April 1998 part1 mcq derma
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This document contains a list of 102 topics related to pharmacology, dermatology, endocrinology, hematology, hepatology, and shock. Some of the topics covered include the pharmacological effects and side effects of various drugs like acyclovir, dapsone, and finasteride; vitamin deficiencies; skin conditions like tinea and condylomata accuminata; endocrine diseases and disorders of the pituitary, thyroid, parathyroid and adrenal glands; hematological conditions including anemias, hemolytic diseases and amyloidosis; liver diseases such as alcoholic liver disease and features of clinical and subclinical jaundice; and features and emergency measures for different types of shock.
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Guillain Barre Syndrome
Guillain-Barré syndrome is an acute autoimmune disorder that causes inflammation of the peripheral nerves. It most commonly develops one to three weeks after a respiratory or gastrointestinal infection. Clinical features include rapidly progressive ascending paralysis, loss of deep tendon reflexes, and possible involvement of cranial nerves or the autonomic nervous system. Diagnosis is based on the clinical features and examination findings. Treatment involves intravenous immunoglobulin or plasma exchange to stop progression. Most patients recover fully but it may take several months and some are left with residual deficits.
Vitiligo - Sally O'Shea. Ireland
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- Disclaimer-
This PPT is loaded as student material "as is", from the VRF Vitiligo Master Class Barcelona November 2011; VRF does not endorse or otherwise approve it.
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Vitiligo in association with Erythema dyschromicum perstans
Twenty seven years old female patient two years ago after delivery has noticed appearance of irregular hypo- and achromic macules on her trunk, extremities and face. Two months ago she has seen on her trunk and extremities oval gray-blue hyperpigmented macules which are accompanied from a slight pruritus.
She has common complains of weight reduction of 5-6 kg, palpitation, sleep disturbance, fatigue and some joint pain.
Clinically our patient is IV phototype. She has two different type of exanthema. First type - vitiligo is presented from symmetrical distributed over the trunk, extremities and face hypopigmented and achromic macules from 0,5 cm to 20 cm in diameter. The second type exanthema has symmetrical distribution and involves abdomen, back and proximal part of extremities. The lesions are gray-blue macules with oval shape and size from 0,5 cm to 2 cm in diameter. There is no change in mucous membrane.
Deviations of the investigations include slight elevated ECR, reduced HGB, HCT, MCV, MCH, MCHC, monocytosis, reticulocytosis, low serum Fe, increase TIBC, decrease LDH, positive serological test for H. pylori, increased Tg-Ab and TSH-RAb, very low TSH, elevated FT4, nasal smear – S. aureus, vaginal smear – S. agalactiae. Ultrasound of thyroid gland shows normal topic, size, structure and enhanced blood flow.
Conducted by the clinical laboratory research fund and consultative examinations are specified comorbidities Grave’s disease, iron deficiency anemia, bacterial colpitis, and chronic gastritis.
Histopathological examination of the edge or the hyperchrome lesion show minor hydropic degeneration of basal layer, sparce, superficial, perivascular lymphocyte infiltrat, and macrophages containing melanin (incontinentia pigmenti).
Differentially were discussed lichen planus, postinflammatory hyperpigmentation, contact dermatitis, fixed drug reaction.
Based on the anamnesis, clinical picture, laboratory results and conducted histological examination answer the question what is this second type exanthema is Erythema dyschromicum perstans.
Conducted treatment for accompanying diseases is with Ciprofloxacin, Ferrous sulfate, Vitamins, Thiamazol, eradication therapy for H. pylori and local application of Mupirocin nasal ointment. We have made 7 procedures UVB 311 nm narrow band with slight improvement.
There are only few previously described cases of Erythema dyschromicum perstans & vitiligo in the same patient. These cases include patients with darker skin. In both diseases there is HLA-DR4 association in the pathogenesis. There are some common features between two diseases which include predominance of cytotoxic T-cell and almost the same ratio of CD4/CD8, Ia antigen positivity in the dendritic cells in epidermis and dermis and increased number of epidermal Langerhans cells.
- Disclaimer- This PPT is loaded as student material "as is", from the VRF Vitiligo Master Class Barcelona November 2011; VRF does not endorse or otherwise approve it.
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PMHx: psoriasis
Clinical findings
Areas of hypopigmentation
- Disclaimer-
This PPT is loaded as student material "as is", from the VRF Vitiligo Master Class Barcelona November 2011; VRF does not endorse or otherwise approve it.
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Vitiligo in association with Erythema dyschromicum perstans
Twenty seven years old female patient two years ago after delivery has noticed appearance of irregular hypo- and achromic macules on her trunk, extremities and face. Two months ago she has seen on her trunk and extremities oval gray-blue hyperpigmented macules which are accompanied from a slight pruritus.
She has common complains of weight reduction of 5-6 kg, palpitation, sleep disturbance, fatigue and some joint pain.
Clinically our patient is IV phototype. She has two different type of exanthema. First type - vitiligo is presented from symmetrical distributed over the trunk, extremities and face hypopigmented and achromic macules from 0,5 cm to 20 cm in diameter. The second type exanthema has symmetrical distribution and involves abdomen, back and proximal part of extremities. The lesions are gray-blue macules with oval shape and size from 0,5 cm to 2 cm in diameter. There is no change in mucous membrane.
Deviations of the investigations include slight elevated ECR, reduced HGB, HCT, MCV, MCH, MCHC, monocytosis, reticulocytosis, low serum Fe, increase TIBC, decrease LDH, positive serological test for H. pylori, increased Tg-Ab and TSH-RAb, very low TSH, elevated FT4, nasal smear – S. aureus, vaginal smear – S. agalactiae. Ultrasound of thyroid gland shows normal topic, size, structure and enhanced blood flow.
Conducted by the clinical laboratory research fund and consultative examinations are specified comorbidities Grave’s disease, iron deficiency anemia, bacterial colpitis, and chronic gastritis.
Histopathological examination of the edge or the hyperchrome lesion show minor hydropic degeneration of basal layer, sparce, superficial, perivascular lymphocyte infiltrat, and macrophages containing melanin (incontinentia pigmenti).
Differentially were discussed lichen planus, postinflammatory hyperpigmentation, contact dermatitis, fixed drug reaction.
Based on the anamnesis, clinical picture, laboratory results and conducted histological examination answer the question what is this second type exanthema is Erythema dyschromicum perstans.
Conducted treatment for accompanying diseases is with Ciprofloxacin, Ferrous sulfate, Vitamins, Thiamazol, eradication therapy for H. pylori and local application of Mupirocin nasal ointment. We have made 7 procedures UVB 311 nm narrow band with slight improvement.
There are only few previously described cases of Erythema dyschromicum perstans & vitiligo in the same patient. These cases include patients with darker skin. In both diseases there is HLA-DR4 association in the pathogenesis. There are some common features between two diseases which include predominance of cytotoxic T-cell and almost the same ratio of CD4/CD8, Ia antigen positivity in the dendritic cells in epidermis and dermis and increased number of epidermal Langerhans cells.
- Disclaimer- This PPT is loaded as student material "as is", from the VRF Vitiligo Master Class Barcelona November 2011; VRF does not endorse or otherwise approve it.
Sle round
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Systemic Lupus Erythematosus (SLE) is a chronic autoimmune disease that can affect multiple organs. It is more common in females and is caused by both genetic and environmental factors. The activation of immune cells leads to the formation of autoantibodies which can damage tissues. Symptoms vary but may include rashes, arthritis, kidney inflammation, and fatigue. Diagnosis requires meeting several clinical and laboratory criteria. Treatment focuses on reducing symptoms, preventing flares, and minimizing organ damage.
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Leprosy is caused by Mycobacterium leprae, an acid-fast bacillus. It primarily affects the skin and peripheral nerves, causing disfigurement and disability if left untreated. It is diagnosed clinically based on skin lesions and nerve involvement. Multi-drug therapy (MDT), introduced in 1981, combines dapsone, rifampicin, and clofazimine and has helped reduce prevalence. Control relies on early detection and treatment to prevent disability and interrupt transmission. Global efforts have led to the disease being eliminated as a public health problem in 2000. However, ongoing work is still needed for post-elimination surveillance and care of patients.
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cover support policymakers and scientists in making well-informed decisions, as alterations in
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help of Advanced technologies like Remote Sensing and Geographic Information Systems is
crucial for coordinated efforts across different administrative levels. Advanced technologies like
Remote Sensing and Geographic Information Systems
9
Changes in vegetation cover refer to variations in the distribution, composition, and overall
structure of plant communities across different temporal and spatial scales. These changes can
occur natural.
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Date: May 29, 2024
Tags: Information Security, ISO/IEC 27001, ISO/IEC 42001, Artificial Intelligence, GDPR
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Find out more about ISO training and certification services
Training: ISO/IEC 27001 Information Security Management System - EN | PECB
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General Data Protection Regulation (GDPR) - Training Courses - EN | PECB
Webinars: https://pecb.com/webinars
Article: https://pecb.com/article
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For more information about PECB:
Website: https://pecb.com/
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हिंदी वर्णमाला पीपीटी, hindi alphabet PPT presentation, hindi varnamala PPT, Hindi Varnamala pdf, हिंदी स्वर, हिंदी व्यंजन, sikhiye hindi varnmala, dr. mulla adam ali, hindi language and literature, hindi alphabet with drawing, hindi alphabet pdf, hindi varnamala for childrens, hindi language, hindi varnamala practice for kids, https://www.drmullaadamali.com
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