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W3上午--Wu會脫皮全身紅疹─2023
W3上午--Wu會脫皮全身紅疹─2023
會脫皮,脫屑,結痂
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IV.1 Tinea [Mycology clinic]
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IV.2 Psoriasis [Psoriasis clinic]
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IV.3 Asteatotic dermatitis
(eczema hiemalis)
https://www.jacionline.org
/article/S0091-
6749%2820%2930274-
8/fulltext
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Inflammation induced Skin Barrier Dysfunction
https://www.frontiersin.org/files/Articles/638325/fmed-08-638325- 10
HTML/image_m/fmed-08-638325-g001.jpg
Inflammation Signs Skin vs Soft Tissue)
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IV.5 Atopic dermatitis
[Atopic dermatitis clinic]
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IV.6 Seborrheic dermatitis
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Seborrheic dermatitis or SLE malar rash?
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Tinea Pedis or Pompholyx ?
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IV.6-2 Infantile seborrheic dermatitis
Eczema affecting scalp, face, axillae and napkin
area, which resolves within a few weeks.
· Onset at six weeks of age.
· Non-itchy and apparently not uncomfortable.
· Yellow scales on the scalp (cradle cap) and in
the eyebrows.
· Erythema, scaling and sometimes rawness under
the neck, in the axillae and in the napkin area.
· Resolves within six weeks.
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IV.7 Candidiasis [Mycology clinic]
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IV.8 Keratosis pilaris
A common disorder of keratinization affecting the
hair follicles which appear plugged. It is most
prominent on the extensor surfaces of the
proximal parts of the limbs.
• Horny plugs on the outer aspects of upper arms
and thighs.
• Does not respond to topical steroids.
• Almost physiological in adolescents.
• Other types are inherited and persistent which is
associated with atopic dermatitis and ichthyosis
vulgaris. 25
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IV.9 Tinea (Pityriasis) versicolor
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IV.10 Keratodermia tylodes palmaris
progressiva (KTPP)
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IV.11 Impetigo
An acute, contagious and superficial infection of the skin,
due either to Staphylococcus aureus or group A
streptococci or both.
• Impetigo bullosa: blisters which break easily, primarily
due to Staphylococcus aureus of phage group II ,
typically phage 71, which carries exfoliative toxin A and
disrupts the intraepidermal keratinocyte connection
desmoglein 1 (DSG1).
• Impetigo contagiosa: golden crusts, primarily due to
group A streptococci in the past, now increasing due to S.
aureus.
• Rapid spread.
• Often on the face.
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IV.12 Ichthyosis vulgaris
• Toxicodermia
• Viral exanthem (measles, rubella)
• Syphilis
• Pityriasis rosea
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V.1 Toxicodermia (see I.8)
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V.2-1 Measles
A highly contagious childhood infection by a
paramyxovirus (measles virus), characterized by
fever, coryza, conjunctivitis, Koplik’s spots and
exanthem.
· Coryza, hacking, photophobia, malaise, fever.
· Koplik’s spots: cluster of tiny bluish-white
papules with erythematous areola on buccal
mucosa opposite premolar teeth.
· Erythematous macules and papules becoming
confluent, appearing initially on face.
· Spreading centrifugally and inferiorly to involve
trunk and extremities. Lesions fade to leave
yellow-tan stain or faint desquamation.
· Rising of measles IgM antibody for recent
infection 39
40
V.2-2 Rubella
A childhood rubella virus infection manifested by
morbilliform exanthem and lymphadenopathy.
· Pink morbilliform erythema.
· Initiation on face, spreading inferiorly.
· Petechiae on soft palate (Forcheimer’s sign)
during prodrome.
· Postauricular, suboccipital and posterior cervical
lymphadenopathy.
· Resulting in fetal malformation if occuring in
pregnancy.
· Rising of rubella IgM antibody for recent infection.
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V.3 Syphilis
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Nummular eczema or impetigo?
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Folliculitis?
Ichthyosis vulgaris or asteatotic
dermatitis?
Ichthyosis vulgaris or asteatotic
dermatitis?
Ichthyosis vulgaris or asteatotic
dermatitis?
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