STUDY INFO FOR
DCNP 2024
QUESTIONS &
ANSWERS VERIFIED
100% CORRECT!!
DCNP
SEPTEMBER 16, 2024
EVATEE
,STUDY INFO FOR DCNP 2024 QUESTIONS &
ANSWERS VERIFIED 100% CORRECT!!
B & T-cell lymphoma / Sezary Syndrome (MF)
1. what should you look for?
2. Differential diagnosis?
3. Best test?
4. Treatment? Answer - 1. patches or thin plaques that measure 2-20cm and
favor sun protected areas of the body. classic feature of patches is a wrinkled
surface that resembles cigarette paper. Pruritis can be present. Many patients
will have a long standing history of generalized eczema or psoriasis.
2. Psoriasis, atopic derm, tinea, seb derm. pityriasis rubra pilaris. lichen planus
3. One or more broad shave biopsies in previously untreated skin and topical
steroids can change appearance histologically.
4. High potency topical steriods but this depends on the stage.
mastocytosis (urticaria pigmentosa)
1. what to look for?
2. Who is it most commonly seen in?
3. Best test?
4. Therapy?
5. what can cause this commonly in children? Answer - 1. erythematous to
brown patches that become urticarial or blister upon rubbing or scratching
(Dariers sign). lesions can be few or numerous, typically involving the trunk.
Also common to see GI effects associated with it.
2. Most commonly seen in children. Need to be aware of bullous impetigo,
diffuse mastocytosis, Juvenile xanthogranuloma
, 3. Skin biopsy
4. oral antihitamines and topical steroids.
5. drugs such as aspirin
Ofuji disease (eosinophilia pustular folliculitis)
2. Look for what?
3. Differential diagnosis?
4. Best test?
5. Management? Answer - 1. follicular papulopustules or pustules arise in
crops over the face and trunk. erythematous plaques with superimposed
pustules extend centrifugally and display central clearing, giving rise to annular,
arcuate, and other figurate configurations. These are frequently INTENSELY
pruritic.
2. folliculitis, acne, rosacea, perioral dermatitis, tinea faciei
3. CBC w/ diff. r/o HIV
4. antihistamines for pruritis. oral or topical indomethacin 25-75mg QD.
erythroderma
1. what is the definition?
2. what are the more common causes? (4)
3. differential diagnosis?
4. Best test?
5. what should be done with this patient? Answer - 1. diffuse redness of the
skin affecting 90% of the body surface. Scaling and exfoliation appear 2-6 days
later.
2. psoriasis, atopic derm, MF, pityriasis rubra pilaris.
3. Exanthematous drug eruption, stevens-johnson syndrome, DRESS, toxic
epidermal necrolysis, urticaria, scarlet fever, acute graft versus host disease.
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