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Dermatology

Foreign Body Reactions

Built from Dermatology, 5th Edition

The first 25 slides of Foreign Body Reactions
The first 25 slides, exactly as they appear. The full deck has 94 content slides.

What’s inside

6 sections · 94 slides

  1. 01

    Overview

    • What this topic covers

    1 slide

  2. 02

    General Considerations

    What a foreign body reaction is, how material enters the skin, and how the body responds

    • What is a foreign body reaction?
    • Routes of entry into the skin
    • How foreign bodies are grouped
    • Classification of foreign bodies by origin and route of entry
    • Classification of foreign bodies by origin and route of entry (continued)
    • Classification of foreign bodies by origin and route of entry (continued)
    • Classification of foreign bodies by origin and route of entry (continued)
    • Classification of foreign bodies by origin and route of entry (continued)
    • Classification of foreign bodies by origin and route of entry (continued)
    • Classification of foreign bodies by origin and route of entry (continued)
    • How a granuloma forms
    • Foreign body giant cells
    • Clinical presentation
    • Clinical presentations of foreign body reactions
    • Less common clinical patterns
    • Two types of granuloma
    • Reading the pathology slide
    • Reaching the diagnosis
    • Diagnostic approach to a suspected foreign body reaction
    • Clinical presentation by foreign body type
    • Clinical presentation by foreign body type (continued)
    • Histologic reaction pattern by foreign body type
    • Histologic reaction pattern by foreign body type (continued)

    23 slides

  3. 03

    Inorganic and Metallic Compounds

    Tattoo ink, paraffin, silicone, silica, talc, and reactive metal salts

    • What a tattoo is
    • Traumatic tattoo
    • What tattoo ink is made of
    • Reactions within a tattoo
    • Cosmetic tattoo reaction
    • Reaction in the red portion of a tattoo
    • Sarcoidosis and the Rush phenomenon
    • Verrucous change and lymph node spread
    • Tattoo pathology - where the pigment sits
    • Reaction to cinnabar pigment
    • Monsel's solution tattoo
    • Diagnosis and differential diagnosis
    • Infections and inflammatory dermatoses within tattoos
    • Treating a tattoo reaction
    • What is paraffin?
    • Paraffin injection sites and course
    • Penile paraffinoma (sclerosing lipogranuloma)
    • Paraffin pathology and treatment
    • What is silicone used for?
    • Silicone reaction and its risks
    • Silicone reaction after cosmetic injection
    • Silicone pathology and treatment
    • What is silica and how does it get in?
    • Silica granuloma
    • Silica: differential diagnosis and treatment
    • Talc granulomas
    • Talc: clinical picture and pathology
    • Reactive metal salts
    • Aluminum and zinc reactions
    • Treating the reactive metal group

    30 slides

  4. 04

    Organic and Biologic Products

    Starch, plant spines, jellyfish and coral, and the body's own keratin

    • Starch granulomas
    • Cactus spine injury
    • Foreign plant material implanted in skin
    • Wood splinter versus bee stinger
    • Jellyfish and coral stings
    • Delayed reaction to coral or jellyfish
    • Treating a cnidarian sting
    • Keratin as a foreign body
    • Pseudofolliculitis barbae
    • Pseudofolliculitis in other body sites
    • Pilonidal sinus

    11 slides

  5. 05

    Injectable Soft Tissue Fillers

    How cosmetic dermal fillers can themselves trigger a foreign body reaction

    • Fillers as foreign bodies
    • Durability class of each filler material
    • Durability class of each filler material (continued)
    • Histopathologic features by filler material
    • Histopathologic features by filler material (continued)
    • Histopathologic features by filler material (continued)
    • Histopathologic features by filler material (continued)
    • Histopathology of different filler-related granulomas
    • Hyaluronic acid filler reactions
    • Bovine collagen filler reaction
    • Foreign body reaction to bovine collagen

    11 slides

  6. 06

    Miscellaneous Causes

    Steroid injections, sutures, synthetic hair fibers, mesotherapy, and gout

    • Intralesional corticosteroid reactions
    • Suture reactions
    • Suture granuloma on biopsy
    • Foreign body giant cells engulfing suture material
    • Synthetic 'hair' fiber implants
    • Mesotherapy reactions
    • Gouty tophi
    • Six routes a foreign body can take into the skin
    • 0.4%
    • Key points to take away
    • References
    • References (continued)
    • References (continued)
    • References (continued)
    • References (continued)
    • References (continued)
    • References (continued)
    • Dermatology, 5th Edition (2-Volume Set)

    18 slides