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Dermatology

Nutritional Diseases

Built from Dermatology, 5th Edition

The first 25 slides of Nutritional Diseases
The first 25 slides, exactly as they appear. The full deck has 115 content slides.

What’s inside

7 sections · 115 slides

  1. 01

    Overview

    • What this topic covers

    1 slide

  2. 02

    Introduction and Epidemiology

    Why nutrition matters and who is at risk

    • Macronutrients and micronutrients
    • Who is at risk of malnutrition
    • Secondary causes of malnutrition
    • Classification and causes of malnutrition
    • How malnutrition is measured
    • Mucocutaneous clues to a nutritional disorder
    • Mucocutaneous clues to a nutritional disorder

    7 slides

  3. 03

    Protein-Energy Malnutrition

    Marasmus, kwashiorkor, and essential fatty acid deficiency

    • Two patterns of severe acute malnutrition
    • Marasmus - wasting without edema
    • Marasmus - wasted, emaciated appearance
    • Purpura in marasmus
    • Kwashiorkor - malnutrition with edema
    • Edema of kwashiorkor
    • "Flaky paint" scale of kwashiorkor
    • More examples of kwashiorkor skin changes
    • Superficial epidermal necrosis in kwashiorkor
    • Edema, ulceration, and shellac-like scale in kwashiorkor
    • Kwashiorkor in a child on a vegan diet
    • What causes kwashiorkor - old vs new theory
    • How kwashiorkor may develop
    • Marasmus vs kwashiorkor
    • Severe malnutrition in adults, and outlook
    • Comparing marasmus, kwashiorkor, and EFA deficiency
    • Marasmus - reference summary
    • Marasmus - reference summary (continued)
    • Kwashiorkor - reference summary
    • Kwashiorkor - reference summary (continued)
    • Essential fatty acid deficiency - reference summary
    • Essential fatty acid deficiency - reference summary (continued)
    • Essential fatty acids - what they are
    • Essential fatty acid deficiency - causes and diagnosis

    24 slides

  4. 04

    Vitamins

    Fat-soluble and water-soluble vitamins: deficiency and excess

    • Vitamins - two classes
    • Vitamin deficiencies - what to look for
    • Fat-soluble vitamin deficiencies - clinical signs
    • Fat-soluble vitamin deficiencies - diagnosis and treatment
    • Water-soluble vitamin deficiencies - clinical signs
    • Water-soluble vitamin deficiencies - clinical signs (continued)
    • Water-soluble vitamin deficiencies - clinical signs (continued)
    • Water-soluble vitamin deficiencies - diagnosis and treatment
    • Water-soluble vitamin deficiencies - diagnosis and treatment (continued)
    • Water-soluble vitamin deficiencies - diagnosis and treatment (continued)
    • Vitamin sources, function, and daily intake
    • Vitamin sources and functions
    • Vitamin sources and functions (continued)
    • Vitamin sources and functions (continued)
    • Vitamin sources and functions (continued)
    • Vitamin risk factors and recommended daily intake
    • Vitamin risk factors and recommended daily intake (continued)
    • Vitamin risk factors and recommended daily intake (continued)
    • Vitamin risk factors and recommended daily intake (continued)
    • Vitamin A deficiency - phrynoderma
    • Phrynoderma of vitamin A deficiency
    • Corneal blindness from vitamin A deficiency
    • Vitamin C deficiency - scurvy
    • Corkscrew hairs and gingivitis of scurvy
    • Niacin (B3) deficiency - pellagra
    • Photodistributed hyperpigmentation and desquamation in pellagra
    • Photodistributed erythema and desquamation in pellagra
    • Shiny, shellac-like desquamation of pellagra
    • Vitamin excess - who is at risk
    • Signs of vitamin excess
    • Vitamin excess - cause and skin signs
    • Vitamin excess - cause and skin signs (continued)
    • Vitamin excess - cause and skin signs (continued)
    • Vitamin excess - systemic signs and comments
    • Vitamin excess - systemic signs and comments (continued)
    • Vitamin excess - systemic signs and comments (continued)
    • Carotenoderma - a false alarm, not toxicity
    • Carotenoderma of the legs
    • Carotenoderma of the elbows in a child
    • Vitamin D - what it does
    • Measuring and defining vitamin D deficiency
    • How the skin makes vitamin D
    • Vitamin D synthesis pathway
    • Cutaneous production and metabolism of vitamin D
    • Recommended vitamin D intake and food sources

    45 slides

  5. 05

    Trace Elements

    Zinc, copper, and selenium

    • Trace elements - the essentials
    • Zinc - role in the body
    • Zinc deficiency - skin and body signs
    • Zinc deficiency - inherited and acquired forms
    • Acrodermatitis enteropathica - inherited zinc deficiency
    • Two forms of zinc deficiency
    • Differential diagnosis of "nutritional dermatitis"
    • Who else gets acquired zinc deficiency
    • Acrodermatitis enteropathica - buttock and toe erosions
    • Acrodermatitis enteropathica - perioral and acral erosions
    • Treating zinc deficiency
    • Acquired zinc deficiency - perioral erosions in an adult
    • Acquired zinc deficiency - flexural rash and nail dystrophy
    • Copper - role in the body
    • Menkes disease - inherited copper deficiency
    • Menkes disease - pale skin and sparse kinky hair
    • Copper disorders
    • Copper excess and Wilson disease
    • Selenium deficiency and excess

    19 slides

  6. 06

    Eating Disorders and Obesity

    Malnutrition at both ends of body weight

    • Anorexia nervosa and bulimia - the basics
    • Skin changes in anorexia and bulimia
    • Cutaneous findings in obesity and in anorexia/bulimia
    • Obesity as a form of malnutrition
    • Bariatric surgery and nutrient loss
    • Malabsorption from gut disease

    6 slides

  7. 07

    Pathology, Diagnosis, and Treatment

    Tying the findings together

    • What nutritional deficiency looks like under the microscope
    • Diagnosing a nutritional dermatosis
    • Differential diagnosis of "nutritional dermatitis"
    • General principles of treatment
    • Key takeaways
    • References
    • References (continued)
    • References (continued)
    • References (continued)
    • References (continued)
    • References (continued)
    • References (continued)
    • Dermatology, 5th Edition (2-Volume Set)

    13 slides