Podcast
Questions and Answers
What characterizes a fissure skin lesion?
What characterizes a fissure skin lesion?
- Heaped-up, keratinized cells with flaky skin (correct)
- Small blisters filled with clear fluid
- Rough, red patches frequently oozing
- Thickened epidermis from chronic irritation
Which condition is often characterized by lichenification?
Which condition is often characterized by lichenification?
- Psoriasis
- Contact dermatitis
- Chronic dermatitis (correct)
- Eczema
What role do Langerhans cells play in the epidermis?
What role do Langerhans cells play in the epidermis?
- They transmit immune signals from the epidermal surface. (correct)
- They facilitate the healing of eczema.
- They act as the primary barrier against pathogens.
- They produce keratin for skin protection.
Which of the following is NOT typically a feature of inflammatory skin disorders?
Which of the following is NOT typically a feature of inflammatory skin disorders?
What can modify the function of Langerhans cells in disease states?
What can modify the function of Langerhans cells in disease states?
Which type of primary skin lesion is characterized by a small, flat spot without elevation?
Which type of primary skin lesion is characterized by a small, flat spot without elevation?
What type of secondary skin lesion is formed from a loss of skin surface resulting in a shallow defect?
What type of secondary skin lesion is formed from a loss of skin surface resulting in a shallow defect?
Which of the following is a primary skin lesion that appears as a circumscribed, raised area often filled with fluid?
Which of the following is a primary skin lesion that appears as a circumscribed, raised area often filled with fluid?
Which secondary lesion is characterized by an abnormal thickening of the skin?
Which secondary lesion is characterized by an abnormal thickening of the skin?
What describes a primary skin lesion that has elevated, irregular shapes and is transient in nature?
What describes a primary skin lesion that has elevated, irregular shapes and is transient in nature?
What is the primary infectious cause of folliculitis?
What is the primary infectious cause of folliculitis?
Which type of secondary skin lesion involves a rough surface due to the accumulation of dead skin cells?
Which type of secondary skin lesion involves a rough surface due to the accumulation of dead skin cells?
Which primary lesion is defined as a raised, palpable lesion with a diameter greater than 1 cm?
Which primary lesion is defined as a raised, palpable lesion with a diameter greater than 1 cm?
What type of lesions are typically seen in folliculitis?
What type of lesions are typically seen in folliculitis?
Which of the following is NOT a non-infectious cause of folliculitis?
Which of the following is NOT a non-infectious cause of folliculitis?
What type of primary skin lesion is characterized by a large, flat area larger than 1 cm in size?
What type of primary skin lesion is characterized by a large, flat area larger than 1 cm in size?
What factor contributes to the inflammation seen in folliculitis?
What factor contributes to the inflammation seen in folliculitis?
Where are lesions most prominently found in cases of folliculitis?
Where are lesions most prominently found in cases of folliculitis?
Which treatment is effective for managing folliculitis?
Which treatment is effective for managing folliculitis?
Which of the following factors is associated with the development of folliculitis?
Which of the following factors is associated with the development of folliculitis?
Which condition shares similar clinical manifestations with folliculitis?
Which condition shares similar clinical manifestations with folliculitis?
Which of the following conditions are associated with papulosquamous disorders?
Which of the following conditions are associated with papulosquamous disorders?
What is a primary characteristic of plaque psoriasis?
What is a primary characteristic of plaque psoriasis?
Which body parts are commonly affected by plaque psoriasis?
Which body parts are commonly affected by plaque psoriasis?
What mechanism contributes to the development of psoriasis?
What mechanism contributes to the development of psoriasis?
Which of the following is NOT classified under papulosquamous disorders?
Which of the following is NOT classified under papulosquamous disorders?
Which factor is suspected to trigger the psoriatic response?
Which factor is suspected to trigger the psoriatic response?
What is a common feature of psoriatic nails?
What is a common feature of psoriatic nails?
Which of the following best describes the appearance of psoriasis on the skin?
Which of the following best describes the appearance of psoriasis on the skin?
What are dermatophytes primarily associated with?
What are dermatophytes primarily associated with?
Which of the following best describes C.albicans?
Which of the following best describes C.albicans?
Which of the following skin conditions has a high risk of developing into squamous cell carcinoma?
Which of the following skin conditions has a high risk of developing into squamous cell carcinoma?
What is Bowen's disease also known as?
What is Bowen's disease also known as?
What is the primary characteristic of benign skin tumors like actinic keratosis?
What is the primary characteristic of benign skin tumors like actinic keratosis?
What primarily causes the superficial lesions associated with dermatophyte infections?
What primarily causes the superficial lesions associated with dermatophyte infections?
What is a clinical manifestation of candidiasis?
What is a clinical manifestation of candidiasis?
What role does ultraviolet radiation play in skin health?
What role does ultraviolet radiation play in skin health?
What is a characteristic feature of a papule?
What is a characteristic feature of a papule?
What is the size limit for a macule?
What is the size limit for a macule?
Which primary skin lesion is characterized as an elevated, firm, circumscribed area less than 1 cm in diameter?
Which primary skin lesion is characterized as an elevated, firm, circumscribed area less than 1 cm in diameter?
Which primary skin lesion resembles a papule but is larger and deeper?
Which primary skin lesion resembles a papule but is larger and deeper?
What defines a vesicle in terms of size and content?
What defines a vesicle in terms of size and content?
Which option is the best description for a tumor in relation to primary skin lesions?
Which option is the best description for a tumor in relation to primary skin lesions?
What distinguishes a wheal from other skin lesions?
What distinguishes a wheal from other skin lesions?
Which of the following characteristics does NOT apply to a nodule?
Which of the following characteristics does NOT apply to a nodule?
What is the primary function of the integumentary system?
What is the primary function of the integumentary system?
What constitutes the main component of skin, hair, and nails?
What constitutes the main component of skin, hair, and nails?
Which cell type in the epidermis is responsible for absorbing ultraviolet light?
Which cell type in the epidermis is responsible for absorbing ultraviolet light?
What is the most significant role of Langerhans cells in the integumentary system?
What is the most significant role of Langerhans cells in the integumentary system?
Which layer of the skin is primarily composed of connective tissue?
Which layer of the skin is primarily composed of connective tissue?
What percentage of the body's weight does the skin account for?
What percentage of the body's weight does the skin account for?
Which of the following best describes the skin microbiome?
Which of the following best describes the skin microbiome?
What vitamin is produced in the skin as a response to sunlight?
What vitamin is produced in the skin as a response to sunlight?
What type of dermatitis is characterized by skin inflammation and identified by pruritus and lesions with indistinct borders?
What type of dermatitis is characterized by skin inflammation and identified by pruritus and lesions with indistinct borders?
Which hypersensitivity reaction is mediated by IgE and known as allergy?
Which hypersensitivity reaction is mediated by IgE and known as allergy?
Which secondary skin lesion is characterized by the formation of a thickened area of skin due to the accumulation of dead skin cells?
Which secondary skin lesion is characterized by the formation of a thickened area of skin due to the accumulation of dead skin cells?
What is the primary characteristic of the subcutaneous layer of the skin?
What is the primary characteristic of the subcutaneous layer of the skin?
Which type of eczema is categorized as a Type IV hypersensitivity reaction?
Which type of eczema is categorized as a Type IV hypersensitivity reaction?
Which of the following does NOT typically represent a secondary skin lesion?
Which of the following does NOT typically represent a secondary skin lesion?
Which skin layer is primarily responsible for the presence of fibroblasts and mast cells?
Which skin layer is primarily responsible for the presence of fibroblasts and mast cells?
What is a common manifestation of dermatitis?
What is a common manifestation of dermatitis?
What type of ultraviolet radiation is primarily responsible for causing sunburn?
What type of ultraviolet radiation is primarily responsible for causing sunburn?
Which type of skin cancer is classified as melanoma?
Which type of skin cancer is classified as melanoma?
What is the primary role of vitamin D in the body?
What is the primary role of vitamin D in the body?
Which wavelength of UV light is responsible for converting 7-dehydrocholesterol into previtamin D3?
Which wavelength of UV light is responsible for converting 7-dehydrocholesterol into previtamin D3?
How is the biologically active form of vitamin D, 1,25-dihydroxyvitamin D, produced?
How is the biologically active form of vitamin D, 1,25-dihydroxyvitamin D, produced?
What potentially harmful effect does excessive exposure to UV radiation pose?
What potentially harmful effect does excessive exposure to UV radiation pose?
Which of the following statements about vitamin D is true?
Which of the following statements about vitamin D is true?
What happens to 25-hydroxyvitamin D as it circulates in the body?
What happens to 25-hydroxyvitamin D as it circulates in the body?
What is the primary immune mechanism involved in atopic dermatitis?
What is the primary immune mechanism involved in atopic dermatitis?
Which of the following is commonly associated with allergic contact dermatitis?
Which of the following is commonly associated with allergic contact dermatitis?
What characterizes the lesions commonly seen in psoriasis?
What characterizes the lesions commonly seen in psoriasis?
Which cytokines are notably involved in the activation of T cells in psoriasis?
Which cytokines are notably involved in the activation of T cells in psoriasis?
What clinical manifestation is commonly observed in urticaria due to a type I hypersensitivity reaction?
What clinical manifestation is commonly observed in urticaria due to a type I hypersensitivity reaction?
In which demographic is atopic dermatitis most frequently observed?
In which demographic is atopic dermatitis most frequently observed?
What distinguishes allergic contact dermatitis from atopic dermatitis?
What distinguishes allergic contact dermatitis from atopic dermatitis?
Which of the following correctly describes a feature of papulosquamous disorders?
Which of the following correctly describes a feature of papulosquamous disorders?
Which mechanism contributes to the thickening of the skin in psoriasis?
Which mechanism contributes to the thickening of the skin in psoriasis?
Which of the following conditions is typically associated with asthma and allergic rhinitis?
Which of the following conditions is typically associated with asthma and allergic rhinitis?
What is the most common type of skin cancer?
What is the most common type of skin cancer?
Which factor is primarily responsible for the increase in nonmelanoma skin cancer rates?
Which factor is primarily responsible for the increase in nonmelanoma skin cancer rates?
How do basal cell carcinomas typically grow?
How do basal cell carcinomas typically grow?
What is a characteristic feature of squamous cell carcinoma compared to basal cell carcinoma?
What is a characteristic feature of squamous cell carcinoma compared to basal cell carcinoma?
What role do mutations in p53 tumor suppressor genes play in skin cancer?
What role do mutations in p53 tumor suppressor genes play in skin cancer?
Which skin cancer has the lowest mortality rate?
Which skin cancer has the lowest mortality rate?
What distinguishes melanoma in terms of its cellular origin?
What distinguishes melanoma in terms of its cellular origin?
What is a typical appearance of basal cell carcinoma lesions?
What is a typical appearance of basal cell carcinoma lesions?
Which stage of melanoma indicates that it has not penetrated beyond the epidermis?
Which stage of melanoma indicates that it has not penetrated beyond the epidermis?
What symptom is commonly associated with suspicious nevi leading to melanoma?
What symptom is commonly associated with suspicious nevi leading to melanoma?
What is the primary cause of acne vulgaris?
What is the primary cause of acne vulgaris?
Which viral infection is characterized by an itchy, blistering rash lasting about 5-10 days?
Which viral infection is characterized by an itchy, blistering rash lasting about 5-10 days?
What is the mechanism behind Herpes Zoster (Shingles) occurring years after chickenpox?
What is the mechanism behind Herpes Zoster (Shingles) occurring years after chickenpox?
Which bacterium is most commonly associated with folliculitis?
Which bacterium is most commonly associated with folliculitis?
What are the classic symptoms of cellulitis?
What are the classic symptoms of cellulitis?
What skin infection is known for producing a honey-colored crust?
What skin infection is known for producing a honey-colored crust?
Which type of tinea infection specifically affects the feet and is commonly known as 'Athlete’s foot'?
Which type of tinea infection specifically affects the feet and is commonly known as 'Athlete’s foot'?
What is the primary risk factor associated with developing cellulitis?
What is the primary risk factor associated with developing cellulitis?
What is the main type of fungal infection that dermatophytes cause?
What is the main type of fungal infection that dermatophytes cause?
Which ultraviolet radiation type is primarily responsible for the carcinogenic effects on skin cells?
Which ultraviolet radiation type is primarily responsible for the carcinogenic effects on skin cells?
What is the primary effect of ultraviolet light that penetrates the Earth's surface?
What is the primary effect of ultraviolet light that penetrates the Earth's surface?
What condition is characterized by active, vesicular eruptions followed by crusting?
What condition is characterized by active, vesicular eruptions followed by crusting?
Which type of dermatophyte infection involves hair loss and is commonly referred to as 'ringworm of the scalp'?
Which type of dermatophyte infection involves hair loss and is commonly referred to as 'ringworm of the scalp'?
What is the main function of Candida albicans in immunocompromised individuals?
What is the main function of Candida albicans in immunocompromised individuals?
Flashcards
Macule
Macule
A flat, circumscribed area that is a change in the color of the skin; less than 1 cm in diameter.
Papule
Papule
Elevated, firm, rough lesion with flat top surface, > 1mm in diameter.
Vesicle
Vesicle
Elevated, circumscribed, superficial; does not extend into dermis; filled with serous fluid; less than 1 cm in diameter.
Papule
Papule
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Nodule
Nodule
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Nodule
Nodule
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Tumor
Tumor
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Nodule
Nodule
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Wheal
Wheal
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Atrophy
Atrophy
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Lichenification
Lichenification
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Fissure
Fissure
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Langerhans Cells
Langerhans Cells
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Contact Dermatitis
Contact Dermatitis
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Atopic Dermatitis
Atopic Dermatitis
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What is folliculitis?
What is folliculitis?
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What is S. aureus?
What is S. aureus?
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What is a furuncle?
What is a furuncle?
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What is cellulitis?
What is cellulitis?
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What is impetigo?
What is impetigo?
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What is chickenpox?
What is chickenpox?
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What is shingles?
What is shingles?
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What is the Human Papilloma Virus (HPV)?
What is the Human Papilloma Virus (HPV)?
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Papulosquamous Disorders
Papulosquamous Disorders
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Plaque Psoriasis
Plaque Psoriasis
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Keratinocyte Hyperproliferation
Keratinocyte Hyperproliferation
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Rapid Epidermal Turnover
Rapid Epidermal Turnover
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Antigenic Triggers in Psoriasis
Antigenic Triggers in Psoriasis
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DC Migration in Psoriasis
DC Migration in Psoriasis
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Common Locations for Psoriasis
Common Locations for Psoriasis
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Psoriatic Nail Dystrophy
Psoriatic Nail Dystrophy
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Tinea infections
Tinea infections
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Dermatophytes
Dermatophytes
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Candidiasis
Candidiasis
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Actinic keratosis
Actinic keratosis
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Nevus (mole)
Nevus (mole)
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Basal cell carcinoma
Basal cell carcinoma
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Squamous cell carcinoma
Squamous cell carcinoma
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Melanoma
Melanoma
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What is skin?
What is skin?
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What is the epidermis?
What is the epidermis?
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What is the dermis?
What is the dermis?
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What is the subcutaneous layer?
What is the subcutaneous layer?
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What is keratin?
What is keratin?
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What is melanin?
What is melanin?
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What are Langerhans cells?
What are Langerhans cells?
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What are Merkel cells?
What are Merkel cells?
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Reticulin
Reticulin
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Subcutaneous Layer
Subcutaneous Layer
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Dermatitis (Eczema)
Dermatitis (Eczema)
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Allergic Contact Dermatitis
Allergic Contact Dermatitis
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Hypersensitivity Reaction
Hypersensitivity Reaction
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Type I Hypersensitivity (Allergy)
Type I Hypersensitivity (Allergy)
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Type II Hypersensitivity
Type II Hypersensitivity
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Type III Hypersensitivity
Type III Hypersensitivity
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What is atopic dermatitis?
What is atopic dermatitis?
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What is allergic contact dermatitis?
What is allergic contact dermatitis?
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What are urticaria (hives)?
What are urticaria (hives)?
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What are papulosquamous disorders?
What are papulosquamous disorders?
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What is psoriasis?
What is psoriasis?
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What is plaque psoriasis?
What is plaque psoriasis?
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What is keratinocyte hyperproliferation?
What is keratinocyte hyperproliferation?
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What is rapid epidermal turnover?
What is rapid epidermal turnover?
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What are antigenic triggers in psoriasis?
What are antigenic triggers in psoriasis?
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What is DC migration in psoriasis?
What is DC migration in psoriasis?
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UVA radiation
UVA radiation
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UVB radiation
UVB radiation
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Vitamin D
Vitamin D
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Vitamin D synthesis
Vitamin D synthesis
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1,25-dihydroxyvitamin D (1,25[OH2]D)
1,25-dihydroxyvitamin D (1,25[OH2]D)
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UV Radiation and Skin Cancer
UV Radiation and Skin Cancer
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Fitzpatrick Skin Types
Fitzpatrick Skin Types
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What is Basal Cell Carcinoma (BCC)?
What is Basal Cell Carcinoma (BCC)?
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What is Squamous Cell Carcinoma (SCC)?
What is Squamous Cell Carcinoma (SCC)?
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What is the ABCD Rule?
What is the ABCD Rule?
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p53 Tumor Suppressor Gene in BCC
p53 Tumor Suppressor Gene in BCC
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p53 Tumor Suppressor Gene in SCC
p53 Tumor Suppressor Gene in SCC
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Mutations and Melanoma
Mutations and Melanoma
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Cutibacterium acnes shift
Cutibacterium acnes shift
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Folliculitis
Folliculitis
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Cellulitis
Cellulitis
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Impetigo
Impetigo
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Chicken pox
Chicken pox
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Shingles
Shingles
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Dendritic cell migration in psoriasis
Dendritic cell migration in psoriasis
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Study Notes
Integumentary System Overview
- The integumentary system comprises skin and accessory structures.
- Skin accounts for roughly 20% of the body's weight.
- It's the largest organ of the body.
- Primary functions include protection from microorganisms, UV radiation, fluid loss, and mechanical stress.
- The skin microbiome is important for defense against pathogens.
- Thermo-regulation of the body.
- Involved in vitamin D synthesis
- Touch and pressure receptors are present
- Key accessory structures include hair, nails, and glands.
Epidermis Layers
- Stratum corneum
- Stratum lucidum
- Stratum granulosum
- Stratum spinosum
- Stratum basale
Epidermal Cells
- Keratinocytes: Main component of skin, hair, and nails.
- Melanocytes: Produce melanin (pigment) that protects against UV radiation.
- Langerhans cells: Specialized dendritic immune cells, migrate from bone marrow, present antigens to T cells.
- Merkel cells: Sensory cells involved in touch.
Dermis Composition
- Contains collagen, elastin, and reticulin connective tissue.
- Allows the skin to stretch and contract.
- Houses hair follicles, sebaceous and sweat glands, blood vessels, lymphatic vessels, and nerves.
- Also includes fibroblasts, mast cells, and macrophages for wound healing.
Subcutaneous Layer
- Composed of fat cells (adipocytes).
- Provides insulation, cushioning, and energy storage.
Skin Lesions
- Primary lesions: Initial changes in the skin.
- Macule: Flat, circumscribed area of a change in color.
- Papule: Elevated, firm, circumscribed lesion.
- Plaque: Elevated, firm, rough, and flat-topped lesion.
- Nodule: Elevated, firm, circumscribed lesion, deeper in the skin.
- Vesicle: Elevated, circumscribed lesion filled with serous fluid (clear liquid less than 1cm).
- Wheal: Elevated, irregularly shaped lesion, caused by edema.
- Tumor: Mass of cells that can be benign or malignant.
- Cyst: Encapsulated lesion filled with liquid or semisolid material.
- Secondary lesions: Changes that occur in primary lesions.
- Atrophy: Loss of skin thickness
- Erosion: Loss of epidermis
- Ulcer: Loss of epidermis and dermis
- Lichenification: Thickening & roughening of skin, often due to chronic friction or scratching.
- Scale: Layers of dead skin
- Fissure: Linear crack or break
- Scar: Area of fibrous tissue resulting from skin injury.
- Keloid: Raised, fibrous scar tissue that extends beyond the original wound
- Excoriation: Loss of epidermis through abrasion or scratching.
Inflammatory Skin Disorders
- Dermatitis: General term for skin inflammation
- Atopic ('allergic') Dermatitis: Chronic relapsing skin condition, mediated by IgE.
- Allergic contact dermatitis: Type IV reaction due to allergen interaction with skin.
- Non-allergic contact dermatitis: Non-immune response to irritant contact.
- Stasis Dermatitis: Impaired vascular function
- Seborrheic Dermatitis: Inflammatory skin condition of scalp or other parts of body.
Hypersensitivity Reactions
- Type I: Allergic reactions, mediated by IgE.
- Type II: Tissue-specific reactions, mediated by IgG or IgM antibodies.
- Type III: Immune complex-mediated reactions.
- Type IV: Cell-mediated (delayed) reactions.
Urticaria (Hives)
- Episode of skin lesions (wheals and hives) caused by type I hypersensitivity to allergen.
Other Disorders
- Psoriasis
- Acne vulgaris
- Acne rosacea
- Lupus erythematosus
- Lichen planus
Viral Skin Infections
- Varicella-zoster virus: Causes chicken pox (varicella) and shingles (herpes zoster)
- Herpes simplex virus: Causes cold sores and genital herpes.
Bacterial Skin Infections
- Folliculitis: Infection of hair follicles.
- Cellulitis: Infection of the dermis and subcutaneous tissue.
- Impetigo: Superficial skin infection.
Fungal Skin Infections
- Dermatophytes: Fungi that thrive on keratin
- Tinea infections: Fungal skin infections categorized by location (e.g., Tinea capitis [scalp], Tinea pedis [feet]).
- Candidiasis: Yeast infection of mucous membranes, skin
UV Radiation and Skin Cancer
- Types of UV radiation are UVA, UVB, and UVC.
- UV radiation causes DNA damage which can lead to skin cancer.
- Types of skin cancers include basal cell carcinoma, squamous cell carcinoma, and malignant melanoma.
Vitamin D
- Skin synthesizes vitamin D, a critical fat-soluble hormone, upon exposure to sunlight.
- Crucial for bone health, calcium absorption, and several other bodily processes.
Skin Cancer
- Exposure to UV radiation increases the risk of skin cancer.
- Key risk factors include excessive sun exposure, tanning beds, and certain light sources.
- Common types of skin cancers are basal cell carcinoma, squamous cell carcinoma, and malignant melanoma.
- Early detection is crucial for treatment.
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