Podcast
Questions and Answers
What is a characteristic feature of Necrobiosis Lipoidica Diabeticorum (NLD)?
What is a characteristic feature of Necrobiosis Lipoidica Diabeticorum (NLD)?
- Large, yellow-brown, hard, shiny plaques (correct)
- Small, sunken, soft, brown patches
- Red to violaceous inflamed patches
- Scaly, itchy lesions on the scalp
Which patient demographic is more likely to develop Diabetic Dermopathy (DD)?
Which patient demographic is more likely to develop Diabetic Dermopathy (DD)?
- Middle-aged adults
- Young children
- Pregnant women
- Older patients with diabetes (correct)
What type of treatment is primarily used for active lesions of Necrobiosis Lipoidica Diabeticorum?
What type of treatment is primarily used for active lesions of Necrobiosis Lipoidica Diabeticorum?
- Oral antibiotics
- Anticoagulants or agents to improve microcirculation
- Topical antifungals
- Intra-lesional and systemic steroids (correct)
What is the main cosmetic concern regarding Xanthelasma?
What is the main cosmetic concern regarding Xanthelasma?
What happens to Diabetic Dermopathy lesions upon applying pressure?
What happens to Diabetic Dermopathy lesions upon applying pressure?
What is known about the relationship between glucose control and the development of NLD or DD?
What is known about the relationship between glucose control and the development of NLD or DD?
Where do Necrobiosis Lipoidica Diabeticorum plaques typically occur?
Where do Necrobiosis Lipoidica Diabeticorum plaques typically occur?
Why might it be important to check HbA1C levels in patients suspected of having NLD or DD?
Why might it be important to check HbA1C levels in patients suspected of having NLD or DD?
At what age do cherry angiomas typically begin to appear?
At what age do cherry angiomas typically begin to appear?
Which characteristic is NOT associated with cherry angiomas?
Which characteristic is NOT associated with cherry angiomas?
What is a common treatment option for seborrheic keratosis?
What is a common treatment option for seborrheic keratosis?
Seborrheic keratosis lesions primarily develop after which age?
Seborrheic keratosis lesions primarily develop after which age?
Which feature is characteristic of chondrodermatitis nodularis helicis?
Which feature is characteristic of chondrodermatitis nodularis helicis?
What is the underlying cause of chondrodermatitis nodularis helicis?
What is the underlying cause of chondrodermatitis nodularis helicis?
What does seborrheic keratosis commonly resemble?
What does seborrheic keratosis commonly resemble?
What is typically observed in the central area of a CNH lesion?
What is typically observed in the central area of a CNH lesion?
What is the most locally destructive form of basal cell carcinoma (BCC)?
What is the most locally destructive form of basal cell carcinoma (BCC)?
Which of the following conditions is known to be more prevalent in immunosuppressed patients?
Which of the following conditions is known to be more prevalent in immunosuppressed patients?
What is the primary focus of treatment for dermatoheliosis?
What is the primary focus of treatment for dermatoheliosis?
Which characteristic is typical of SCC-in-situ, also known as Bowen's Disease?
Which characteristic is typical of SCC-in-situ, also known as Bowen's Disease?
What is the main action of tretinoin in the treatment of dermatoheliosis?
What is the main action of tretinoin in the treatment of dermatoheliosis?
What histological subtype of SCC is characterized by sudden growth followed by spontaneous regression?
What histological subtype of SCC is characterized by sudden growth followed by spontaneous regression?
What is a common precursor lesion to squamous cell carcinoma (SCC)?
What is a common precursor lesion to squamous cell carcinoma (SCC)?
What are the side effects experienced during the first week of tretinoin use?
What are the side effects experienced during the first week of tretinoin use?
What is the most common type of basal cell carcinoma?
What is the most common type of basal cell carcinoma?
Which genetic alteration is most important in the pathogenesis of basal cell carcinoma?
Which genetic alteration is most important in the pathogenesis of basal cell carcinoma?
Which treatment method for dermatoheliosis is considered more effective than tretinoin?
Which treatment method for dermatoheliosis is considered more effective than tretinoin?
Which type of SCC may present as a chronic ulcer arising in a scar?
Which type of SCC may present as a chronic ulcer arising in a scar?
What characterizes rhinophyma?
What characterizes rhinophyma?
Which patient demographic is at a greater risk for developing squamous cell carcinoma (SCC)?
Which patient demographic is at a greater risk for developing squamous cell carcinoma (SCC)?
What characteristic is typical of nodular basal cell carcinoma?
What characteristic is typical of nodular basal cell carcinoma?
What clinical presentation is most common for superficial basal cell carcinomas?
What clinical presentation is most common for superficial basal cell carcinomas?
What is a typical presentation of an invasive squamous cell carcinoma (SCC)?
What is a typical presentation of an invasive squamous cell carcinoma (SCC)?
What causes rhinophyma to develop in individuals?
What causes rhinophyma to develop in individuals?
What is the main treatment for rhinophyma?
What is the main treatment for rhinophyma?
Which statement about basal cell carcinoma is correct?
Which statement about basal cell carcinoma is correct?
In Basal Cell Nevus Syndrome, what leads to the development of hundreds of BCCs?
In Basal Cell Nevus Syndrome, what leads to the development of hundreds of BCCs?
What is a common outcome of skin resurfacing treatments for dermatoheliosis?
What is a common outcome of skin resurfacing treatments for dermatoheliosis?
What is a characteristic feature of morpheaform basal cell carcinoma?
What is a characteristic feature of morpheaform basal cell carcinoma?
What is the most accepted surgical treatment for basal cell carcinomas?
What is the most accepted surgical treatment for basal cell carcinomas?
What distinguishes invasive SCC from SCC-in-situ?
What distinguishes invasive SCC from SCC-in-situ?
Which of the following is a primary genetic alteration associated with SCC?
Which of the following is a primary genetic alteration associated with SCC?
What is the primary cause of the damage leading to dermatoheliosis?
What is the primary cause of the damage leading to dermatoheliosis?
Which statement about the characteristics of dermatoheliosis is true?
Which statement about the characteristics of dermatoheliosis is true?
Why must more tissue be removed when treating SCC compared to BCC?
Why must more tissue be removed when treating SCC compared to BCC?
Which lesions are considered high risk for metastasizing when it comes to SCC?
Which lesions are considered high risk for metastasizing when it comes to SCC?
What is the relation between UVB and UVA in terms of skin damage?
What is the relation between UVB and UVA in terms of skin damage?
At what age is dermatoheliosis least likely to become apparent?
At what age is dermatoheliosis least likely to become apparent?
Flashcards
Nodular Basal Cell Carcinoma (BCC)
Nodular Basal Cell Carcinoma (BCC)
A common skin cancer characterized by a pearly appearance, dome-shaped structure, and sharp borders. Often found on sun-exposed areas like the head and neck.
Superficial Basal Cell Carcinoma (BCC)
Superficial Basal Cell Carcinoma (BCC)
A less common type of BCC appearing as flat, scaly patches or plaques. Usually found on the trunk.
Basal Cell Carcinoma (BCC)
Basal Cell Carcinoma (BCC)
The most common type of skin cancer, often linked to sun exposure.
Cyst-like Nodular Hyperplasia (CNH)
Cyst-like Nodular Hyperplasia (CNH)
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PTCH Gene
PTCH Gene
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Basal Cell Nevus Syndrome
Basal Cell Nevus Syndrome
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p53 Gene
p53 Gene
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Morpheaform BCC
Morpheaform BCC
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Cherry Angiomas
Cherry Angiomas
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Seborrheic Keratosis (SK)
Seborrheic Keratosis (SK)
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Chondrodermatitis Nodularis Helicis (CNH)
Chondrodermatitis Nodularis Helicis (CNH)
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What are cherry angiomas caused by?
What are cherry angiomas caused by?
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What is one characteristic of seborrheic keratoses?
What is one characteristic of seborrheic keratoses?
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How are seborrheic keratoses treated?
How are seborrheic keratoses treated?
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What is the likely cause of Chondrodermatitis Nodularis Helicis (CNH)?
What is the likely cause of Chondrodermatitis Nodularis Helicis (CNH)?
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How is Chondrodermatitis Nodularis Helicis (CNH) treated?
How is Chondrodermatitis Nodularis Helicis (CNH) treated?
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Dermatoheliosis Treatment
Dermatoheliosis Treatment
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Tretinoin for Dermatoheliosis
Tretinoin for Dermatoheliosis
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Tretinoin Side Effects
Tretinoin Side Effects
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Skin Resurfacing for Dermatoheliosis
Skin Resurfacing for Dermatoheliosis
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Rhinophyma
Rhinophyma
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Rhinophyma Occurrence
Rhinophyma Occurrence
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Rhinophyma Treatment
Rhinophyma Treatment
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Rosacea
Rosacea
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Actinic Keratosis (AK)
Actinic Keratosis (AK)
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Squamous Cell Carcinoma (SCC)
Squamous Cell Carcinoma (SCC)
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p53 gene mutation
p53 gene mutation
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Dermatoheliosis
Dermatoheliosis
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Ultraviolet (UV) radiation
Ultraviolet (UV) radiation
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Ultraviolet A (UVA)
Ultraviolet A (UVA)
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Ultraviolet B (UVB)
Ultraviolet B (UVB)
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Wrinkles
Wrinkles
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SCC-in-situ
SCC-in-situ
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Erythroplasia of Queyrat
Erythroplasia of Queyrat
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Invasive SCC
Invasive SCC
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Keratoacanthoma (KA)
Keratoacanthoma (KA)
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Marjolin's Ulcer
Marjolin's Ulcer
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Actinic Keratoses
Actinic Keratoses
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What is Necrobiosis Lipoidica Diabeticorum (NLD)?
What is Necrobiosis Lipoidica Diabeticorum (NLD)?
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What is Diabetic Dermopathy (DD)?
What is Diabetic Dermopathy (DD)?
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What is the link between NLD and DD and diabetes?
What is the link between NLD and DD and diabetes?
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How does NLD affect the skin?
How does NLD affect the skin?
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How does DD affect the skin?
How does DD affect the skin?
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What are xanthelasma?
What are xanthelasma?
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What is the link between xanthelasma and high cholesterol?
What is the link between xanthelasma and high cholesterol?
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How are xanthelasma treated?
How are xanthelasma treated?
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Study Notes
Cherry Angiomas
- Common in individuals over 60, but can appear as early as the 20s.
- More noticeable in lightly pigmented patients.
- Small, bright red papules.
- Early lesions can be flat, while larger ones may reach 5mm in diameter.
- Partially compressible, often bleeding easily if traumatized.
- Occasionally hormone responsive, showing increased growth in high estrogen states (pregnancy, OCP use).
- Do not typically require treatment but can be electrocauterized if needed.
Seborrheic Keratosis (SK)
- Common lesions developing after age 30.
- Can range from 1-2mm to 5-6cm in size.
- Familial trait; one person can have many SKs.
- Waxy, "verrucous" brown-to-black plaques or papules.
- Often slightly scaly.
- Usually located on the trunk, proximal extremities, and face.
- Commonly removed with fingernails, but recurrence is possible.
- May require a biopsy if unsure whether the lesion is an atypical nevus.
- Does not usually require treatment, though can be removed with liquid nitrogen or electrocautery.
Chondrodermatitis Nodularis Helicis (CNH)
- Common in older individuals (rare before age 50).
- Tender papule on the helix of the ear.
- Typically skin-colored, but can be red.
- Often located on the ear the patient sleeps on.
- Likely due to ischemia of the skin and cartilage from pressure.
- Typically treated surgically; shaving the papule flat with the surrounding skin is often curative.
Basal Cell Carcinoma (BCC)
- Most common skin cancer.
- Related to sun exposure, more prevalent in those with higher exposure and fair skin.
- Approximately 4 BCCs per 1 SCC.
- Approximately 10 BCCs per 1 melanoma
- Types:
- Nodular, dome-shaped with pearly appearance and visible telangiectasias (typically on the head/neck).
- Superficial, scaly patches/plaques (frequently on the trunk).
- Morpheaform/infiltrating, firm plaques with ill-defined borders (difficult to diagnose clinically).
- Most important genetic alteration is dysfunction of the PTCH gene.
- Often treated surgically.
- Rarely metastasizes.
Squamous Cell Carcinoma (SCC)
- Less common than BCCs.
- Related to chronic sun exposure.
- More common in immunosuppressed individuals and smokers.
- Present as keratotic papules, plaques, or nodules with a dense, adherent scale.
- Subtypes:
- SCC-in-situ (Bowen's disease): erythematous plaques with moderate scale, sharp borders.
- Invasive SCC: most common, presenting as plaque, papule/nodule, or ulcer.
- Keratoacanthoma (KA): rapidly growing, dome-shaped nodules that regress spontaneously in most cases.
- Often treated with surgery.
- Can metastasize, particularly in lesions on the lip, ears, and those arising in scars or chronic ulcers.
Dermatoheliosis
- Skin aging due to sun exposure.
- Characterized by wrinkling, altered pigmentation, and texture changes.
- Can affect epidermis and dermis.
- Damage is due to ultraviolet radiation, with UVB causing more epidermal damage and UVA causing more dermal damage.
- Often treated with sun protection and topical products like tretinoin.
Rhinophyma
- Chronic enlargement of the nose, typically in men over 50 with rosacea.
- Lumpy, nodular appearance with enlarged pores.
- Caused by sebaceous gland enlargement and skin fibrosis.
- Treated surgically.
Necrobiosis Lipoidica Diabeticorum (NLD) and Diabetic Dermopathy (DD)
- Skin conditions associated with diabetes.
- NLD: large, yellow-brown, sharply bordered, hard plaques on the shins (often with inflamed borders).
- DD: small, sunken, soft, brown patches on the shins that sink slightly when pressed.
- Treatment is often focused on better glucose control.
Xanthelasma
- Deposits of lipid within macrophages.
- Yellow-white papules near the medial canthi of the eyes.
- Often a cosmetic concern.
- May indicate hyperlipidemia requiring treatment with a lipid profile checkup.
Eruptive Xanthomas (EX)
- Small, yellow to pink papules, often on extensor areas, associated with high levels of triglycerides.
- Treatment involves normalizing serum triglycerides typically with drug therapy (gemfibrozil, niacin or statins).
Xerosis (Dry Skin)
- Skin condition, becoming more common with age and frequently in winters.
- Often itchy and can be a severe inconvenience, particularly in the elderly.
- Treatment usually focuses on moisturizing approaches.
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