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Tuesday, February 7, 2012

Skin Diseases

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Acanthosis nigricans: A skin condition characterized by dark thickened velvety patches, especially in the folds of skin in the axilla(armpit), groin and back of the neck. The condition is complex. It can occur with endocrine diseases such as Cushing disease, tumors of thepituitary, and diabetes mellitus.  Acanthosis nigricans also occurs with underlying malignancies 


Wrinkles are a by-product of the aging process. With age, skin cells divide more slowly, and the inner layer, called the dermis, begins to thin. The network of elastin (the protein which causes skin to stretch) and collagen fibers (the major structural proteins in the skin), which support the outer layer, loosen and unravel, causing depressions on the surface. With aging, skin also loses its elasticity, is less able to retain moisture, oil-secreting glands are less efficient and the skin is slower to heal. All of these contribute to the development of wrinkles

Keloid: A scar that doesn't know when to stop. When the skin is injured, cells grow back to fill in the gap. Somehow, they normally "know" when the scar tissue is level with the skin, at which point the cells stop multiplying. When the cells keep on reproducing, the result is a what is called a overgrown (hypertrophic) scar or a keloid -- a tough heaped-up scar that rises quite abruptly above the rest of the skin. It is irregularly shaped and tends to enlarge progressively.
In other words, keloids are due to an excessive response to traumasuch as a cut to the skin. In creating a normal scar, connective tissue in the skin is repaired by the formation of collagen. This occurs in thedermis (the layer of skin just below the epidermis, the outer layer of skin). Keloids arise when there is too much collagen formed in the dermis during the repair of connective tissue.


Graves disease: Generalized diffuse overactivity ("toxicity") of the entire thyroid gland which becomes enlarged into a goiter. Graves disease is the most common cause of hyperthyroidism.
There are three components to Graves disease:
  • Hyperthyroidism (the presence of too much thyroid hormone),
  • Ophthalmopathy specifically involving exophthalmos (protrusion of the eyeballs),
  • Dermopathy with skin lesions.

                                 Corns and Calluses

                                 Corns in diabetes mellitus

Blisters
Wearing shoes that do not fit properly or wearing shoes without socks can cause blisters, which can become infected. When treating blisters, it's important not to "pop" them. The skin covering the blister helps protect it from infection. Use an antibacterial cream and clean, soft bandages to help protect the skin and prevent infection

scurvy
Perifollicular hemorrhage on the leg. The follicles are often plugged by keratin (perifollicular hyperkeratosis). This eruption occurred in a 46-year-old alcoholic, homeless male, who also had bleeding gums and loose teeth.

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