' %u%itis with"ut systemic symt"ms.. T1: A*TI-2ISTAMI*ICS ' is-c"tiue the "Bei# %u# 8

. MELA*OMA c%ite%ia A?CDEs:-----------------------------. Assymet%y.. ?"%e% i%%e#ula%ities.. C"l"% $a%iati".. Diamete% 3 mm.. E$"l$i#: lesi" cha#i# i si,e& shae "% c"l"% ew lesi".

. The m"st c"ce%i# si# !"% mali#acy is 9O*ES O+ DI++ERE*T SKI* COLORS 8

. 6OR62YRIA CUTA*EA TARDA:--------------------------. h"t"sesiti$ity %eacti" t" accumulati# "%hy%is.

. 6ailess (liste%s " the "%sum "! the ha.. 2ye%tich"sis " the !ace ' 2ye%i#metati".. 2O "! li$e% isease 2C) "% OC6 use.. D1: U%ia%y u%""%hy%is.. T1: 6hle("t"my ' De!e%"1amie.

. SNUAMOUS CELL CARCI*OMA:--------------------------. is"late s"lita%y ulce%.. i the )e%mili" a%ea "! the li.. 2O "! su e1"su%e +ARMER.. 2ist"l"#ically: I*)ASI)E CORDS O+ SNUAMOUS CELLS IT2 KERATI* 6EARLS.. ?ASAL CELL CARCI*OMA:


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-----------------------. I*)ASI)E CLUSTERS O+ S6I*DLE CELLS SURROU*DED ?Y 6ALISADED ?ASALCELLS.

. C2ERRY 2EMA*GIOMA:--------------------

. Small $ascula% (%i#ht %e aula% lesi".. ;J-J ys ' >> i " with a#e /Seile hema#i"ms/.. D"7t %e#%ess s"tae"usly.. Sha%ly ci%cumsc%i(e a%eas "! c"#este cailla%ies.

. ACTI*IC KERATOSIS:--------------------. E%ythemat"us aule with a cet%al scali#.. Sa ae% li0e te1tu%e.. 2O "! ch%"ic su e1"su%e.. 6%e-cace%"us ----3 may c"$e%t t" suam"us cell ca%ci"ma.

. M"lluscum C"ta#i"sum 6"1 $i%us:------------------------------------. +i%m& 5esh c"l"%e& "me-shae& um(ilicate aules.. T%asmitte th%"u#h se1ual c"tact.. Due t" CELLULAR immu"e!eciecy.. Ass"ciate with 2I).

. S2I*GLES 29) may e$el" ue t" /I*+LI@IMA?/ the%ay causi#immu"e!eciecy.

. Alle%#ic c"tact e%matitis:------------------------------

. Tye hye%sesiti$ity %eacti".. 6%u%utic e%ythemat"us %ash with $esicles.. ?ilate%al ist%i(uti".. 2O "! cutti# w""s 6"is" Sumac.. )esicula% 5ui is ste%ile a #%"ws c"a#ulase -$e stahyl"c"cci S. Eie%miis.. May (e H%y i!ecte stah "% st%et 8

. ACA*T2OSIS *IGRICA*S:-----------------------. Symmet%ical& hye%i#mete& $el$ety laues i the a1illa& #%"i ' ec0 8. Ass. with I*SULI* RESISTA*CE i YOU*G ts e.#. DM ' 6CO.. Ass. with GIT mali#acy i OLD ts.

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Tiki Taka Ck Dermatology