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Dermatology

Neutrophilic Dermatoses

Built from Dermatology, 5th Edition

What’s inside

8 sections · 154 slides

  1. 01

    Overview

    • What this topic covers
    • Definition of a neutrophilic dermatosis
    • Spectrum of non-infectious neutrophilic dermatoses
    • Neutrophilic dermatoses in autoinflammatory disease

    4 slides

  2. 02

    Neutrophil Biology

    Where neutrophils come from, how they travel to injury, and why their weapons can harm the host

    • Basic neutrophil function
    • Neutrophil production and lifespan
    • Three types of neutrophil granules
    • From bloodstream to battle
    • Neutrophils and sites of inflammation
    • Neutrophils and sites of inflammation (continued)
    • Neutrophil trafficking to a site of injury
    • Cytokines that drive neutrophilic inflammation
    • Neutrophil-mediated tissue injury

    9 slides

  3. 03

    Sweet Syndrome

    Sudden fever with tender red plaques, and the prototype of the neutrophilic dermatoses

    • Sweet syndrome: key features
    • History of Sweet syndrome
    • Epidemiology of Sweet syndrome
    • Triggers of Sweet syndrome
    • Sweet syndrome: infectious and malignant triggers
    • Sweet syndrome - infectious, malignant and bowel-disease triggers
    • Sweet syndrome: drug triggers
    • Sweet syndrome - drug and other associations
    • Pathogenesis of Sweet syndrome
    • Sweet syndrome lesion morphology
    • Distribution of Sweet syndrome lesions
    • Sweet syndrome mimicking infection
    • Clinical variants of Sweet syndrome
    • Ocular involvement in Sweet syndrome
    • Course of the cutaneous eruption
    • Sweet syndrome plaques in acute myeloid leukemia
    • Systemic manifestations of Sweet syndrome
    • Systemic manifestations of Sweet syndrome by frequency
    • Typical histology of Sweet syndrome
    • Sweet syndrome histopathology
    • Histologic variants of Sweet syndrome
    • Histiocytoid Sweet syndrome histopathology
    • Histiocytoid Sweet syndrome in acute myeloid leukemia
    • Diagnosis of Sweet syndrome
    • Criteria for diagnosis of Sweet syndrome
    • Sweet syndrome mimics
    • Differential diagnosis of Sweet syndrome
    • Neutrophilic dermatosis of the dorsal hands
    • Neutrophilic dermatosis of the dorsal hands: clinical and necrotizing forms
    • Neutrophilic dermatosis of the dorsal hands: additional case
    • Three neutrophilic dermatoses seen with blood cancers
    • Hematologic-malignancy-associated neutrophilic dermatoses — Sweet syndrome
    • Hematologic-malignancy-associated neutrophilic dermatoses — Atypical (bullous) pyoderma gangrenosum
    • Hematologic-malignancy-associated neutrophilic dermatoses — Neutrophilic eccrine hidradenitis
    • Treatment of Sweet syndrome
    • Alternatives to corticosteroids for Sweet syndrome

    36 slides

  4. 04

    Pyoderma Gangrenosum

    An expanding, undermined skin ulcer that is frequently mistaken for infection

    • Pyoderma gangrenosum: key features
    • History of pyoderma gangrenosum
    • Epidemiology of pyoderma gangrenosum
    • Pathogenesis of pyoderma gangrenosum
    • IL-1-driven inflammation in pyoderma gangrenosum
    • Pathergy in pyoderma gangrenosum
    • Four major clinical forms of pyoderma gangrenosum
    • Clinical variants of pyoderma gangrenosum
    • Bullous pyoderma gangrenosum
    • Mucosal and vegetative variants of pyoderma gangrenosum
    • Evolution of the pyoderma gangrenosum ulcer
    • Pyoderma gangrenosum: clinical presentations
    • Classic ulcerative pyoderma gangrenosum on the shin
    • Undermined, violaceous border in pyoderma gangrenosum (case 1)
    • Undermined, violaceous border in pyoderma gangrenosum (case 2)
    • Earliest lesion in pyoderma gangrenosum
    • Clinical course by underlying cause
    • Peristomal and postsurgical pyoderma gangrenosum
    • Peristomal pyoderma gangrenosum around an ileostomy (second case)
    • Diseases associated with pyoderma gangrenosum
    • Pyoderma gangrenosum with IgA monoclonal gammopathy
    • PAPA syndrome and pyoderma gangrenosum
    • Pyoderma gangrenosum in PAPA syndrome
    • Histology of pyoderma gangrenosum
    • Pyoderma gangrenosum histopathology
    • Vegetative, pustular ulcer base in pyoderma gangrenosum
    • Misdiagnosis of pyoderma gangrenosum
    • Pyoderma gangrenosum diagnosis — Su Criteria
    • Pyoderma gangrenosum diagnosis — PARACELSUS Score
    • Pyoderma gangrenosum diagnosis — Delphi Consensus Criteria
    • Pyoderma gangrenosum: evaluation approach
    • Evaluation of a patient with presumed pyoderma gangrenosum
    • Pyoderma gangrenosum look-alikes by stage
    • Differential diagnosis of pyoderma gangrenosum
    • Pustular variant of pyoderma gangrenosum
    • Treatment principles for pyoderma gangrenosum
    • Managing long corticosteroid courses
    • Treatment ladder for pyoderma gangrenosum
    • Therapeutic ladder for pyoderma gangrenosum
    • Therapeutic ladder for pyoderma gangrenosum (continued)
    • Therapeutic ladder for pyoderma gangrenosum (continued)
    • Therapeutic ladder for pyoderma gangrenosum (continued)
    • Therapeutic ladder for pyoderma gangrenosum (continued)
    • Therapeutic ladder for pyoderma gangrenosum (continued)
    • Therapeutic ladder for pyoderma gangrenosum (continued)

    45 slides

  5. 05

    Behçet Disease

    A multisystem disease of recurrent mouth and genital ulcers, eye inflammation, and vessel disease

    • Behçet disease: key features
    • History of Behçet disease
    • Epidemiology of Behçet disease
    • Pathogenesis of Behçet disease
    • Oral ulcers in Behçet disease
    • Mucocutaneous lesions in Behçet disease
    • Genital and skin lesions in Behçet disease
    • Perianal aphthosis in Behçet disease
    • Lower extremity ulcerations in Behçet disease
    • Oral ulcerations of the soft palate and tongue in Behçet disease
    • Systemic involvement in Behçet disease
    • Organ systems affected in Behçet disease
    • Ocular and cutaneous vasculitic involvement in Behçet disease
    • Systemic manifestations of Behçet disease
    • Systemic manifestations of Behçet disease (continued)
    • Behçet disease versus bowel-linked neutrophilic disease
    • Neutrophilic dermatoses associated with bowel disorders
    • Neutrophilic dermatoses associated with bowel disorders (continued)
    • Gastrointestinal pathology in Behçet disease, BADAS, and IBD
    • Histology of Behçet disease skin lesions
    • Diagnosing Behçet disease
    • International Study Group criteria for Behçet disease
    • Treating Behçet disease
    • Therapeutic ladder for Behçet disease
    • Therapeutic ladder for Behçet disease (continued)
    • Therapeutic ladder for Behçet disease (continued)

    26 slides

  6. 06

    Bowel-Associated Dermatosis-Arthritis Syndrome

    A serum-sickness-like reaction (BADAS) to bacterial overgrowth after bowel surgery or disease

    • BADAS: key features
    • History and cause of BADAS
    • Conditions associated with bowel-associated dermatosis-arthritis syndrome
    • Clinical features of BADAS
    • Papules and papulopustules in bowel-associated dermatosis-arthritis syndrome
    • Systemic complications of BADAS
    • Papulopustules of bowel-associated dermatosis-arthritis syndrome on the arm
    • Pathology and differential diagnosis of BADAS
    • Treating BADAS
    • Therapeutic approaches for bowel-associated dermatosis-arthritis syndrome

    10 slides

  7. 07

    SAPHO Syndrome

    Synovitis, acne, pustulosis, hyperostosis, and osteitis - bone and joint disease with a pustular rash

    • SAPHO syndrome: key features
    • History and epidemiology of SAPHO syndrome
    • Pathogenesis and clinical picture of SAPHO syndrome
    • Diagnosing and imaging SAPHO syndrome
    • SAPHO syndrome
    • Pathology, differential diagnosis, and treatment of SAPHO

    6 slides

  8. 08

    Erosive Pustular Dermatosis

    Sterile scalp pustules and erosions in fragile, sun-damaged skin

    • Erosive pustular dermatosis: key features
    • History, epidemiology, and cause of erosive pustular dermatosis
    • Clinical features of erosive pustular dermatosis
    • Pathology and differential diagnosis of erosive pustular dermatosis
    • Treating erosive pustular dermatosis
    • Six neutrophilic dermatoses at a glance
    • Three more neutrophilic dermatoses at a glance
    • Key takeaways
    • References
    • References (continued)
    • References (continued)
    • References (continued)
    • References (continued)
    • References (continued)
    • References (continued)
    • References (continued)
    • References (continued)
    • Dermatology, 5th Edition (2-Volume Set)

    18 slides