What is the pathologic term for thickening of the Stratum Corneum?
Hyperkeratosis
What is the pathologic term for retention of the nucleus in the Stratum Corneum?
Parakeratosis
Which layer of the epidermis contains keratohyaline granules and filaggrin?
Stratum Granulosum
What is the pathologic term for thickening of the Stratum Spinosum?
Acanthosis
What is the pathologic term for loss of desmosomes (spines) in the Stratum Spinosum?
Acantholysis
What is the pathologic term for intercellular edema in the Stratum Spinosum?
Spongiosis
What is the normal Epidermal Transit Time (ETT)?
28 days
What is the Epidermal Transit Time (ETT) in psoriasis?
3-4 days
What is the main type of connective tissue in the dermis?
Collagen
What are the main components of the dermal ground substance?
What clinical procedure involves pressing a glass slide on a lesion to observe if erythema blanches?
Diascopy
What clinical procedure helps differentiate erythema (blanching) from purpura (non-blanching)?
Diascopy
What are the skin lines that follow embryonic migration patterns?
Blaschko Lines
What is the wavelength of UVA rays used in a Woods Lamp?
365 nm
What color fluorescence does Microsporum (tinea capitis) show under a Woods Lamp?
Blue
What color fluorescence does Malassezia furfur (Pityriasis Versicolor) show under a Woods Lamp?
Yellow
What color fluorescence does Corynebacterium minutissimum (Erythrasma) show under a Woods Lamp?
Coral red
What is the Woods Lamp appearance of Vitiligo?
Milky white
What acute, self-limiting eruption is triggered by HHV 6, 7, and often starts with a 'Herald Patch'?
Pityriasis Rosea
What is the characteristic distribution of lesions in Pityriasis Rosea?
'Christmas tree' or 'Fir tree' pattern
What condition is characterized by fine scales, redness, and follicular papules around hair?
Pityriasis Rubra Pilaris
What is a characteristic finding on palms and soles in Pityriasis Rubra Pilaris?
Orange palms with 'Island of sparing'
What is a localized, hyperpigmented patch that recurs at the same site upon re-exposure to a drug?
Fixed Drug Eruption
What acute, life-threatening severe cutaneous adverse reaction involves epidermal necrosis affecting >30% of the body surface area?
Toxic Epidermal Necrolysis (TEN)
Name some major drug classes implicated in SJS-TEN.
What clinical sign, indicating extensive skin peeling, is positive in SJS-TEN?
Nikolskiy sign
What is a fluid-filled lesion less than 1 cm in diameter?
Vesicle
What is a fluid-filled lesion greater than 1 cm in diameter?
Bulla
What is the term for focal loss of the epidermis?
Erosion
What is the definition of Acantholysis?
Loss of adhesion between keratinocytes
What clinical sign involves tangential pressure extending a blister or erosion?
Nikolskiy Sign
Name conditions where a True Nikolskiy Sign is positive.
What clinical sign involves pressure on a bulla causing it to spread laterally?
Bulla spread sign
What is the immunoglobulin type and level of split in Pemphigus Foliaceus?
IgG, subcorneal intraepidermal
What is the immunoglobulin type and level of split in Pemphigus Vulgaris?
IgG, suprabasal intraepidermal
What is the target antigen in Pemphigus Foliaceus?
DSG-1
What are the target antigens in Pemphigus Vulgaris?
Describe the clinical appearance of bullae in Pemphigus Vulgaris.
Flaccid
Describe the clinical appearance of bullae in Bullous Pemphigoid.
Tense
Is the Nikolskiy sign positive or negative in Pemphigus Vulgaris and Bullous Pemphigoid?
Positive (+) in Pemphigus Vulgaris, Negative (-) in Bullous Pemphigoid
What is the characteristic Direct Immunofluorescence (DIF) pattern in Pemphigus Vulgaris?
Fishnet pattern of IgG in the intraepidermal region
What histopathological appearance is characteristic of Pemphigus Vulgaris?
Row of Tombstones
What is the characteristic Direct Immunofluorescence (DIF) pattern in Bullous Pemphigoid?
Linear IgG and C3 deposits in the dermo-epidermal junction (DEJ)
What autoantibody and target antigen are associated with Dermatitis Herpetiformis?
Epidermal IgA, Transglutaminase
What classic gastrointestinal disease is associated with Dermatitis Herpetiformis?
Celiac disease
Describe the key histopathological findings in Dermatitis Herpetiformis.
Subepidermal cleft with neutrophils in papillary tip microabscess
What is the treatment of choice for Dermatitis Herpetiformis?
Oral Dapsone and Gluten-free diet
What is the synonym for Mechanobullous diseases?
Epidermolysis Bullosa
What is the genetic defect in Epidermolysis Bullosa Simplex?
Keratin 5, 14
What is the genetic defect in Junctional Epidermolysis Bullosa?
Laminin 332, Laminin 5
What is the genetic defect in Dystrophic Epidermolysis Bullosa?
Collagen 7
What percentage of hair is typically in the Anagen (growing) phase?
80-85%
What percentage of hair is typically in the Catagen (regression) phase?
5-10%
What percentage of hair is typically in the Telogen (resting/falling) phase?
10-15%
What characteristic hairs are often found at the margins of Alopecia Areata lesions?
Exclamation mark hairs
What is the localized treatment for Alopecia Areata?
Intralesional steroids (e.g., Triamcinolone)
What is the etiology of Grey Patch Tinea Capitis?
Microsporum canis, Trichophyton mentagrophytes
What is the pattern of hair loss in females with androgenetic alopecia (FPHL)?
Midline widening (Ludwig pattern)
What are common treatments for Androgenetic Alopecia (male & female)?
What condition presents with deep-seated nodules, abscesses, and scars in the axilla and anogenital region?
Hidradenitis Suppurativa (Acne Inversa)
What is the mode of secretion for apocrine sweat glands?
Apical budding (apex of cell is pinched off)
What is a synonym for Miliaria Rubra (prickly heat)?
Tiny S E (Miliaria rubra - red papules)
What are the main pathogenetic factors in Acne Vulgaris?
What are the predominant lesions in Grade 1 Acne?
Comedones
What are the predominant lesions in Grade 4 Acne?
Nodulocysts
What is the recommended treatment for Grade 1 Acne?
Topical Retinoids (e.g., Adapalene)
What is the recommended treatment for Grade 4 Acne?
Oral Retinoids (e.g., Isotretinoin)
What mite is sometimes implicated in the pathology of Rosacea?
Demodex mite
What are the characteristic lesions of Rosacea?
Name some common topical treatments for Rosacea.
What type of laser is used to treat Rhinophyma?
Ablative
What clinical procedure involves pressing a glass slide on a lesion to observe if erythema blanches?
Diascopy
What clinical procedure helps differentiate erythema (blanching) from purpura (non-blanching)?
Diascopy
What color fluorescence does Malassezia furfur (Pityriasis Versicolor) show under a Woods Lamp?
Yellow
What color fluorescence does Corynebacterium minutissimum (Erythrasma) show under a Woods Lamp?
Coral red
What acute, self-limiting eruption is triggered by HHV 6, 7, and often starts with a 'Herald Patch'?
Pityriasis Rosea
What is the characteristic distribution of lesions in Pityriasis Rosea?
'Christmas tree' or 'Fir tree' pattern
What condition is characterized by fine scales, redness, and follicular papules around hair?
Pityriasis Rubra Pilaris
What is a characteristic finding on palms and soles in Pityriasis Rubra Pilaris?
Orange palms with 'Island of sparing'
What is a localized, hyperpigmented patch that recurs at the same site upon re-exposure to a drug?
Fixed Drug Eruption
What acute, life-threatening severe cutaneous adverse reaction involves epidermal necrosis affecting >30% of the body surface area?
Toxic Epidermal Necrolysis (TEN)
Name some major drug classes implicated in SJS-TEN.
Name conditions where a True Nikolskiy Sign is positive.
What is the immunoglobulin type and level of split in Pemphigus Foliaceus?
IgG, subcorneal intraepidermal
What is the immunoglobulin type and level of split in Pemphigus Vulgaris?
IgG, suprabasal intraepidermal
Is the Nikolskiy sign positive or negative in Pemphigus Vulgaris and Bullous Pemphigoid?
Positive (+) in Pemphigus Vulgaris, Negative (-) in Bullous Pemphigoid
What is the characteristic Direct Immunofluorescence (DIF) pattern in Pemphigus Vulgaris?
Fishnet pattern of IgG in the intraepidermal region
What is the characteristic Direct Immunofluorescence (DIF) pattern in Bullous Pemphigoid?
Linear IgG and C3 deposits in the dermo-epidermal junction (DEJ)
What autoantibody and target antigen are associated with Dermatitis Herpetiformis?
Epidermal IgA, Transglutaminase
Describe the key histopathological findings in Dermatitis Herpetiformis.
Subepidermal cleft with neutrophils in papillary tip microabscess
What characteristic hairs are often found at the margins of Alopecia Areata lesions?
Exclamation mark hairs
What is the pattern of hair loss in females with androgenetic alopecia (FPHL)?
Midline widening (Ludwig pattern)
What are common treatments for Androgenetic Alopecia (male & female)?
What condition presents with deep-seated nodules, abscesses, and scars in the axilla and anogenital region?
Hidradenitis Suppurativa (Acne Inversa)
What is the mode of secretion for apocrine sweat glands?
Apical budding (apex of cell is pinched off)
What are the main pathogenetic factors in Acne Vulgaris?
What are the characteristic lesions of Rosacea?
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