PANCE Blueprint Dermatology (5%)

Eczematous Eruptions (PEARLS)

The NCCPA™ PANCE and PANRE Dermatology Content Blueprint covers two disorders under Eczematous Eruptions

Dyshidrosis
Patient will present as → a 13-year-old with a pruritic vesicular eruption comprised of clear, deep-seated vesicles without erythema erupting on the lateral aspects of fingers, the central palm, and plantar surfaces.

Characterized by a pruritic vesicular eruption comprised of clear, deep-seated vesicles without erythema erupting on the lateral aspects of fingers, the central palm, and plantar surfaces.

  • The eruption has been described as resembling tapioca pudding. The onset may be acute, recurrent, or chronic

Treatment: petroleum jelly, moisturizer, cold compresses, and topical steroids

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Lichen simplex chronicus
Patient will present as → a 34-year-old male with a very itchy skin lesion on the front of the ankle of his left foot. The itching is paroxysmal and severe. On examination, there is a well-defined, thickened and hyperpigmented large plaque spreading across the front of the left ankle.

Lichen simplex chronicus (LSC) is a chronic dermatitis resulting from chronic, repeated rubbing or scratching of the skin. Skin becomes thickened with accentuated lines (“lichenification”). The constant scratching causes thick, leathery, brownish skin

  • A long-term manifestation of scratching atopic dermatitis

Treatment: Break the itch-scratch cycle (antihistamines, occlusive dressing)

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Urticaria (ReelDx) (Prev Lesson)
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