Podcast
Questions and Answers
Which treatment modality is most appropriate for the patient with papulosquamous diseases as described in the text?
Which treatment modality is most appropriate for the patient with papulosquamous diseases as described in the text?
- Erythromycin
- Tacrolimus
- Steroid
- Phototherapy (correct)
Which histopathological feature is characteristic of PLEVA (pityriasis lichenoides et varioliformis acuta)?
Which histopathological feature is characteristic of PLEVA (pityriasis lichenoides et varioliformis acuta)?
- More parakeratosis and epidermal destruction
- Necrotic keratinocytes and extravasated RBCs (correct)
- Wedge focal parakeratosis and spongiosis
- Perivascular interface dermatitis
If a patient on NBUVB (narrowband UVB) therapy stops the session for 1 week, what is the recommended next step?
If a patient on NBUVB (narrowband UVB) therapy stops the session for 1 week, what is the recommended next step?
- Continue
- Increase dose (correct)
- Decrease dose
- Switch to a different treatment modality
What is the causative drug commonly associated with the development of asymptomatic nodules in a patient with rheumatoid arthritis?
What is the causative drug commonly associated with the development of asymptomatic nodules in a patient with rheumatoid arthritis?
What is the most appropriate treatment for psoriasis in a child?
What is the most appropriate treatment for psoriasis in a child?
In a patient with lesions (mostly psoriasis) and without insurance coverage, which treatment modality would be most suitable?
In a patient with lesions (mostly psoriasis) and without insurance coverage, which treatment modality would be most suitable?
In a patient with dark brown multiple annular plaques, what is the most common site for this presentation?
In a patient with dark brown multiple annular plaques, what is the most common site for this presentation?
Which drug is most likely to cause lichenoid drug eruptions in a patient with hypertension?
Which drug is most likely to cause lichenoid drug eruptions in a patient with hypertension?
In a patient with tiny skin colored papules on the hand resembling lichen nitidus, what is the commonest other site for this presentation?
In a patient with tiny skin colored papules on the hand resembling lichen nitidus, what is the commonest other site for this presentation?
What is the next step if a patient with rheumatoid arthritis develops asymptomatic nodules while on adalimumab treatment?
What is the next step if a patient with rheumatoid arthritis develops asymptomatic nodules while on adalimumab treatment?
Which treatment modality is commonly used for the management of lichen planus affecting the oral mucosa?
Which treatment modality is commonly used for the management of lichen planus affecting the oral mucosa?
In a patient with psoriatic nails and palm, what is the recommended treatment if all nails are affected?
In a patient with psoriatic nails and palm, what is the recommended treatment if all nails are affected?
In a female patient taking biologic treatment for 4 years with improvement, then presenting with scaly erythematous plaque and normal breast cancer investigations, what is the recommended next step?
In a female patient taking biologic treatment for 4 years with improvement, then presenting with scaly erythematous plaque and normal breast cancer investigations, what is the recommended next step?
In a case of knee with small tiny papules as L. nitidus associated with papules on wrist, what is the HLA marker of this disease?
In a case of knee with small tiny papules as L. nitidus associated with papules on wrist, what is the HLA marker of this disease?
In a psoriasis patient taking biologic treatment and presenting with bloody stool, which type of biologic treatment could be responsible for causing this symptom?
In a psoriasis patient taking biologic treatment and presenting with bloody stool, which type of biologic treatment could be responsible for causing this symptom?
In a patient with bloody diarrhea after taking secukinumab, what is the next recommended investigation?
In a patient with bloody diarrhea after taking secukinumab, what is the next recommended investigation?
In a 34-year-old patient with plaque psoriasis, what is the most effective treatment?
In a 34-year-old patient with plaque psoriasis, what is the most effective treatment?
What is the most likely diagnosis for localized scales in the scalp beside the ear with no hair loss and erythema?
What is the most likely diagnosis for localized scales in the scalp beside the ear with no hair loss and erythema?
In a patient with periumbilical umbilicated papules resembling molluscum and presenting with weight loss and CD4 count less than 200, what investigation is indicated?
In a patient with periumbilical umbilicated papules resembling molluscum and presenting with weight loss and CD4 count less than 200, what investigation is indicated?
What is the most suitable treatment for a patient with atopic dermatitis?
What is the most suitable treatment for a patient with atopic dermatitis?
In a patient with renal transplantation who develops a maculopapular rash all over the body after 1 year, which virus is most likely responsible?
In a patient with renal transplantation who develops a maculopapular rash all over the body after 1 year, which virus is most likely responsible?
What period of preconception in weeks should be considered for a case of PRP?
What period of preconception in weeks should be considered for a case of PRP?
What is the most appropriate treatment for a patient with multiple erythematous plaques, scaly papules, and no joint pain or itching for 3 months?
What is the most appropriate treatment for a patient with multiple erythematous plaques, scaly papules, and no joint pain or itching for 3 months?
In a female patient with controlled psoriasis on biological therapy who is diagnosed with breast cancer, what is the appropriate next step?
In a female patient with controlled psoriasis on biological therapy who is diagnosed with breast cancer, what is the appropriate next step?
In a patient with eruptive skin papules on the trunk and chest with a thread-like border, which condition should be considered?
In a patient with eruptive skin papules on the trunk and chest with a thread-like border, which condition should be considered?
What is the appropriate treatment for pityriasis rubra pilaris (PRP)?
What is the appropriate treatment for pityriasis rubra pilaris (PRP)?
What is the histopathology typically seen in porokeratosis of Mibelli?
What is the histopathology typically seen in porokeratosis of Mibelli?
In a patient with scleroderma-like lesions on the hand and knee, palmoplantar hyperkeratosis, and histopathological findings suggestive of porokeratosis, what is the most likely association?
In a patient with scleroderma-like lesions on the hand and knee, palmoplantar hyperkeratosis, and histopathological findings suggestive of porokeratosis, what is the most likely association?
In a female patient with pityriasis rotunda, what neoplasm should be considered as an associated risk?
In a female patient with pityriasis rotunda, what neoplasm should be considered as an associated risk?
In a female patient with Bazex syndrome (scaly plaques on hands & feet, nose & ear involvement), what neoplasm should be considered as an associated risk?
In a female patient with Bazex syndrome (scaly plaques on hands & feet, nose & ear involvement), what neoplasm should be considered as an associated risk?
What is the most appropriate treatment for a patient with asymptomatic erythematous plaques covering >50% of body surface area and no back pain?
What is the most appropriate treatment for a patient with asymptomatic erythematous plaques covering >50% of body surface area and no back pain?
In a patient with plaque psoriasis and congestive heart failure living 100km away from the hospital, what is the best treatment option?
In a patient with plaque psoriasis and congestive heart failure living 100km away from the hospital, what is the best treatment option?
In an adult female with skin-colored papules with induration on the face, trunk, and thighs (scleromyxedema), what would be the most appropriate treatment option?
In an adult female with skin-colored papules with induration on the face, trunk, and thighs (scleromyxedema), what would be the most appropriate treatment option?
In a patient with known renal failure and generalized itchy hyperpigmented lesions resembling atrophic lichen planus, what would be the most appropriate treatment?
In a patient with known renal failure and generalized itchy hyperpigmented lesions resembling atrophic lichen planus, what would be the most appropriate treatment?
Which treatment modality is most suitable for a patient with papulosquamous diseases and no insurance coverage?
Which treatment modality is most suitable for a patient with papulosquamous diseases and no insurance coverage?
In a patient with eruptive skin papules on the trunk and chest with a thread-like border, which condition should be considered?
In a patient with eruptive skin papules on the trunk and chest with a thread-like border, which condition should be considered?
In a patient with tiny skin colored papules on the hand resembling lichen nitidus, what is the commonest other site for this presentation?
In a patient with tiny skin colored papules on the hand resembling lichen nitidus, what is the commonest other site for this presentation?
What is the most common site for dark brown multiple annular plaques in a patient?
What is the most common site for dark brown multiple annular plaques in a patient?
If a patient on NBUVB (narrowband UVB) therapy stops the session for 1 week, what is the recommended next step?
If a patient on NBUVB (narrowband UVB) therapy stops the session for 1 week, what is the recommended next step?
In a patient with rheumatoid arthritis who developed asymptomatic nodules on the elbow and knee, which drug is most likely responsible?
In a patient with rheumatoid arthritis who developed asymptomatic nodules on the elbow and knee, which drug is most likely responsible?
What is the most appropriate treatment for a patient with palmoplantar hyperkeratosis, hypopigmented lesions, and scaly erythematous papules?
What is the most appropriate treatment for a patient with palmoplantar hyperkeratosis, hypopigmented lesions, and scaly erythematous papules?
In a female child with asymptomatic erythematous plaques covering more than 50% of the body surface area and no back pain, what is the recommended treatment for psoriasis?
In a female child with asymptomatic erythematous plaques covering more than 50% of the body surface area and no back pain, what is the recommended treatment for psoriasis?
What is the best treatment option for a patient with plaque psoriasis and congestive heart failure living 100km away from the hospital?
What is the best treatment option for a patient with plaque psoriasis and congestive heart failure living 100km away from the hospital?
What would be the most appropriate treatment for a 35-year-old adult female with skin-colored papules, induration on the face, trunk, and thighs (scleromyxodema), and no IVIG administration?
What would be the most appropriate treatment for a 35-year-old adult female with skin-colored papules, induration on the face, trunk, and thighs (scleromyxodema), and no IVIG administration?
In a patient taking biologic treatment for 4 years with improvement, then presenting with scaly erythematous plaque and normal breast cancer investigations, what is the recommended next step?
In a patient taking biologic treatment for 4 years with improvement, then presenting with scaly erythematous plaque and normal breast cancer investigations, what is the recommended next step?
What is the HLA marker of the disease associated with small tiny papules on the knee and wrist?
What is the HLA marker of the disease associated with small tiny papules on the knee and wrist?
What type of keratin is associated with PPK trans gradient?
What type of keratin is associated with PPK trans gradient?
In a patient with localized scales in the scalp beside the ear, with no hair loss and erythema, what is the most likely diagnosis?
In a patient with localized scales in the scalp beside the ear, with no hair loss and erythema, what is the most likely diagnosis?
What is the histopathology typically seen in lichen planus of the nail?
What is the histopathology typically seen in lichen planus of the nail?
In a patient taking biologic treatment who presents with bloody stool, which type of biologic treatment could be responsible for causing this symptom?
In a patient taking biologic treatment who presents with bloody stool, which type of biologic treatment could be responsible for causing this symptom?
In a patient with renal transplantation who develops a maculopapular rash all over the body after 1 year, which virus is most likely responsible?
In a patient with renal transplantation who develops a maculopapular rash all over the body after 1 year, which virus is most likely responsible?
Which epidermal differentiated keratinocytes are typically associated with K1,10?
Which epidermal differentiated keratinocytes are typically associated with K1,10?
What is the appropriate treatment for a patient with known renal failure and generalized itching, hyperpigmentation?
What is the appropriate treatment for a patient with known renal failure and generalized itching, hyperpigmentation?
In a patient with plaque psoriasis controlled on infliximab then becomes uncontrolled on infliximab, what is the next step (secondary failure)?
In a patient with plaque psoriasis controlled on infliximab then becomes uncontrolled on infliximab, what is the next step (secondary failure)?
In a psoriatic patient taking biologic treatment and presenting with bloody stool, which type of biologic treatment could be responsible for causing this symptom?
In a psoriatic patient taking biologic treatment and presenting with bloody stool, which type of biologic treatment could be responsible for causing this symptom?
In a female patient on certolizumab who becomes pregnant, what is the recommended action?
In a female patient on certolizumab who becomes pregnant, what is the recommended action?
Which treatment modality is most appropriate for the management of a patient with asymptomatic nodules on the elbow and knee caused by rheumatoid arthritis?
Which treatment modality is most appropriate for the management of a patient with asymptomatic nodules on the elbow and knee caused by rheumatoid arthritis?
If a patient with rheumatoid arthritis develops asymptomatic nodules on the elbow and knee, which drug is most likely responsible?
If a patient with rheumatoid arthritis develops asymptomatic nodules on the elbow and knee, which drug is most likely responsible?
In a patient with dark brown multiple annular plaques, what is the most common site for this presentation?
In a patient with dark brown multiple annular plaques, what is the most common site for this presentation?
What is the next step if a patient on NBUVB (narrowband UVB) therapy stops the session for 1 week?
What is the next step if a patient on NBUVB (narrowband UVB) therapy stops the session for 1 week?
A patient with rheumatoid arthritis developed asymptomatic nodules on the elbow and knee. What is the causative drug?
A patient with rheumatoid arthritis developed asymptomatic nodules on the elbow and knee. What is the causative drug?
What would be the most appropriate treatment for a child with psoriasis?
What would be the most appropriate treatment for a child with psoriasis?
In a patient with lesions (mostly psoriasis) and without insurance coverage, which treatment modality would be most suitable?
In a patient with lesions (mostly psoriasis) and without insurance coverage, which treatment modality would be most suitable?
What is the commonest other site for tiny skin colored papules as lichen nitidus, apart from the hand?
What is the commonest other site for tiny skin colored papules as lichen nitidus, apart from the hand?
If a patient with papulosquamous diseases stopped NBUVB therapy for 1 week, what is the recommended next step?
If a patient with papulosquamous diseases stopped NBUVB therapy for 1 week, what is the recommended next step?
In a patient with hypertension and lichenoid drug eruptions, what is the causative drug?
In a patient with hypertension and lichenoid drug eruptions, what is the causative drug?
A patient with rheumatoid arthritis developed asymptomatic nodules on the elbow and knee. What would be the most effective treatment?
A patient with rheumatoid arthritis developed asymptomatic nodules on the elbow and knee. What would be the most effective treatment?
What is the causative drug commonly associated with the development of asymptomatic nodules in a patient with rheumatoid arthritis?
What is the causative drug commonly associated with the development of asymptomatic nodules in a patient with rheumatoid arthritis?
Which investigation is indicated for an old male patient with MF histopathology showing Partueir microabscess and CT scan with LN enlargement?
Which investigation is indicated for an old male patient with MF histopathology showing Partueir microabscess and CT scan with LN enlargement?
What is the FDA approved drug for a case scenario of MF cd 30 positive?
What is the FDA approved drug for a case scenario of MF cd 30 positive?
In a patient with asymptomatic erythematous plaques covering more than 50% of the body surface area and no back pain, what is the recommended treatment for psoriasis?
In a patient with asymptomatic erythematous plaques covering more than 50% of the body surface area and no back pain, what is the recommended treatment for psoriasis?
For an adult female with skin-colored papules with induration on the face, trunk, and thighs (scleromyxedema), what would be the treatment option?
For an adult female with skin-colored papules with induration on the face, trunk, and thighs (scleromyxedema), what would be the treatment option?
In a patient with eruptive skin papules on the trunk and chest with thread-like border (porokeratosis or seborrheic keratosis), what condition should be considered?
In a patient with eruptive skin papules on the trunk and chest with thread-like border (porokeratosis or seborrheic keratosis), what condition should be considered?
What is the characteristic histopathology of porokeratosis of Mabili?
What is the characteristic histopathology of porokeratosis of Mabili?
Which type of keratin is associated with PPK (palmoplantar keratoderma)?
Which type of keratin is associated with PPK (palmoplantar keratoderma)?
In the picture of nail psoriasis, what type of associated disease is indicated?
In the picture of nail psoriasis, what type of associated disease is indicated?
In the case of a female patient taking biologic treatment for 4 years with improvement, then presenting with scaly erythematous plaque and normal breast cancer investigations, what is the recommended next step?
In the case of a female patient taking biologic treatment for 4 years with improvement, then presenting with scaly erythematous plaque and normal breast cancer investigations, what is the recommended next step?
If a patient taking biologic treatment experiences bloody stool, which type of biologic treatment could be responsible?
If a patient taking biologic treatment experiences bloody stool, which type of biologic treatment could be responsible?
In a patient with renal transplantation who develops a maculopapular rash all over the body, which virus is most likely involved?
In a patient with renal transplantation who develops a maculopapular rash all over the body, which virus is most likely involved?
In a patient with lichen planus involving the nails, what is the typical histopathology?
In a patient with lichen planus involving the nails, what is the typical histopathology?
In a patient with periumbilical umbilicated papules resembling molluscum and presenting with weight loss and CD4 count less than 200, what investigation is indicated?
In a patient with periumbilical umbilicated papules resembling molluscum and presenting with weight loss and CD4 count less than 200, what investigation is indicated?
What is the most effective treatment of plaque psoriasis in a 34-year-old patient?
What is the most effective treatment of plaque psoriasis in a 34-year-old patient?
In a case of localized scales in the scalp beside the ear with no hair loss and erythema, what is the most likely diagnosis?
In a case of localized scales in the scalp beside the ear with no hair loss and erythema, what is the most likely diagnosis?
(LP) Lichen planus case histopathology is characterized by:
(LP) Lichen planus case histopathology is characterized by:
For patients with GVHD (chronic type), what biologic treatment is recommended?
For patients with GVHD (chronic type), what biologic treatment is recommended?
What epidermal differentiated keratinocytes are typically associated with K1,10?
What epidermal differentiated keratinocytes are typically associated with K1,10?