so many rashes, so...angular cheilitis seborrheic dermatitis plaque psoriasis perioral dermatitis...
TRANSCRIPT
![Page 1: So Many Rashes, So...Angular Cheilitis Seborrheic Dermatitis Plaque Psoriasis Perioral Dermatitis Lice Contact/irritant Dyshidrotic Eczema Palmar Psoriasis One Hand…Two Feet Scabies](https://reader034.vdocuments.site/reader034/viewer/2022042803/5f4b944bec910d73c47ea6e5/html5/thumbnails/1.jpg)
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Rash
RashRash
Rash
RashRash
RashRash
Rash
Rash
Rash
Rash
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![Page 5: So Many Rashes, So...Angular Cheilitis Seborrheic Dermatitis Plaque Psoriasis Perioral Dermatitis Lice Contact/irritant Dyshidrotic Eczema Palmar Psoriasis One Hand…Two Feet Scabies](https://reader034.vdocuments.site/reader034/viewer/2022042803/5f4b944bec910d73c47ea6e5/html5/thumbnails/5.jpg)
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What do I already
know?
![Page 8: So Many Rashes, So...Angular Cheilitis Seborrheic Dermatitis Plaque Psoriasis Perioral Dermatitis Lice Contact/irritant Dyshidrotic Eczema Palmar Psoriasis One Hand…Two Feet Scabies](https://reader034.vdocuments.site/reader034/viewer/2022042803/5f4b944bec910d73c47ea6e5/html5/thumbnails/8.jpg)
Systematic Approach
What I know…
• Age/gender/race of patient• Past medical history
• Duration of rash
• Symptoms: itching, burning, etc
• Associated symptoms?
• New exposures?
• Friends and family?
• Occupation/hobbies
Additional clues• Location and distribution
• Primary lesion
• Morphology
• Color
• Scale or no scale
• Type of scale
• Where is the pathology?
• Epidermal or dermal
![Page 9: So Many Rashes, So...Angular Cheilitis Seborrheic Dermatitis Plaque Psoriasis Perioral Dermatitis Lice Contact/irritant Dyshidrotic Eczema Palmar Psoriasis One Hand…Two Feet Scabies](https://reader034.vdocuments.site/reader034/viewer/2022042803/5f4b944bec910d73c47ea6e5/html5/thumbnails/9.jpg)
Age/
gender
and race
Few rashes specific to gender – ex: PUPPP
• Pruritic urticarial papules and plaques of pregnancy
Compliance
Childhood rashes
Treatments
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![Page 11: So Many Rashes, So...Angular Cheilitis Seborrheic Dermatitis Plaque Psoriasis Perioral Dermatitis Lice Contact/irritant Dyshidrotic Eczema Palmar Psoriasis One Hand…Two Feet Scabies](https://reader034.vdocuments.site/reader034/viewer/2022042803/5f4b944bec910d73c47ea6e5/html5/thumbnails/11.jpg)
Systematic Approach
What I know…• Age/gender/race of patient
• Past medical history• Duration of rash
• Symptoms: itching, burning, etc
• Associated symptoms?
• New exposures?
• Friends and family?
• Occupation/hobbies
Additional clues• Location and distribution
• Primary lesion
• Morphology
• Color
• Scale or no scale
• Type of scale
• Where is the pathology?
• Epidermal or dermal
![Page 12: So Many Rashes, So...Angular Cheilitis Seborrheic Dermatitis Plaque Psoriasis Perioral Dermatitis Lice Contact/irritant Dyshidrotic Eczema Palmar Psoriasis One Hand…Two Feet Scabies](https://reader034.vdocuments.site/reader034/viewer/2022042803/5f4b944bec910d73c47ea6e5/html5/thumbnails/12.jpg)
Past medical history
Impact treatment
Culprit Comorbidity
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Systematic Approach
What I know…• Age/gender/race of patient
• Past medical history
• Duration of rash• Symptoms: itching, burning, etc
• Associated symptoms?
• New exposures?
• Friends and family?
• Occupation/hobbies
Additional clues• Location and distribution
• Primary lesion
• Morphology
• Color
• Scale or no scale
• Type of scale
• Where is the pathology?
• Epidermal or dermal
![Page 15: So Many Rashes, So...Angular Cheilitis Seborrheic Dermatitis Plaque Psoriasis Perioral Dermatitis Lice Contact/irritant Dyshidrotic Eczema Palmar Psoriasis One Hand…Two Feet Scabies](https://reader034.vdocuments.site/reader034/viewer/2022042803/5f4b944bec910d73c47ea6e5/html5/thumbnails/15.jpg)
Duration
of ‘rash’
• Chronic?
• Acute?
• Contact – immediate to few days
• Medications – days to within 2-4 months
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Systematic Approach
What I know…• Age/gender /race of patient
• Past medical history
• Duration of rash
• Symptoms: itching, burning, etc• Associated symptoms?
• New exposures?
• Friends and family?
• Occupation/hobbies
Additional clues• Location and distribution
• Primary lesion
• Morphology
• Color
• Scale or no scale
• Type of scale
• Where is the pathology?
• Epidermal or dermal
![Page 17: So Many Rashes, So...Angular Cheilitis Seborrheic Dermatitis Plaque Psoriasis Perioral Dermatitis Lice Contact/irritant Dyshidrotic Eczema Palmar Psoriasis One Hand…Two Feet Scabies](https://reader034.vdocuments.site/reader034/viewer/2022042803/5f4b944bec910d73c47ea6e5/html5/thumbnails/17.jpg)
Symptoms
Pruritic?
Non pruritic?
Burns?
Painful?
• (infectious)
Spreading?
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Systematic Approach
What I know…• Age/gender /race of patient
• Past medical history
• Duration of rash
• Symptoms: itching, burning, etc
• Associated symptoms?
• New exposures?
• Friends and family?• Occupation/hobbies
Additional clues• Location and distribution
• Primary lesion
• Morphology
• Color
• Scale or no scale
• Type of scale
• Where is the pathology?
• Epidermal or dermal
![Page 19: So Many Rashes, So...Angular Cheilitis Seborrheic Dermatitis Plaque Psoriasis Perioral Dermatitis Lice Contact/irritant Dyshidrotic Eczema Palmar Psoriasis One Hand…Two Feet Scabies](https://reader034.vdocuments.site/reader034/viewer/2022042803/5f4b944bec910d73c47ea6e5/html5/thumbnails/19.jpg)
Symptoms/
Family
Itching all night?
‘New’ medications?
New contacts? Pets?
• Products
• Sexual contacts
Other family members with
similar complaints?
Recent illnesses?
Travel?
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Systematic Approach
What I know…• Age/gender/race of patient
• Past medical history
• Duration of rash
• Symptoms: itching, burning, etc
• Associated symptoms?
• New exposures?
• Friends and family?
• Occupation/hobbies
Additional clues• Location and distribution
• Primary lesion
• Morphology
• Color
• Scale or no scale
• Type of scale
• Where is the pathology?
• Epidermal or dermal
![Page 21: So Many Rashes, So...Angular Cheilitis Seborrheic Dermatitis Plaque Psoriasis Perioral Dermatitis Lice Contact/irritant Dyshidrotic Eczema Palmar Psoriasis One Hand…Two Feet Scabies](https://reader034.vdocuments.site/reader034/viewer/2022042803/5f4b944bec910d73c47ea6e5/html5/thumbnails/21.jpg)
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Systematic Approach
What I know…• Age/gender/race of patient
• Past medical history
• Duration of rash
• Symptoms: itching, burning, etc
• Associated symptoms?
• New exposures?
• Friends and family?
• Occupation/hobbies
Additional clues
• Location and distribution
• Primary lesion?
• Morphology
• Color
• Scale or no scale
• Type of scale
• Where is the pathology?
• Epidermal or dermal
![Page 27: So Many Rashes, So...Angular Cheilitis Seborrheic Dermatitis Plaque Psoriasis Perioral Dermatitis Lice Contact/irritant Dyshidrotic Eczema Palmar Psoriasis One Hand…Two Feet Scabies](https://reader034.vdocuments.site/reader034/viewer/2022042803/5f4b944bec910d73c47ea6e5/html5/thumbnails/27.jpg)
Almost Anywhere…
Tinea Contact/irritant Atopic
Urticaria Lichen Planus
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Angular Cheilitis
Seborrheic Dermatitis
Plaque Psoriasis
Perioral Dermatitis
Lice
Contact/irritant
![Page 29: So Many Rashes, So...Angular Cheilitis Seborrheic Dermatitis Plaque Psoriasis Perioral Dermatitis Lice Contact/irritant Dyshidrotic Eczema Palmar Psoriasis One Hand…Two Feet Scabies](https://reader034.vdocuments.site/reader034/viewer/2022042803/5f4b944bec910d73c47ea6e5/html5/thumbnails/29.jpg)
Dyshidrotic Eczema
Palmar Psoriasis
One Hand…Two Feet
Scabies
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One hand – two feet
Dyshidrotic eczema
Hyperkeratosis
Plantar Psoriasis
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Acanthosis Nigricans
Tinea Versicolor
Viral Exanthums
Intertrigo
Folliculitis
Drug eruptions
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Plaque Psoriasis -
extensor
Atopic Dermatitis -
flexure
![Page 33: So Many Rashes, So...Angular Cheilitis Seborrheic Dermatitis Plaque Psoriasis Perioral Dermatitis Lice Contact/irritant Dyshidrotic Eczema Palmar Psoriasis One Hand…Two Feet Scabies](https://reader034.vdocuments.site/reader034/viewer/2022042803/5f4b944bec910d73c47ea6e5/html5/thumbnails/33.jpg)
Systematic Approach
What I know…• Age/gender/race of patient
• Past medical history
• Duration of rash
• Symptoms: itching, burning, etc
• Associated symptoms?
• New exposures?
• Friends and family?
• Occupation/hobbies
Additional clues• Location and distribution
• Primary lesion
• Morphology• Color
• Scale or no scale
• Type of scale
• Where is the pathology?
• Epidermal or dermal
![Page 34: So Many Rashes, So...Angular Cheilitis Seborrheic Dermatitis Plaque Psoriasis Perioral Dermatitis Lice Contact/irritant Dyshidrotic Eczema Palmar Psoriasis One Hand…Two Feet Scabies](https://reader034.vdocuments.site/reader034/viewer/2022042803/5f4b944bec910d73c47ea6e5/html5/thumbnails/34.jpg)
![Page 35: So Many Rashes, So...Angular Cheilitis Seborrheic Dermatitis Plaque Psoriasis Perioral Dermatitis Lice Contact/irritant Dyshidrotic Eczema Palmar Psoriasis One Hand…Two Feet Scabies](https://reader034.vdocuments.site/reader034/viewer/2022042803/5f4b944bec910d73c47ea6e5/html5/thumbnails/35.jpg)
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Edges
SHARPLY DEMARCATED?
POORLY DEMARCATED?
![Page 45: So Many Rashes, So...Angular Cheilitis Seborrheic Dermatitis Plaque Psoriasis Perioral Dermatitis Lice Contact/irritant Dyshidrotic Eczema Palmar Psoriasis One Hand…Two Feet Scabies](https://reader034.vdocuments.site/reader034/viewer/2022042803/5f4b944bec910d73c47ea6e5/html5/thumbnails/45.jpg)
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Systematic Approach
What I know…• Age/gender/race of patient
• Past medical history
• Duration of rash
• Symptoms: itching, burning, etc
• Associated symptoms?
• New exposures?
• Friends and family?
• Occupation/hobbies
Additional clues• Location and distribution
• Primary lesion
• Morphology
• Color • Scale or no scale
• Type of scale
• Where is the pathology?
• Epidermal or dermal
![Page 47: So Many Rashes, So...Angular Cheilitis Seborrheic Dermatitis Plaque Psoriasis Perioral Dermatitis Lice Contact/irritant Dyshidrotic Eczema Palmar Psoriasis One Hand…Two Feet Scabies](https://reader034.vdocuments.site/reader034/viewer/2022042803/5f4b944bec910d73c47ea6e5/html5/thumbnails/47.jpg)
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Systematic Approach
What I know…• Age/gender/race of patient
• Past medical history
• Duration of rash
• Symptoms: itching, burning, etc
• Associated symptoms?
• New exposures?
• Friends and family?
• Occupation/hobbies
Additional clues• Location and distribution
• Primary lesion
• Morphology
• Color
• Scale or no scale
• Type of scale?
• Where is the pathology?
• Epidermal or dermal
![Page 52: So Many Rashes, So...Angular Cheilitis Seborrheic Dermatitis Plaque Psoriasis Perioral Dermatitis Lice Contact/irritant Dyshidrotic Eczema Palmar Psoriasis One Hand…Two Feet Scabies](https://reader034.vdocuments.site/reader034/viewer/2022042803/5f4b944bec910d73c47ea6e5/html5/thumbnails/52.jpg)
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Collarette Scale
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Systematic Approach
What I know…• Age/gender/race of patient
• Past medical history
• Duration of rash
• Symptoms: itching, burning, etc
• Associated symptoms?
• New exposures?
• Friends and family?
• Occupation/hobbies
Additional clues• Location and distribution
• Primary lesion
• Morphology
• Color
• Scale or no scale
• Type of scale
• Where is the pathology?
• Epidermal or dermal?
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Last but not least…
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Previous Treatments/diagnostic tests?
Eliminate diagnoses
1
Adds to differential
2
Fine tune treatment options
3
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