Karteikarten

Dermatologia imagenes

L L Medicina Englisch 111 Karten

Karten in diesem Stapel (111)

1—Queliitis
2—Pitirasis alba
3—Eccema dishidrotico
4—Eccema numular
5—Dermatitis seborreica
6—Doble pliegue de Deni Morgan
7—FIGURE 2-12 Atopic dermatitis: infantile Puffy face, confluent erythema, papules, microvesiculation, scaling,
and crusting
8—FIGURE 2-13 Atopic dermatitis: infantile-type Skin of forehead is dry, cracked and scaly. In addition, there
are oozing erosions.
9—FIGURE 2-14 Childhood atopic dermatitis A typical localization of atopic dermatitis in children is the region
around the mouth. In this child there is lichenification and fissuring and crusting
10—FIGURE 2-15 Childhood atopic dermatitis One of the hallmarks of atopic dermatitis is lichenification in the
flexural regions as shown in this picture. Note the thickening of the skin with exaggerated skin lines and erosions.
11—IMAGE 2-1 Predilection sites of atopic dermatitis
12—FIGURE 15-3 Diabetic bulla A large, intact bulla is seen on the pretibial skin on the right lower leg. The
patient had many of the vascular complications of diabetes mellitus, i.e., renal failure, retinopathy, and atherosclerosis
obliterans resulting in amputation of the the left big toe.
13—FIGURE 15-4 Diabetic, neuropathic ulcer on the sole A large ulcer overlying the second left metacarpophalangeal
joint. The patient, a 60-year-old male with diabetes mellitus of 25 years’ duration, has significant
sensory neuropathy of the feet and lower legs as well as peripheral vascular disease, which resulted in the amputation
of the fourth and fifth toes.
14—FIGURE 15-5 Diabetic dermopathy A
crusted erosion at the site of traumatic injury
and many old pink depressed areas and scars
are seen on the anterior leg of a 56-year-old
male with diabetes mellitus. The other leg had
identical findings.
15—FIGURE 15-6 Necrobiosis lipoidica diabeticorum A. A large, symmetric plaque with active tan-pink,
yellow, well-demarcated, raised, firm border and a yellow center in the pretibial region of a 28-year-old diabetic
female. The central parts of the lesion are depressed with atrophic changes of epidermal thinning and telangiectasis
against yellow background. B. Late lesion after healed ulceration. A very extensive plaque of necrobiosis
lipoidica on the lower leg of a diabetic female. Apart from the features of necrobiosis lipoidica there is extensive
scarring and atrophic depressed scars
16—Scleredema diabeticorum
17—Xerosis
18—Surcos de Bea
19—onicolisis distal IRC
20—Dermatosis perforante adquirida IRC
21—Calcinosis cutis IRC
22—MIxedema pretibial
23—Vitiligo
24—FIGURE 23-2 Neurotic excoriations
Several erythematous and
crusted macules and erosions on the
lower cheek and upper lip of a 19-
year-old female with mild facial acne.
No primary lesions are seen. The
patient, who is moderately depressed,
has mild acneiform lesions, which
she compulsively picks with her fingernails.
25—FIGURE 1-4 Acne conglobata In this severe nodulocystic acne, there are large confluent nodules and cysts
forming linear mounds that correspond to interconnecting channels. There is postulation, scarring and lesions are
very painful.
26—FIGURE 1-5 Acne conglobata Inflammatory nodules and cysts have coalesced, forming abscesses and even
leading to ulceration. There are multiple comedones and many recent red scars following resolution of inflammatory
lesions on the upper chest, neck, and arms
27—Acne queloideo
28—acne fulminante
29—Acne neonatal
30—Acne inverso:
Acne conglobate
Hidradenitis supuratova
Foliculitis disecante del cuero cabelludo
Quiste pilonidal
31—Síndrome SAPHO:
Sinovitis
Acné
Pustulosis palmoplantas
Hiperostosis
Osteopatía seronegativa
32—Dermatisis acneiforme
33—Nevus comdoniano
34—Enfermedad de Favre Racouchot
complicación causada por exposición a la luz solar que ocasiona degeneración de la piel, caracterizada por la presencia de múltiples comedones y quistes foliculares que se localizan sobre todo en la región periorbitaria de individuos susceptibles
35—Foliculitis
36—Quistes milium
37—FIGURE 1-6 Erythematous rosacea (stage I) The early stages of rosacea often present by episodic erythema,
“flushing and blushing,” which is followed by persistent erythema, which is due to multiple tiny telangiectasias,
resulting in a red face
38—FIGURE 1-7 Rosacea Moderately severe rosacea in a 29-year-old female with persistent erythema,
telangiectasia, red papules (stage II), and tiny pustules.
39—FIGURE 1-8 Rosacea, stages II-III Telangiectasia, papules and pustules, and some swelling in a 50-year-old
woman. There are no comedones
40—FIGURE 1-9 Papulopustular rosacea (transition of stage II to stage III) In this 65-year-old female, rosacea
involves almost the entire face, sparing only the upper lip and chin. Papules and pustules have coalesced—again
no comedones—and have already led to some swelling of the cheeks, which present “solid” edema
41—Rosacea, transition of stage II
to III Multiple bright red papules and pustules
and some swelling of the right cheek of a 52-
year-old woman. Note that in this case lesions are
clustered, the forehead is free of telangiectasia,
and the lesions are not absolutely symmetric.
42—FIGURE 1-11 Rosacea (stage III) Here the persistent “solid” edema of the nose, forehead, and parts of the
cheeks is the leading symptom. Papules, pustules, and crusted pustules are superimposed on this persistent edema.
The enlarged nose feels rubbery and already represents rhinophyma.
43—FIGURE 1-12 Perioral dermatitis Moderate involvement with early confluence of tiny papules and a few
pustules in a perioral distribution in a young woman. Note typical sparing of the vermilion border (mucocutaneous
junction).
44—FIGURE 1-13 Perioral dermatitis Preferential location
on the chin but also on the lower eyelids in a 64-yearold
woman. At this age, differential diagnosis includes
rosacea, but it would be unusual for rosacea to involve
the perioral region and eyelids but sparing the cheeks
and nose.
45—FIGURE 1-15 Hidradenitis suppurativa
Many black comedones,
some of which are paired, are a characteristic
finding, associated with deep,
exquisitely painful abscesses and old
scars in the axilla
46—FIGURE 1-16 Hidradenitis suppurativa Multiple bulging and depressed scars puckering the surrounding
skin and draining sinuses in the axilla of a 22-year-old female
47—Hiidradenitis supurativa
48—Dermatitis seborreica
49—Dermatitis seborreica
50—Dermatitis seborreica
51—Dermatitis seborreica
52—Dermatitis seborreica
53—Dermatitis seborreica
54—Dermatitis seborreica
55—IMAGE 7–1 Pityriasis rosea: Distribution “Christmas tree” pattern on the back.
56—Pityriasis rosea A. Overview of exanthem of pityriasis rosea with the herald patch shown in
B. There are papules and small plaques with oval configurations that follow the lines of cleavage. The fine scaling
of the salmon-red papules cannot be seen at this magnification, while the collarette of the herald patch is quite
obvious.
57—B. Herald patch. An erythematous (salmon-red) plaque with a collarette scale on the trailing edge of the
advancing border. Collarette means that scale is attached at periphery and loose toward the center of the lesion
58—Pitiriasis rosada
59—Pitiriasis rosada
60—Psoriasis Vulgaris
61—Eritrodermia psoriásica
62—Impetigo herpetiforme
63—psoriasis pustulosa anular
64—Psoriasis pustulosa exantematica
65—Psoriasis pustulosa sobre lesiones de psoriasis vulgar
66—Pustulosis palmoplantar
67—Pustulosis palmo-plantar
68—Acropustulosis
69—Artritis psoriasica
Compromiso de uñas
70—Artritis psoriasica
71—Dermatopatologia
(lesión evolucionada)
72—MIcroabsceso de munro
73—Pústula espongiforme de Kogoj
74—
75—Halo de Woronoff
76—Artritis
77—Psoriasis
78—Psoriasis
79—Parapsoriasis en Plaque Brocq, Small Focuse Type
lower leg
macula / patch
80—Digitate dermatosis (small-plaque parapsoriasis) A. The lesions are asymptomatic, yellowish
or fawn-colored, very thin, well-defined, slightly scaly patches. They are oval and follow the lines of cleavage
of the skin, giving the appearance of a “hug” that left fingerprints on the trunk. The long axis of these lesions
often reaches more than 5 cm
81—Digitate dermatosis (small-plaque parapsoriasis
B. Close up of smaller lesions showing wrinkling of surface
82—Parapsoriasis
83—Psoriasis
84—Pitiriasis rosada
85—Liquen ruber plano
86—Large-plaque parapsoriasis (parapsoriasis en plaques) A. The lesions are asymptomatic,
well-defined, rounded, slightly scaly, thin plaques or patches. The lesions can be larger than 10 cm and are light
red-brown or salmon-pink. There may be atrophy in some areas. The lesions here are located on the extremities
but they are more commonly noted on the trunk. These lesions must be carefully followed and repeated biopsies
are necessary to detect mycosis fungoides. This entity may be considered as a prestage of mycosis fungoides
87—Parapsoriasis en Plaque Brocq, Large-Plaque Type
elbow flexure
erythema, desquamation
88—Parapsoriasis en Plaque Brocq, Large-Plaque Type
lower arms
erythema, desquamation
89—Parapsoriasis en Plaque Brocq, Large-Plaque Type
upper leg
macula / patch
90—Lichen Planus
ankle joint
papule
Lichen Planus
back of the feet
papule
91—Lichen Planus
tibial
papule
92—Lichen Planus
lower arms
papule
Lichen Planus
lower arms
changes in skin surface*
93—Lichen planus
94—Liquen plano
95—Lichen Planus
mucous membrane of the mouth
plaque
Lichen Planus
mucous membrane of the mouth
leukoplakia
96—Lichen Planus
lower arms
Lichen Planus
back of the hands
97—Estrias de Wickham
98—Estrias de Wickham
99—Zonas de afectacion liquen plano
100—FIGURE 7-5 Hypertrophic lichen planus A. Confluent hyperkeratotic papules and plaques on the dorsum
of the hand of a light-colored man of African descent. Hyperkeratosis covers Wickham striae, and the characteristic
violaceous color of the lesions can be seen only at the very margins.
101—B. Hypertrophic lichen planus on the lower
leg of a 50-year-old man of Arabian descent. Lesions form thick plaques of a dark brown violaceous color and
have a hyperkeratotic surface
102Tipos de angioedema• Idiopático
• Alérgico (IgE mediado)
Angioedema inducido por IECAs
Angioedema hereditario
Adquirido
Angioedema episódico con eosinofilia (Síndrome de Gleich)
• Asociado a enfermedad tiroidea
103Angioedema hereditario TIpos○ Tipo I: deficiencia de inhibidor C1 esterasa
Antecedente de muerte por asfixia
○ Tipo II: disfunción de in C1 estrellas
Tipo III: mutación del gen factor de coagulación XII
104Adquirido Tipos○ Tipo I asociada a enfermedades linfoproliferativas.
Gammopatías monoclonales, preceden hasta muchos tiempo la aparición de enfermedades linfoproliferativos
Tipo II: autoinmune (ac anti C1 inh)
105Tratamiento angioedema tiempo
106Tratamiento angioedema• Metilprednisona 1mg/kg IM o IV
• Casa: perdnisona 0.5 - 1 mg/kg/día VO durante 5 días
• NO dar dosis única
Evitar largo plazo
107Síndrome de SchnitzlerGamapatía IgM
108Síndrome de Muckle-Wells• Urticaria, sordera y amiloidosis
109—Urticaria pigmentosa (mastocitosis)
110—Penfigoide ampolloso
111—Urticaria