Dermatology & Ophthal

8/13/2019 Dermatology & Ophthal

1/27

Dermatology and

Ophthalmology

25/09/2011


2/27

Eczema

Excessive skin dryness

Common triggers of atopic dermatitis include thefollowing:Harsh soaps and detergents

SolventsLow humidityLotionsRough wool clothingSweating

Occlusive rubber or plastic glovesRubbingStaphylococcal bacteria

Repeated wetting and drying of the skin (food handling)


3/27


4/27


5/27

Molluscum contagiosum

Single or, more often,

multiple, rounded,

dome-shaped, pink,

waxy papules 2-5 mm(rarely up to 1 cm) in

diameter.

umbilicated and

contain a caseousplug


6/27

Seborrheic dermatitis

occasional greasy yellowscale.

skin creases in groinshow more severe

involvement. Skin folds are not spared.

There are no satellitelesions

Rx: KTZ, Steroids,regular washing


7/27

Scabies

Arthropod borne

Intense pruritis

excoriationsec bact

infection burrows

Sarcoptis scabei

Rx family


8/27

Scabies

Rx of choice is

permethrin 5% lotion

Others: Ivermectin,

Lindane, Benzylbenzoate

Norwegian scabies-

immunocompromised


9/27

Nappy rash

Contact dermatitis

(ammoniacal)

Margins are not always

evidentSkin folds are spared or

involved last.

can cause an id

(autoeczematous)reaction with reaction

outside the diaper area


10/27

Candidial nappy rash

Distinctive clusters oferythematous papulesand pustules

Satellite lesions Skin folds commonly

are involved.

White scales may be

observedoccasionally.

Asso oral thrush


11/27

Erythema multiforme


12/27

Epidermolysis bullosa


13/27

Langerhans cell histiocytosis

LCH- Abnormalmacrophage systemaffecting single system ormultisystem

Skin, bone marrow,lungs, liver, lymph-nodes,pituitary

Eczematous skin, bonepain, lumps

Single system: selfresolving

Multisystem: ChemoRx+Steroids


14/27

Acrodermatitis enteropathica

Inherited zinc deficiency, AR

Triad: periorificial and acral dermatitis, alopecia, anddiarrhea

Infants irritable and often inconsolable

slowing or cessation of growth and development. angular cheilitis, glossitis, conjunctivitis, blepharitis,

punctate keratopathy, and photophobia

Paronychia and nail dystrophy are typical

Patients have loss of scalp hair, eyebrows, and

eyelashes. Recurrent infections

Ataxia, lethargy


15/27



16/27



17/27

Abetalipoproteinemia

Inheritance Deficiency of apolipoprotein B-48

(chylomicrons) and B-100 (VLDL)

in the first few months of life

FTT, acanthocytes, steatorrhoea

Ataxia, Vitamin A deficiency

Rx: Dietary restriction of triglycerides, VIT E


18/27

Ophthalmology


19/27


20/27

Ectopia lentis

Marfans: superior and laterally

Homocystinuria: downward and medially


21/27

Leukocoria

RETINOBLASTOMACoats diseaseCongenital cataracts

Corneal scarringMelanoma of the ciliary bodyOcular toxocariasisPersistence of the tunica vasculosa lentis

(PFV/PHPV),Retrolental fibroplasia


22/27

Cherry red spot

1) Central retinal artery occlusion

2) Meatbolic storage disorders

3) lebers4) CO poisoning

5) Methanol

6) Quinine


23/27

Coloboma

CHARGE

Klinefelters


24/27

Waardenburg syndrome

AD, Partial albinism(pale skin, hair, and eyecolor)

Cleft lip (rare)

Constipation Contractures

Deafness

Extremely pale blue

eyes / Heterochromia Mild learning difficulty


25/27

Kayser-Fischer ring

Copper deposition


26/27

Brushfields spots

Trisomy 21
http://upload.wikimedia.org/wikipedia/commons/e/e1/Brushfield_eyes.jpg


27/27

Aniridia

Aniridia

WAGR (wilms tumuor, aniridia,

genitourinary anomalies, mental

retardation)

Dermatology & Ophthal

Documents