Jul 30, 2025
Lines in Dermatology
Furuncle Vs Carbuncle
Black Piedra & White Piedra
Atypical Mycobacterium Infections
Deformities in Leprosy
WHO classification and grading
Immunosuppressants
Types of hair
Grading of Acne and Treatment
Table 9
Syphilis Bacteriology
Table 10
Approach to Genital Ulcer Disease
Allergens and their Sources in ACD
Table 12
Keloid Vs Hypertrophic scar
Blaschko's Lines |
Langer's Lines |
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·Black Piedra White Piedra It is caused by Piedraia Hortae
It is presented as
Hard gritty nodules.
Appears on the hair shaft, like the scalp.It is caused by Trichosporon Asahii, also called Trichomycosis Nodosa.
It is presented as
Soft white nodules.
Appears on other hair-bearing areas.
Swimming pool granuloma |
Buruli ulcer |
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Hands and Feet Grade 0 No anesthesia, no visible deformity or damage Grade 1 Anesthesia present, but no visible deformity or damage Grade 2 Visible deformity or damage present Eyes Grade 0 No eye problem due to leprosy, no evidence of visual loss Grade 1 Eye problems due to leprosy, but vision is not severely affected as a (vision: 6/60 or better, can count fingers at 6m) Grade 2 Severe visual impairment (vision: worse than 6/60; inability to count fingers at 6m) also includes lagophthalmos, iridocyclitis, and corneal opacities.
Azathioprine (AZA) Mycophenolate Mofetil (MMF) Cyclophosphamide MOA Inhibits purine synthesis Inhibits IMP synthesis Alkylating agent Dose 2-3 mg/kg/day 1-3 gm/day 1-2 mg/kg Side Effects Bone marrow suppression, Nausea, liver dysfunction Bone marrow suppression, Gastrointestinal symptoms Gonadal failure, hemorrhagic cystitis, bone marrow suppression and an increased risk of bladder cancer Remarks Patients who have TPMT deficiency should avoid taking the drug as it is metabolised byTPMT enzyme. Contraindicated in fertile women as it may cause gonadal toxicity AZA, MMF, Cyclophosphamide are preferred along with corticosteroids.
Lanugo hair Vellus hair Terminal hair Seen in premature baby
Soft, non-medullated, thin
Depigmented hair
Present in utero
Premature babiesHair on the face, forehead
Soft
Non-medullated
Hypopigmented
< 2cm long
Till adolescentCoarse hair
Hair on the beard area and pubic area
Medullated
Pigmented
Longer
Present in androgen-dependent areas because it has hormones.
Grade-01 |
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Grade-02 |
Treatment
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Grade-03 |
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Grade-04 |
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Bacteriology Family Spirochaetaceae Species Treponema pallidum "Thread like organism which takes an turn" Length 6-15um Width 0.25 um Coils 8-24 Culture Not cultivable bacilli
SyphilisChancroid HSV Donovanosis LGV Incubation period 9-90 days 2-7 days 2-7 days 3-30 days 10-30 Days Ulcer number One Multiple Multiple One Transient Pain No Yes Yes No No Base clean Covered with grayish sloughUndermined Erosion Granulomatous No Edges
Rubberypolycyclic Overhanging granules No Induration Positive Negative Negative Ulcer may be firm No Bleeds on Touch No Yes Yes Yes very easily No Lymph nodes Laterality Bilateral Unilateral Bilateral Pseudo Bubo Bilateral Pain No Yes No No Yes
Allergens Sources Nickel, cobalt Artificial jewellery, jean buttons Chromium (Potassium dichromate) Cement, Painting Potassium dichromate Leather, detergents, paint Epoxy resins, phenols Plastics Parthenium Plants Propylene glycol Cosmetics, medicaments PPD (Para Phenylenediamine) Hair dyes Neomycin, gentamycin Topical medications Latex/ rubber Gloes, shoes, belts PTBP Bindi
Keloid |
Hypertrophic scar |
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