II) Leziuni Elementare Solide
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Transcript of II) Leziuni Elementare Solide
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II) LEZIUNI ELEMENTARE SOLIDE
PAPULE (EPIDERMICE, DERMICE, DERMO - EPIDERMICE, FOLICULARE)
TUBERCULI (LUPIC, SIFILITIC, LEPRA)
NODUL, NODOZITATEGOMA (SIFILITICA, TUBERCULOASA, ACTINOMICOTICA,
SPOROTRICHOZA)
LICHENIFICAREAVEGETATIATUMORA (BENIGNA, MALIGNA)
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PAPULE
• Ridicaturi circumscrise tegumentare
• Consistenta ferma• In epiderm si dermul superficial
A) PAPULE EPIDERMICE: Hiperplazie circumscrisa
epidermica, Culoare teg normal / cafeniu –
bruna, Exemple: - Veruci plane juvenile,
- Veruci plantare;
Veruci plantare
Veruci plane juvenile
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PAPULE
B) PAPULE DERMICE
1) Papula edematoasa: edem circumscris al corpului papilar;
- Urticarie, Eritem polimorf eritemato- papulos;
2) P. Prin infiltrat celular: infiltrat limfocitar si plasmocitar perivascular;
- Sif. II, Sif. cong. precoce (sifilida papuloasa lenticulara)
3) Papula dismetabolica : degenerescente specifice
- Amiloidoze cutanate, Mucinoza papuloasa
Amiloidoza
Urticarie
Sifilide papuloase
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AMILOIDOZA CUTANATA (PAPULE, NODULI)
MUCINOZA PAPULOASA (SCLERO –MYXEDEM)
P A P U L E
MUCINOZA PAPULOASA (SCLERO- MYXEDEM)
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PAPULE
C) PAPULE DERMO – EPIDERMICE: H-plazie epid+ infiltrat infl.cr, in dermul papilar
- Lichen plan D) PAPULE FOLICULARE :
Hiper plazie / diskeratoza foliculara + infiltrat inflam. perifolicular specific / nespecific:
- Pitiriazis rubra pilar - Mal. Darier - Sifilide foliculare - Lichen scrofulosorum - Lichen plan folicularCLINIC: ridicaturi perifolic.
acuminate, ferme; senz. de granitare;
Lichen ruber plan
LICHEN PLAN FOLICULAR
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PITIRIASIS RUBRA PILAR = RARA; CAUZE NECUNOSCUTE;
-PLACI,PLACARDE ERI-TEMATOSCUAMOASE
--+ PAPULE FOLICULARE HIPERKE RATOZICE
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PAPULE FOLICULARE
SIFILIDE FOLICULARE
LICHEN PLAN FOLICULAR PITIRIASIS RUBRA PILAR
LICHEN AMILODOSUS
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PAPULE FOLICULARE MALADIE DARIER
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KERATOZA PILARA
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TUBERCULUL
• L.E solida,• Infiltrat inflamator cr. specific, granulomatos,• > decit papula,cicatrice: scleroza interstitiala / ulceratie;• Dermul mijlociu si profund;• TIPURI: TUBERCULUL LUPIC (LUPOMUL) TUBERCULUL SIFILITIC TUBERCULUL DIN LEPRA PROBE CLINICE: Vitropresiunea modificare culorii; Stiletul butonat stabilirea consistentei;
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TUBERCULUL LUPIC (LUPOMUL)
• In LUPUSUL VULGAR,• Rosu – violaceu,• Consistenta moale,• Recidiveaza in cicatrice• Vireaza culoarea( galbui –
brun)
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TUBERCULUL SIFILITIC
• In SIFILIS TERTIAR, SIFILIS CONG.TARDIV;(sifilide tu – berculoase uscate sau ulceroase;
• Rosu – aramiu,• Consistenta ferma,• Nu recidiveaza in cicatrice• Nu-si modifica culoarea;
SIFILIS TERTIAR
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TUBERCULUL DIN LEPRA
• Brun – rosietic,• Nu-si vireaza culoarea,• Consistenta ferma,• Nu recidiveaza in cicatrice;
Lepra tuberculoida
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NODUL, NODOZITATE• L.E. solida, circumscrisa,• Infiltrat inflam. perivascular
+ alterari ale peretilor vasc.• > tubercul, modificari ale reliefului si
culorii teg. supraiacent,• In DERMUL PROFUND SI HI-
PODERM;• NODOZITATE = nodul >
boaba de fasole;• IN: ERITEM NODOS ERITEM INDURAT BAZIN, VASCULITE CUTANATE;
Erit. nodosPaniculita nod.
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NODUL, NODOZITATE
ERITEM NODOS
VASCULITA NODULARA (PANICULITA)
ERITEM INDURAT BAZIN
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GOMA• Nodozitate HIPODERMICA• EVOLUTIE : Cruditate Ramolitie Ulceratie Cicatrizare; IN: SIFILIS III TUBERCULOZA CUTANATA ACTINOMICOZA SPOROTRICOZA
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GOMA SIFILITICA• In SIFILIS TERTIAR DOBIND.
SIFILIS CONG. TARDIV;• ULCERATIA:• Margini regulate,
• Rotunde / ovalare,
• Infiltrate,
• Rosii – aramii,
• Fundul ulcer: curat
• Margini: abrupte
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GOMA TUBERCULOASA• In SCROFULODERMA;• ULCERATIA:• Margini neregulate,• Consistenta moale,• Fundul murdar – secretii ce-
nusiu purulente
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GOMA ACTINOMICOTICA• Gonion,• Gome grupate; faze evoluti –
ve diferite,• Mici concretiuni in puroi,• Reactie conjunctiva
perigomoasa. • => consist. dur – lemnoasa • Dg. dif.
- Sarcom
- Epiteliom spinocelular
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GOMA SPOROTRICHOZA• In lungul unui traiect limfatic• Etajate,• Sirag margele,
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LICHENIFICAREA• Accentuare circumscrisa a
cadrilajului normal tegum.• => pseudopapule,• Placa reliefata,• Cenusie• Grataj (prurit) PRIMITIVA: NEURODERMITA SECUNDARA ( derm.prurigin) Eczema lichenificata Psoriazis lichenificat, Tinea cruris lichenificata;....
NEURODRMITA
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Derm. contact- Ni
Derm. atopica
Scabie
LICHENIFICAREA (secundara)
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VEGETATIA• Excrescenta cut. filiforma /
conopidiforma,• Consist. variabila, PRIMITIVA: Papiloame, Vegetatii vener. SECUNDARA: Inf. cronice:• TBC verucoasa / vegetanta• Sifilide vegetante• Piodemita vegetanta,• Candidoze vegetante; Procese secretante cr.:• Pemfigus vegetant; Vegetatie (floare)
Verucozitate (keratoza)
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PAPILOAMEPAPOVAVIRUSURI HPV (HUMAN PAPILOMA VIRUS)
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VEGETATIA
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TUMORA (BENIGNA, MALIGNA)
EPITELIOM BAZOCELULAR
EPITELIOM SPINOCELULAR
MELANOM MALIGN
LIPOM
HEMANGIOM
KERATOACANTOM
PILOMATRICOM