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DERMATOLOGY-IM, :recycle:S/E of benzoyl peroxide: can cause…
DERMATOLOGY-IM
COMMON SKIN DISORDERS
ACNE ROSACEA--chứng đỏ mặt 
- đỏ bửng da/ ngứa+ dãn mạch
---->Erythemato-telangiectatic
- bóng nước+ mụn mũ trung tâm mặt nhưng + dỏ ửng....+ nhưng ko có condom
- Papulopustular
dtri:
- tránh yt khởi phát ( rượu,đồ cay)
- sun prtotection
-Papulopustular : metronidazole
- Erythemato-telangiectatic: lasse+ brimonidine co mạch)
SEBACEOUS HYPERPLASIA
- small pale/yellow papules at the central face.
- stable in size and appearance
- Noticeable growth suggest other possibilities
SEBORRHEIC KERATOSIS-- dày sừng tuyến bã
- advancing age
- asymptomatic
- face and trunk( ko ở tay chân)
LS
- waxy, "stuck on," warty, and well-circumscribed appearance
-
ACNE VULGARIS
inflammatory acnes
- bóng nước<5mm, mụn mủ,hồng ban
dtri:
- nhe: retinoid+ benzoyl peroxide
- TB : thêm KS BÔi ( Erythrom..,clindamy....
- Nặng: ks uống
nodular cystic ance
- nhe: retinoid+ benzoyl peroxide + ks bôi
- TB: thêm ks uống
- nặng/ ko đáp ứng: oral Isotretinoin
comedonal acne
- đóng và mở comdeone ở đầu, mũi, cằm
-
-
COMMON NEONATAL RASHES
ban HSV
- bóng nước trùm mắt- niem
- NT tk trung ương
-
vericella
- sốt+ bóng nước nhiểu tuổi
-
ERYTHEMA TOXICUM NEONATORUM
- hồng ban -dát- mụn-- ko triêu chung khắp cơ thể
-
staphylococall sacled skin syndrome
-
-
CONTACT DERMATITIS
allergic
- type 4
- cây cối( ...ivy,oak)
- latex/rubber
- thuốc
LS
- da, hồng ban, bong1 nước, lichen
Most pts respond to low to mid potency topical corticosteroids and elimination of exposure to allergen
irritant
- physical/ hóa chất
- soap/ hóa chât/kiềm/acid
ls : thưởng ở tay: hồng ban/ khe nứt
- non-immunologically mediated
- protective barrier
VASCULAR TUMORS OF SKIN
CHERRY ANGIOMA OR SENILE HEMANGIOMA
- adults
- Always cutaneous and not found in mucosa and deep tissues
STRAWBERRY (SUPERFICIAL INFANTILE) HEMANGIOMA
- trẻ em
- initially grow rapidly during 1-2 yrs and then frequently regress spontaneously by age 5-8
-Can occur in deep tissues and viscera e.g. liver
- beta blockers for pts with risk of complications
-
-
-
ECZEMA/ATOPIC DERMATITIS
- liên quan tới eczema/allergic/asthma
- trẻ: itchy, red,scaly,crusted lesion + on extensor+ cằm. má. da dầu
- lớn: lichhen hoa ở phần dũi
-
URTICARIA
- tự lành sau 24 h
- Ig E
- cấp<6 w man>6 W
-
:recycle:S/E of benzoyl peroxide: can cause photosensitivity reaction but less severe than tetracyclines.
Common S/E are irritation, contact dermatitis, dryness, erythema, peeling and stinging
:recycle:STEROID-INDUCED ACNE OR STEROID INDUCED FOLLICULITIS -->Characterized by monomorphous pink papules on face, trunk and extremities and absence of
comedones