Blister Types: Flaccid and Tense

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Questions and Answers

Which type of blister is associated with Staphylococcus scalded skin syndrome?

  • Genetic blisters
  • Acquired blisters
  • Tense blisters
  • Flaccid blisters (correct)

Pemphigus vulgaris commonly presents with which type of lesion?

  • Linear IgA
  • Tense bullae
  • Flaccid bullae (correct)
  • String of pearls

Which blistering disease is associated with celiac disease?

  • Bullous pemphigoid
  • Pemphigus vulgaris
  • Erythema multiforme
  • Dermatitis herpetiformis (correct)

Which blistering condition is associated with 'string of pearls' lesions?

<p>Linear IgA disease (B)</p> Signup and view all the answers

Toxic epidermal necrolysis (TEN) typically involves what percentage of the body surface area?

<p>More than 30% (C)</p> Signup and view all the answers

Which of the following is an acquired blistering condition?

<p>Pemphigus vulgaris (C)</p> Signup and view all the answers

What type of blistering is found in Bullous pemphigoid?

<p>Tense blisters (C)</p> Signup and view all the answers

Where are the blisters located in Hailey Hailey disease?

<p>Flexural areas (B)</p> Signup and view all the answers

What age group is commonly affected by P. Foliaceus?

<p>Adult (A)</p> Signup and view all the answers

What percentage of surface area is involved in Steven Johnson Syndrome?

<p>Less than 10% (A)</p> Signup and view all the answers

Flashcards

Flaccid Blisters

Blisters that are thin-walled and easily ruptured.

Hailey-Hailey Disease

A genetic condition causing flaccid blisters, typically affecting adults in flexural areas, with fissures.

EB Simplex

A genetic condition where flaccid blisters are induced by trauma.

Pemphigus Vulgaris

An acquired condition causing flaccid blisters with mucosal involvement and widespread distribution.

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TEN

An acquired condition causing flaccid blisters with mucosal involvement, often drug-induced, showing targetoid lesions.

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Staphylococcal Scalded Skin Syndrome (SSSS)

An acquired condition causing flaccid blisters without mucosal involvement, presenting with scales in children, primarily in seborrheic areas.

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Pemphigus Foliaceus

An acquired condition causing flaccid blisters without mucosal involvement, presenting with scales primarily in adults, in seborrheic areas.

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Tense Blisters

Blisters that are thick-walled and are not easily ruptured.

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EB Junctionalis/EB Dystrophicans

A genetic condition causing tense blisters induced by trauma.

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Bullous Pemphigoid

An acquired condition causing tense blisters with itching, typically in elderly patients.

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Study Notes

  • There are two types of Blisters: flaccid and tense

Flaccid Blisters

  • Flaccid blisters can be genetic or acquired

Genetic Flaccid Blisters

  • Hailey-Hailey disease affects adults, appears in flexural areas, includes fissures, and has a negative DIF test
  • Epidermolysis Bullosa (EB) Simplex: is trauma induced and displays a negative DIF test

Acquired Flaccid Blisters

  • Pemphigus Vulgaris relates to mucosal areas and has a positive DIF test, and is widespread
  • Toxic Epidermal Necolysis (TEN) affects mucosal areas, linked to drug history, and has a negative DIF test that can appear targetoid
  • Staphylococcal Scalded Skin Syndrome (SSSS) is non-mucosal, presents with scales in children, and is Seborrheic with a negative DIF test
  • Pemphigus Foliaceus is non-mucosal, presents with scales in adults, and is seborrheic with a positive DIF test

Tense Blisters

  • Tense blisters can be genetic or acquired

Genetic Tense Blisters

  • EB Junctionalis/EB Dystrophicans are trauma induced and have a negative DIF test

Acquired Tense Blisters

  • Bullous Pemphigoid causes itching, affects the elderly, and has a positive DIF test
  • Dermatitis Herpetiformis causes itching with scratch marks, is related to Celiac disease, and has a positive DIF test
  • Linear IgA Dermatosis presents as a "string of pearls," and has a positive DIF test
  • Steven-Johnson Syndrome (SJS) involves less than 10% surface area

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