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Extras:
1. The “Dimple Sign” - often exhibited by dermatofibromas. Pinch on either side and observe a
dimple due to scar-like tethering of the dermis.
2. The “Auspitz Sign” - bleeding after removal of scale. Exhibited by Plaque Psoriasis.
3. Pruritic Lesions
a. Keloid Scars
b. Psoriasis
c. Atopic Dermatitis
d. Allergic Contact Dermatitis
e. Tinea Corporis
f. Candida Intertrigo
g. Pityriasis Rosea
h. Nummular Dermatitis
i. Squamous Cell Carcinoma (sometimes)
4. Koebnerizing Lesions (Koebner phenomenon) - linear mode; spreads with trauma or
scratching
a. Molluscum Contagiosum (MC)
b. Verruca Vulgaris
c. Plaque Psoriasis
5. Systemic Lupus Erythematosus - “mimics rosacea”
6. Atopic Dermatitis - the “itch that rashes”
o The “itch” is the primary symptom and precedes onset
o Also seen in Allergic Contact Dermatitis
7. Red Rashes
o Greasy scale and redness Seborrheic dermatitis
o Tender Papules Acne vulgaris, rosacea
o Worse with exercise, heat, hot foods, alcohol Rosacea
o Eyebrows, nasal creases, external auditory canals Seborrheic dermatitis
o Cheeks and chin Acne vulgaris, acne rosacea, atopic dermatitis
o Nose Acne vulgaris, acne rosacea (Spared in atopic dermatitis)
o Know Location, History, and Age to help differentiate red rashes on the face
8. When to run a KOH test
o “All that scales, must be scraped”
o First step in diagnosing a scaling annular rash on the body is to perform a KOH exam to
rule out fungus
9. Tinea Versicolor
o KOH Prep reveals “Spaghetti and Meatballs” pattern Short hyphae and small round
spores
10. Allylamines are NOT effective for Candida species
o Nystatin ONLY works for Candida, not dermatophytes