Diseases of the Skin – Flashcards

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Coagulase 
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Enzyme that clots plasma 
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Lipase 
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Enzyme that colonizes oily skin, breaks down fatty acids
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Nuclease 
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Enzyme that braeks down DNA
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Staphylokinase 
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Enzyme that digests blood clots 
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Hyaluronidase
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Enzyme that attacks connective tissue 
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Deoxyribonucleases 
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Enzyme that blocks neutrophil activity
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Proteases 
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Enzymes that block neutrophil migration 
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M Protein 
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Enzyme that inhibits phagocytosis 
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Hemolysin 
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Enzyme that ruptures erythrocytes 
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Erythrogenic toxins 
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Enzyme that causes a red rash and shedding of the skin. 
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Streptokinase 
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Enzyme that dissolves blood clots. 
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Folliculitis, furuncluosis, carbuncles, sty

(cause)

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Staphylococcus aureus 
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Scalded Skin Syndrome

(cause)

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Staphylococcus aureus strains that produce exfoliation toxin 
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Impetigo

(cause)

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Streptococcus pyogenes, Staphylococci, Gram + cocci in chains 
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Erysipelas

(cause)

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Streptococcus pyogenes
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Necrotizing fasciitis

(cause)

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Streptococcus pyogenes, Staphylococcus aureus 
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Pseudomonas infections 

(cause)

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Pseudomonas causing superficial rashes, otitis externa, acne, and burns 
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Anaerobic abscesses

(cause)

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Bacteriodes fragilis and other anaerobic Gram - non spore forming rods 
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Acne

(cause)

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Proprionibacterium acnes 
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Gas Gangrene

(cause)

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Clostridium perfringens

(anaerobic bacteria)

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Rubeola (measles)

(cause)

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Rubeola Virus 
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Rubella

(cause)

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Rubella Virus 
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Warts

(Cause)

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Human Papilloma Viruses (HPV)
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Small Pox

(cause)

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Variola Virus 
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Chicken Pox and Shingles

(cause)

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Varicella-Zoster virus 
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Herpes Simplex Virus

(cause)

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Herpes Simplex Virus Type 1 
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Cutaneous Mycoses

(cause)

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Demotophyes: Trichophyton, Microsporum, Epidermophyton
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Candidasis

(cause)

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Candida albicans 
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Neonatal Conjunctivitis Ophthalmia

(cause)

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Neisseria gonorrhoeae, Chlamydia trachomatis
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Bacterial Conjunctivitis

(cause)

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Streptococcus pyogenes, S. pneumonia, Staphylococcus aureus, Haemophilius influenzae 
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Trachoma

(cause)

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Chlamydia trachomatis
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River Blindness (onchocerciasis)

(cause)

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Transmitted by flies, parasite Onchocerca volvulus
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Scalded Skin Syndrome

(characteristics)

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Exfoliation toxin causing desquamation 

Similar to systemic impetigo

Mainly affecting babies and newborns 

SSSS

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Impetigo

(characteristics)

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From Staph


?     Toddlers, school age, adults

?     This walled vesicles that rupture and crust over

From Strep Pyognese

?     Isolated pustulates which crust over

?     Mostly in newborns

?     Can be epidemic in hospital nurseries

Pustules, crust
Adults can get it

Most often caused by S. aureus

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Erysipelas

(characteristics)

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Invasive

 

Enters through small wound or incision

 

Spreads to dermis and subcutaneous tissue

 

Often on face and extremities

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Necrotizing fasciitis

(characteristics)

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Flesh eating bacteria

 

Small abrasions on cuts

 

very toxic strains which grow rapidly, produce invasive enzymes and toxins

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Pseudomonas infections

(characteristics)

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Superficial rash (hot tubs)

 

Otitis externa

 

Burn patients

 

Cystic fibrosis lung infections (P. aeruginosa is the most common

 

lung infections in Cystic Fibrosis patients

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Measles

(characteristics)

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Kopliks spots in mouth

Fever, cough, maulopapular rash

Vaccine available

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Acne

(characteristics)

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Cystic acne

 

Process involves inflammatory response

 

Pores become blocked, bacteria use the sebum and break it down

 

into fatty acids

 

Lipase

 

Fatty acids situmlate the inflammatory response

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Gas Gangrene

(characteristics)

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Anerobes: produce collagen and protein degrading enzymes that act

 

as virulence factors

 

Charcteristic Odor

 

Attacks areas of poor circulation

 

Clostridia ferment the sugars in the tissue and produce hydrogen

 

and carbon dioxide that swell tissue

 

Toxins kills tissue and may enter the blood stream to cause

 

systemic illness

 

Debridement and amputations are the most common treatments

 

Hyperbarric chamber to drive Oxygen to wounds

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Rubeola

(characteristics)

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Kopliks spots in mouth

Fever, cough, maulopapular rash

Vaccine available

Infects 30 million children per year globally and kills 350k per year

Also known as Measles 

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Rubella

(characteristics) 

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Very Contagious

 

Usually mild

 

Macular Rash

 

Possible fetal damage if mother infected during first trimester-35%

 

chance

 

Congenital rubella sydrome

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Warts; Papillomas

(characteristics)

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Different virus types

 

Plantar warts - HPV-1

 

Flat warts- HPV 3, 10, 28, 49

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Small pox

(characteristics)

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Elevated lesions filled with fluid

Eliminated due to worldwide vaccine (eradication)

Very infectious viral disease (epidemic)

Considered a bioterrorism agent 

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Chicken pox

Shingles

(characteristics)

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Vaccine available for chicken pox 

 

Vaccine for shingles in people over 60 (does not cure if you have it)

 

Common

Benign

Life threatening for immunocompromised individuals

Recuperation can involve Varicella-zoster virus infection

Chx Pox can reemerge as shingles 

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Herpes simplex virus

(characteristics)

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Cold sores, fever blisters

90% of people in the US are infected

Spread through oral route

 

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Cutaneous Mycoses

(characteristics)

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Colonizes outer layer of epidermis
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Candidiasis

(characteristics)

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Known as thrush

Immunocompromised individuals susceptible

Fungal infection 

 

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Neonatal conjunctivitis ophthalmia

(characteristics)

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Occurs in babies less than 28 days old 
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Bacterial Conjunctivitis

(characteristics)

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Known as pink eye

Can be both bacterial and viral

Causes redness and inflammation 

 

 

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Trachoma

(characteristics)

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Bacterial infection 

Eyelashes grow into eyes, causing blindness

Common in Africa

Vaccine available 

 

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River Blindness (onchocerciasis)

(characteristics)

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Chronic

Endemic

Black flies spread disease

Ivermecitin is drug; once a year

Found in S. America and Africa

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