Skin Conditions: Eczema and Psoriasis
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Questions and Answers

What is spongiosis?

  • Intercellular edema of the epidermis (correct)
  • Retention of nucleated keratinocytes
  • Elongation of the epidermis
  • Loss of keratin attachment
  • Which condition is primarily associated with hyperkeratosis?

  • Eczema
  • Urticaria
  • Contact dermatitis
  • Psoriasis (correct)
  • What characterizes parakeratosis?

  • Loss of desmosomal attachment
  • Intercellular edema
  • Acanthosis
  • Retention of nucleated keratinocytes (correct)
  • What is the most likely diagnosis for a 22-year-old female with spongiosis and itchy skin?

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

    Which histological finding is most characteristic of psoriasis?

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

    How is spongiosis typically identified in skin pathology?

    <p>Fluid accumulation between keratinocytes</p> Signup and view all the answers

    Which of the following is NOT associated with parakeratosis?

    <p>Loss of intercellular cohesion</p> Signup and view all the answers

    What condition is described as having red, itchy patches with a history of allergic reactions?

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

    What are the features of hyperkeratosis?

    <p>Thickening of the stratum corneum</p> Signup and view all the answers

    Which of the following conditions is characterized by intercellular edema?

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

    What histological feature is indicative of squamous cell carcinoma in the context of sun exposure?

    <p>Keratin pearls</p> Signup and view all the answers

    Which skin condition can be triggered by herpes simplex infection and presents as target lesions?

    <p>Erythema multiforme</p> Signup and view all the answers

    In a histological examination revealing a dense infiltrate of plasma cells, what is the most likely condition?

    <p>Plasma cell dyscrasia</p> Signup and view all the answers

    The loss of attachment between keratinocytes, as observed in certain skin diseases, is referred to as what?

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

    What underlying mechanism is associated with spongiosis observed in a patient with pruritic plaques?

    <p>Type 4 hypersensitivity</p> Signup and view all the answers

    Which of the following conditions is commonly linked to actinic damage due to sun exposure?

    <p>Squamous cell carcinoma</p> Signup and view all the answers

    What is a classic characteristic of erythema multiforme?

    <p>Target lesions</p> Signup and view all the answers

    Which histological finding is most consistent with a diagnosis of plasma cell dyscrasia?

    <p>Dense plasma cell infiltrate</p> Signup and view all the answers

    What term describes the process where keratinocytes lose their connections, which is often seen in pemphigus vulgaris?

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

    Which hypersensitivity type is responsible for causing spongiosis in allergic contact dermatitis?

    <p>Type 4 hypersensitivity</p> Signup and view all the answers

    Study Notes

    Spongiosis

    • Intercellular edema of the epidermis
    • It's a hallmark of eczema, leading to fluid accumulation between cells
    • Associated with the formation of intercellular spaces

    Hyperkeratosis

    • Thickening of the stratum corneum
    • Common in psoriasis due to increased keratin production

    Parakeratosis

    • Retention of nucleated keratinocytes
    • Indicates inadequate maturation of keratinocytes
    • Commonly observed in psoriasis

    Eczema

    • Associated with spongiosis
    • Often linked to allergic contact dermatitis
    • Leads to itchy, inflamed skin

    Psoriasis

    • Characterized by hyperkeratosis and parakeratosis
    • Increased keratin production
    • Retention of nuclei in keratinocytes

    Acantholysis

    • Loss of desmosomal attachment between keratinocytes
    • It is not a characteristic finding in psoriasis

    Hypergranulosis

    • Thickening of the granular layer of the epidermis
    • It is not a specific feature of psoriasis

    Squamous Cell Carcinoma

    • Keratin pearls are a hallmark of squamous cell carcinoma
    • Squamous cell carcinoma is often linked to sun exposure and actinic damage.

    Erythema Multiforme

    • Erythema multiforme is commonly triggered by infections, with Herpes Simplex Virus (HSV) a frequent culprit
    • Target lesions on the skin are characteristic of erythema multiforme

    Plasma Cell Dyscrasia

    • A dense infiltrate of plasma cells in a lesion is strongly suggestive of a systemic condition like multiple myeloma or other plasma cell disorders

    Acantholysis

    • Acantholysis refers to the loss of cell-to-cell connections between keratinocytes
    • Acantholysis is a feature of conditions like pemphigus vulgaris

    Type 4 Hypersensitivity

    • Spongiosis in skin histology is associated with Type 4 hypersensitivity
    • Eczematous dermatitis, such as allergic contact dermatitis, is driven by delayed-type hypersensitivity reactions (Type 4)

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    Description

    Test your knowledge about common skin conditions such as eczema and psoriasis. This quiz covers key features including spongiosis, hyperkeratosis, parakeratosis, and more. Gain insights into the characteristics and differences between these dermatological issues.

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