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Autoimmune skin diseases quiz

Test your knowledge on cutaneous immune mediated diseases (CIMDs) and their presentation. Learn about the various target tissues and the effects of antibody attacks on different parts of the skin. Explore the symptoms and understand the role of hypersensitivity in these rare conditions.

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Questions and Answers

Which immune mechanism is involved in facial cutaneous lupus erythematosus?

T-cells

What is the main differential diagnosis for vitiligo?

Depigmentation caused by any inflammatory disease

Which immune mechanism is involved in sebaceous adenitis?

T-cells

What is the main differential diagnosis for panniculitis?

<p>Both tumours and deep infections</p> Signup and view all the answers

Which target is affected in vasculitis?

<p>Dermal blood vessels</p> Signup and view all the answers

Which immune mechanism is involved in vasculitis?

<p>Antibodies</p> Signup and view all the answers

Which target is affected in panniculitis?

<p>Subcuticular fat</p> Signup and view all the answers

What is the main differential diagnosis for facial cutaneous lupus erythematosus?

<p>Epitheliotropic lymphoma</p> Signup and view all the answers

Which type of hypersensitivity is often involved in vasculitis?

<p>Type III</p> Signup and view all the answers

What is the main target of the antibody attack in Pemphigus foliaceus?

<p>Desmosomal proteins in upper part of epidermis</p> Signup and view all the answers

Which cells form rounded acantholytic keratinocytes in Pemphigus foliaceus?

<p>Basal epidermis cells</p> Signup and view all the answers

What is the main presentation of Pemphigus foliaceus?

<p>Pustules rapidly developing into crusts</p> Signup and view all the answers

Which condition is characterized by laminated crusts and alopecia in dogs, cats, and horses?

<p>Superficial pyoderma</p> Signup and view all the answers

Which type of hypersensitivity involves T-cells?

<p>Type IV</p> Signup and view all the answers

What is the main target tissue of antibody attack in CIMDs?

<p>Desmosomal proteins in upper epidermis</p> Signup and view all the answers

What is the immune-mechanism involved in Pemphigus foliaceus?

<p>Antibody attack</p> Signup and view all the answers

What forms when pustules disintegrate in Pemphigus foliaceus?

<p>Layers of heaped crusts</p> Signup and view all the answers

What is the main differential diagnosis for Pemphigus foliaceus?

<p>Superficial pyoderma</p> Signup and view all the answers

Which of the following is a potential cause of Sterile pyogranulomatous dermatitis and panniculitis (SPDP)?

<p>Autoimmune disease</p> Signup and view all the answers

What is a potential differential diagnosis for soft fluctuating nodules that rupture and discharge fatty goo in cats?

<p>Mycobacteria infections</p> Signup and view all the answers

Which organ can be affected by vasculitis associated with cutaneous immune-mediated diseases?

<p>Kidneys</p> Signup and view all the answers

What is the purpose of performing cytology in the diagnosis of pemphigus?

<p>To detect abnormal immune cells</p> Signup and view all the answers

What is the recommended biopsy technique for obtaining a diagnostic lesion in cutaneous immune-mediated diseases?

<p>Biopsy from an area of no self-trauma</p> Signup and view all the answers

Which of the following is NOT a major dermatological presenting sign of cutaneous immune-mediated diseases?

<p>Fever</p> Signup and view all the answers

Which of the following is NOT a potential cause of Sterile pyogranulomatous dermatitis and panniculitis (SPDP)?

<p>Bacterial infection</p> Signup and view all the answers

What is the purpose of exclusion in the diagnosis of cutaneous immune-mediated diseases?

<p>To identify common differential diagnoses</p> Signup and view all the answers

What is the recommended number of biopsies to obtain a good sample for diagnosis in cutaneous immune-mediated diseases?

<p>4-6</p> Signup and view all the answers

What are the target tissues affected in cutaneous immune mediated diseases?

<p>Desmosomal proteins in the upper epidermis, cells of the basal epidermis, sebaceous glands, dermal skin vessels, subcuticular fat</p> Signup and view all the answers

What is the predominant hypersensitivity type involved in cutaneous immune mediated diseases?

<p>Type II (antibodies - IgG), Type III (immune-complex disease), Type IV (T-cells)</p> Signup and view all the answers

What is the main presentation of Pemphigus foliaceus?

<p>Pustules rapidly developing into crusts, leaving erosions</p> Signup and view all the answers

What is the main differential diagnosis for panniculitis?

<p>Sterile pyogranulomatous dermatitis and panniculitis (SPDP)</p> Signup and view all the answers

What is a potential differential diagnosis for soft fluctuating nodules that rupture and discharge fatty goo in cats?

<p>Superficial pyoderma</p> Signup and view all the answers

What are the potential causes of Sterile pyogranulomatous dermatitis and panniculitis (SPDP)?

<ol> <li>pancreatic neoplasia 2. pancreatitis 3. polyarthritis 4. systemic lupus erythematosus</li> </ol> Signup and view all the answers

What are the possible areas of the body that can be affected by vasculitis associated with cutaneous immune-mediated diseases?

<p>Kidneys (glomerulonephropathy), joints (immune-mediated arthropathy), and eyes (retinal haemorrhage)</p> Signup and view all the answers

What is the purpose of exclusion in the diagnosis of cutaneous immune-mediated diseases?

<p>To rule out common differential diagnoses</p> Signup and view all the answers

What is the recommended number of biopsies to obtain a good sample for diagnosis in cutaneous immune-mediated diseases?

<p>4-6 biopsies</p> Signup and view all the answers

What is the main target tissue of antibody attack in CIMDs?

<p>The tissue/antigen involved is the main determinant of the clinical signs</p> Signup and view all the answers

What are the main differential diagnoses for facial cutaneous lupus erythematosus?

<p>Main differential diagnoses for facial cutaneous lupus erythematosus include mucocutaneous pyoderma and epitheliotropic lymphoma.</p> Signup and view all the answers

What is the immune mechanism involved in vasculitis?

<p>The immune mechanism involved in vasculitis is antibody (± antibody–immune complexes).</p> Signup and view all the answers

What is the main target tissue of antibody attack in CIMDs?

<p>The main target tissue of antibody attack in cutaneous immune-mediated diseases (CIMDs) is dermal blood vessels.</p> Signup and view all the answers

What is the main target of the antibody attack in Pemphigus foliaceus?

<p>The main target of the antibody attack in Pemphigus foliaceus is desmoglein-1, a protein present in the desmosomes of keratinocytes.</p> Signup and view all the answers

What is the main differential diagnosis for panniculitis?

<p>The main differential diagnosis for panniculitis includes tumors and deep infections (e.g., M. bovis).</p> Signup and view all the answers

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