OST 576 – Integumentary

Summer 2020

Coursepack Supplement

Michelle Gallagher, D.O.

Course Coordinator

Class of 2023
Michigan State University
College of Osteopathic Medicine
 Table of Contents
Pharmacology of the Skin ............................................................................................................... 4
External Damage to the Skin and Cosmetic Dermatology .............................................................. 8
Papulosquamous Disorders .......................................................................................................... 23
Vesiculobullous Disorders ............................................................................................................. 29
Benign Skin Growths ..................................................................................................................... 33
Skin Cancers .................................................................................................................................. 41
Pediatric Dermatology and Exanthems ........................................................................................ 49
Disorders of Pigmentation ............................................................................................................ 62
Autoimmune and Inflammatory Skin Disorders ........................................................................... 67
Vascular Tumors and Malformations ........................................................................................... 81
Alopecia and Nail Disease ............................................................................................................. 84
The Skin and Systemic Disease ..................................................................................................... 91
Appendix: .................................................................................................................................... 101

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Coursepack Addition: Diversifying the OST 576 Coursepack
Below is a collection of images that will be added to the OST 576 coursepack to represent more
thoroughly the different manifestations of skin disorders in variable phototypes, specifically
darker skin phototypes. The image below represents the global distribution of skin phototypes.

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Pharmacology of the Skin
Acne- Retinoid Dermatitis

Phototoxic Reaction

4
Photoallergic Reaction

Exanthematous Drug Reaction

5
AGEP

AHS

Reference:
Cutaneous adverse reactions to drugs
Calonje, Eduardo, MD, DipRCPath, McKee's Pathology of the Skin, Chapter 14, 633-681.e22
Anticonvulsant hypersensitivity syndrome: there is striking facial edema with periorbital
accentuation. By courtesy of C.C. Kim, MD, Department of Dermatology, Harvard Medical
School, Boston, USA.

6
Copyright © 2020 © 2020, Elsevier Limited. All rights reserved.

Fixed Drug Eruption

Stevens-Johnson Syndrome

7
External Damage to the Skin and Cosmetic Dermatology
PMLE

Melasma

8
Phytophotodermatitis

Miliaria Rubra

9
Lichen Simplex Chronicus

Cutting
• Need image

10
Dermatitis Artefacta

Child Physical Abuse

11
Coining

12
Cupping

https://www.emilygraceacupuncture.com/cupping
Striae

13
Impetigo

Folliculitis

14
Abscess/Furuncle

Cellulitis

15
Lyme Disease- Erythema Migrans

Lyme disease
Bhate, Chinmoy, MD, Journal of the American
Academy of Dermatology, Volume 64, Issue 4,
619-636
An erythematous nodule representing an early,
expanding erythema migrans on the lower leg.
Copyright © 2010 American Academy of
Dermatology, Inc.

Gonococcemia

16
Warts

Plantar Warts

17
Genital Warts

Oral HSV

18
Genital HSV

Herpes Zoster

19
Varicella Zoster

Smallpox

20
Tinea Cruris

Sporotrichosis

21
Scabies

Pediculosis

22
Insect Bites

Papulosquamous Disorders
Pityriasis Rosea

23
Tinea Pedis

Tinea Cruris

24
Tinea Capitis

Kerion

25
Tinea Corporis

Nummular Dermatitis

26
Drug Eruption

Psoriasis

27
Guttate Psoriasis

Seborrheic Dermatitis

28
Vesiculobullous Disorders
HSV

Varicella

29
Herpes Zoster

Rhus Dermatitis

30
Impetigo

Stevens-Johnson Syndrome

31
TEN

Bullous Pemphigoid

32
Pemphigus Vulgaris

Benign Skin Growths

Skin Tag

33
Warts

34
Freckles

Solar Lentigo

Cherry Angioma
• Need image

35
Junctional Nevus

Compound Nevus

36
Dermal Nevus

Dysplastic Nevus

37
Seborrheic Keratosis

Epidermal Cyst

38
Trichilemmal Cyst

Lipoma

39
Dermatofibroma

Sebaceous Hyperplasia

40
Skin Cancers
Superficial Basal Cell Carcinoma

Morpheaform BCC

Image Reference: Nadiminti et al.: Morpheaform Basal Cell Carcinoma

in African Americans Dermatol Surg 30:12 Part 2: December 2004

41
Sclerosing BCC

Nodular BCC

42
Pigmented BCC

Actinic Keratosis

Squamous Cell Carcinoma

43
Squamous Cell Carcinoma in situ

Squamous Cell Carcinoma

44
Melanoma

45
46
Pigmented Lesions- Fitzpatrick, James E., MD, Urgent Care Dermatology: Symptom-Based
Diagnosis, Chapter 31, 507-534
Fatal oral melanoma of the lip and buccal mucosa in a black patient. (From the Fitzsimons Army
Medical Center Collection, Aurora, CO.)
Copyright © 2018 Copyright © 2018 by Elsevier, Inc. All rights reserved.

Nail disorders: Kids are not just little people

Chernoff, Karen A., MD, Clinics in Dermatology, Volume 34, Issue 6, 736-741
A 19-year-old African-American woman with a single darkly pigmented band on the fingernail.
Biopsy revealed melanoma in situ. Copyright © 2016

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Cutaneous T-cell Lymphoma

48
Pediatric Dermatology and Exanthems
Cutis Marmorata
• Need image
Congenital Dermal Melanocytosis

Congenital Nevus

49
Café Au Lait Macules/Patches

Aplasia Cutis Congenita

50
Infantile Hemangioma

Epidermolysis Bullosa

Diaper Dermatitis

51
Candidal Diaper Dermatitis

Irritant Diaper Dermatitis

52
Early Atopic Dermatitis

Erythema Toxicum Neonatorum

53
Neonatal Herpes

Milia

54
Sebaceous Hyperplasia

https://clinicalgate.com/diseases-of-the-neonate/
Hand Foot and Mouth Disease

55
Streptococcal Scarlet Fever

Guttate Psoriasis

56
Toxic Shock Syndrome

Kawasaki Disease

57
Juvenile Idiopathic Arthritis

Erythema Infectiosum
• Need image
Roseola
• Need image

58
Pityriasis Rosea

Meningococcemia

59
Rocky Mountain Spotted Fever

Gianotti Crosti Syndrome

Unilateral Laterothoracic Exanthem

• Need image

60
Langerhans Cell Histiocytosis

Mastocytoma

61
Molluscum

Disorders of Pigmentation
Vitiligo

62
Steroid Hypopigmentation

Tinea Versicolor

63
Melasma

Medication induced Hyperpigmentation

64
Stasis Dermatitis

65
Post-inflammatory hyperpigmentation

Acanthosis Nigricans

66
Autoimmune and Inflammatory Skin Disorders
Acne Scarring

67
Rosacea

Rosacea- Rhinophyma

68
Periorificial Dermatitis

Eczema Herpeticum

69
Impetiginized Atopic Dermatitis

Photo from the private collection of Dr. Michelle Gallagher

Pityriasis Alba

70
Keratosis Pilaris

Poison Ivy/Oak

71
Irritant Hand Dermatitis

Hereditary Angioedema

Emergency management of upper airway angio-oedema after routine dental extraction in a

patient with C1 esterase deficiency
Rice, S., British Journal of Oral and Maxillofacial Surgery, Volume 46, Issue 5, 394-396
Clinical presentation of patient with perioral hereditary angio-oedema (HAO).
Copyright © 2007 The British Association of Oral and Maxillofacial Surgeons

72
Raynaud Phenomenon

Chilblains

73
Livedo Reticularis

Granuloma Annulare

74
Sweet Syndrome

Pyoderma Gangrenosum

75
Erythema Nodosum

HSP

76
Stasis Dermatitis

Id reaction

77
Scleroderma

Salt and pepper pigmentation

78
Sclerodactyly

79
Morphea- scleroderma

En coup de Sabre- scleroderma

80
Vascular Tumors and Malformations
Nevus Simplex

Port-Wine-Stain (Nevus Flammeus)

81
Sturge-Weber Syndrome

Venous Malformation

Vascular Malformations
Baselga, Eulalia, Dermatology, 104, 1805-1827
Venous malformations. Bluish compressible lesions on the genitalia ( A) and arm ( B).
Copyright © 2018 © 2018, Elsevier Limited. All rights reserved.

82
Lymphatic Malformation

AV Malformation
• Need image
Infantile Hemangioma

83
Pyogenic Granuloma

Alopecia and Nail Disease

Nevus Sebaceous

84
Trichotillomania

Traction Alopecia

85
Alopecia Areata

Male Pattern Baldness

86
Female Pattern Baldness

Telogen Effluvium

87
Anagen Effluvium
• Need image
Digital Clubbing

Koilonychia

88
Nail Pitting

https://clinicalgate.com/nail-disorders/
Onycholysis

89
Onychomadesis- Beau lines

Onychomycosis

90
Onychotillomania

The Skin and Systemic Disease

Lupus

91
92
Lupus- Malar Rash

93
Hyperthyroidism- pretibial myxedema

Acanthosis Nigricans

94
Necrobiosis Lipoidica

Dermatitis Herpetiformis

95
Dermatomyositis

Henoch-Schoenlein Purpura

96
Xanthelasma

Sarcoid

97
Paget’s Disease

Neurofibromatosis type 1- Café Au Lait spots

98
Neurofibromatosis type 1- axillary freckling

Tuberous Sclerosis

99
100
Appendix:

Still need phototype 5/6 images of these diagnoses:

• Adolescent Cutting
• Cherry angioma
• Cutis marmorata
• Erythema infectiosum
• Roseola
• Unilateral laterothoracic exanthem
• AV malformation
• Anagen effluvium

Please forward links to me if you find any of the above diagnoses. Thanks!
Michelle Gallagher
docmlg@msu.edu

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