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palpable

ACRONYM: ABCDE Author :Chase

Scarbrough
MNEMONIC: Date : Tue
Asymmetry 05/13/2014 @
Border irregular 03:57
Colors, multiple or black
Diameter, bigger than 6mm
Evolving, changing mole
MNEMONIC NOTES: Easy way to recall alarming features of melanoma
ADDITIONAL CREDIT: Anonymous
REFERENCES: American Academy of Dermatology

RATING:

Prognostic Factors for melanoma

ACRONYM: Too Many Under Age Guys Site Clark Author : Dr. Gibbons
Date : Sun 12/30/2012 @ 12:07
MNEMONIC:
Importance of prognostic variables:
1. Tumor thickness - TOO
2. Mitotic rate - MANY
3. Ulceration - UNDER
4. Age (older worse) - AGE
5. Gender (men do worse) - GUYS
6. Site (BAANS worse) - SITE - ( upper Back, posterior Arm, Acral
lentiginous, posterior Neck, posterior Scalp)
7. Clark's level - CLARK's level as being important
MNEMONIC NOTES: Clark's level no longer considered to be very
important. LDH also important to check twice.
ADDITIONAL CREDIT: Dr. Gibbons
REFERENCES: Dermpath Diagnostics

RATING:

Waardenburg Syndrome GENES

ACRONYM: Pack your Mittens, Pack your SOX Author :Kate

Marks
MNEMONIC: Date : Sat
Pack: PAX3 = type 1 09/15/2012
@ 01:06
Mittens: MITF = types 2

Pack: PAX3 = type 3

SOX10 = type 4

MNEMONIC NOTES: Easy way to recall genes in Waardenburg Syndrome

ADDITIONAL CREDIT: Anonymous
REFERENCES:

RATING:

Mediatiors of Pruritis

ACRONYM: ITCH O-PINS! Author :Derek

Chan
MNEMONIC: Date : Mon
Interleukin-31 07/16/2012 @
Tryptase 12:27
Cathepsin S
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Histamine

Opioid (mu) receptor agonists

Prostagladin E2
Interleukin-2
Nerve growth factor
Substance P

MNEMONIC NOTES: Easy way to recall major mediators of pruritis. Primary mediators are in red;
secondary mediators are in blue
ADDITIONAL CREDIT: N/A
REFERENCES: Bolognia, 3rd edition, table 5.2

RATING:

SJS/TEN

ACRONYM: CA2B3S Author :Derek

Chan
MNEMONIC: Date : Sat
Cancer (presence of malignancy) 08/27/2011 @
11:41
Area (of body) > 10% TBSA

Age > 40 years

BUN > 20 mg/dl

Bicarbonate < 20 mEq/L

Beats per minute > 20 bpm

Sugar > ~ 250 mg/dl (it's really 252 mg/dl)

MNEMONIC NOTES: This is a mnemonic for remembering the factors for severity of illness
assessment score for TEN/SJS (SCORTEN).

Remember, when you have SJ/TEN, if you can’t get an ambulance, you’re going
to be looking for “CABS!” Also, note that all the “Bs” include 20 for the cutoff.
Everything, including each of the "Bs" is a multiple of 10, basically (TBSA >
10%, Age > 40 years, Sugar > ~ 250).

ADDITIONAL CREDIT:
REFERENCES: Journal of Investigative Dermatology (2006) 126, 272–276.
doi:10.1038/sj.jid.5700068

RATING:

p450 Inhibitors

ACRONYM: Stop Cyber Kids from Eating Grapefruit Author :OSU

Dermatology
MNEMONIC: Date : Tue
Stop - Sulfonamides 07/19/2011
Cyber - Cimetidine @ 06:51
Kids - Ketoconazole
from
Eating - Erythromycin
Grapefruit - Grapefruit juice
MNEMONIC NOTES: p450 inhibitors may increase serum levels of other drugs, and increase their
potential toxicity.
REFERENCES: First Aid for Step 1

RATING:

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Cholestasis of pregnancy treatment

ACRONYM: DUM LUCK Author :OSU

Dermatology
MNEMONIC: Date : Mon
Dexamethasone 12mg/day x 7 days to decrease lab abnormalities and pruritus, in conjunction with UCDA 07/18/2011
Ursodeoxycholic acid (UCDA) 16mg/kg/day to reduce risk of premature delivery and pruritus @ 03:22
Maternal bed rest
Low fat diet
UVB phototherapy
Cholestyramine given with Vitamin K
K vitamin
MNEMONIC NOTES: Cholestasis of pregnancy is associated with increased bile acids (3-1000x
normal)
Jaundice clinically differentiates cholestasis from prurigo of pregnancy (which
has no jaundice but may have some bile acid abnormalities)
Direct bili not more than 2-5mg/mL
Hepatic U/S is normal
Mother has low vitamin K at risk for post partum hemorrhage
Increased risk of gallstones
Resolves within 2 days of delivery, may recur.
REFERENCES: Galderma binder 2010 p.136

RATING:

Herpes Gestationis / Pemphigus Gestationis

ACRONYM: Pemphigus gestationis is as easy as 1,2,3,4 Author :Anonymous

Date : Mon
MNEMONIC: 07/18/2011 @
1 - IgG1 (Fixes complement) 03:09
2 - BPAg2 (Collagen 17, 180kD, at NC16A intracellular DOMAIN )
3 - Linear C3 at BMZ, HLA DR3
4 - HLA DR4

MNEMONIC NOTES: Pemphigus gestationis involves the umbilicus, whereas PUPPP usually does not.
PG often flares after delivery. Intense itching for mom, risk of prematurity,
SGA, or bullae in baby. Increased risk of mom developing anti-thyroid
antibodies / Graves disease in future

PUPPP starts in stretch marks and is usually only an issue during the first
pregnancy due to excessive stretching; and resolves promptly after delivery. No
risk to baby.
ADDITIONAL CREDIT: Anonymous
REFERENCES: Bolognia 2nd ed, p. 396

RATING:

Familial hyperlipoproteinemias

ACRONYM: yoyo, LL Cool-J Claimed Dys FaTG FoLLowed ||| Coolio's Last LoVer Author :Anonymous
Into VermonT Very Closely Date : Mon
07/18/2011 @
MNEMONIC: 02:08
yoyo, LL Cool-J Claimed Dys FaTG FoLLowed ||| Coolio's Last LoVer Into Vermont Very Closely

I - Lipoprotein Lipase - Chylomycrons - Pancreatitis

IIa - Cholesterol - LDL - Tendinous xanthomas, planar xanthoms (2 types in type 2)
IIb - Cholesterol - LDL, VLDL - Tendinous xanthomas, planar xanthoms (2 types in type 2)
III - Dysbetalipoproteinemia (broad beta) - IDL - Palmar xanthomas
IV - Familial hyperTG - VLDL, TG
V - Familial Lipoprotein Lipase - VLDL, chylomicrons - Pancreatitis
MNEMONIC NOTES: Type III - palmar
Type II - planar and tendinous (2 types for type 2)
Eruptive xanthomas in any type except type II (all but 2 erupt)
REFERENCES: Gladerma review binder

RATING:
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Drug induced SLE (Systemic Lupus Erythematosus)

ACRONYM: Dopey Minnows Eat CHIPPPS and alfalfa sprouts Author :Matt
Molenda
MNEMONIC: Date : Mon
Methyl DOPA 07/18/2011
Minocycline (can occur 2 years after starting, young females. Associated with P-ANCA). @ 12:02
Etanercept (Ant-TNF's can induce ANA or unmask native anti-dsDNA disease, usually not Anti-histone+)
Chlorpromazine
Hydralazine
Isoniazid
Phenytoin
Procainamide
Penicillamine (unmasks native dsDNA disease, usually not anti-Histone+; 2L's think dsDNA)
Sulfonamides
Alfalfa sprouts (L-Canavanine) can induce SLE
MNEMONIC NOTES: Drug induced SLE has positive Anti-histone antibody (except etanercept and
penicillamine (anti-dsDNA) and Minocycline (P-ANCA). Also it's not HIPP to have
lupus.
ADDITIONAL CREDIT: Anonymous
REFERENCES: Bolognia 2nd ed.; Andrews 10th ed p 163

RATING:

X-linked Dominant Disorders

ACRONYM: IF C COP Author :Anonymous

Date : Mon
MNEMONIC: 07/18/2011 @
Incontinentia Pigmenti - NEMO NFkappaB essential modulator, Can't activate NFKB so defective apoptosis; In 09:43
lines of Blaschko: vesicular->verrucous->hyperpigmented->hypopigmentation; check mom's legs for light
spots; Eos on biopsy; peg teeth; peg teeth; seizures and eye involvement; IP1 caused by mutation in paternal
spermatogenesis.
Focal dermal hypoplasia (Goltz)- Female/Fat herniation, Osteopathia striata, Oligodentia, Coloboma, Alopecia,
Lobster Claw; Perioral and Perianal raspberry papillomas; can't eat PORCN (popcorn) with a lobster claw
CHILD (Congenital Hemidysplasia with ichthyosiform erythroderma); NSHDL; striking midline cutoff of
ichthyosiform erythroderma and hypoplasia of limbs, organs
Conradi-Hünerman - Stippled ü, stippled epiphyses; cholesterol biosynth issue; scoliosis, asymmetric limb
shortening with follicular atrophoderma in Blaschko's lines
Oro-Facial-Digital
Plus Albright's hereditary osteodystrophy and Bazex (BCC's of face, Atrophoderma (follicular), Zero sweat
(hypohidrosis), Empty follicles (hypotrichosis), X-linked dominant)
MNEMONIC NOTES: Cops are dominant; these diseases are almost always in females as they are
incompatible with life in males unless they have Kleinfelter's; Often blaschkoid
due to lyonization, half-chromatid mutation, post-zygotic mutation,
chromosomal non-disjunction, or chimerism (p. 843 Bolognia)
ADDITIONAL CREDIT: Anonymous
REFERENCES: Spitz

RATING:

X-linked Recessive diseases (XLR)

ACRONYM: CHADZ Kinky WIFE Got Lucky Author :OSU

Dermatology
MNEMONIC: Date : Mon
Chronic Granulomatous Disease - Nitroblue reduction assay stays clear/yellow; NADPH oxidase enzyme, 07/18/2011
defective respiratory burst; recurrent Staph abscesses, suppurative lymphadenitis @ 09:42
Hunter's (X marks the spot, pebbly lesions on back, Iduronate-2-sulfatase, large persistent mongolian spot on
anterior and posterior trunk)
Anhidrotic Ectodermal Dysplasia - ectodysplasin (TNF-like protein), peg teeth, overheats easily, sparse hair,
palmar bx lacks eccrine
Dyskeratosis congenita - dyskerin (RNA telemorase),poikiloderma/premature aging, dystrophic/absent nails;
pancytopenia; death by SCC early 20-30's; tx: bone marrow transplant
Ziprowski-Margolis - Albinism with deafness
Kinky - Menke's Kinky Hair - pili torti, doughy skin, ATP7A for copper binding ATPase, low serum copper but
treat with Copper histidine, accentuated cupid's bow, check serum Copper and Ceruloplasmin; fatal disease
death by 2-3 years
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Wiskott-Aldrich - WAS gene, decreased IgM, increased IgE and others, severe diaper dermatitis, severe atopic
dermatitis with petechiae; bloody diarrhea. Premature death infection > hemorrhage > malignancy
Ichthyosis (X-linked, steroid sulfatase, "dirty neck", failure of mother to progress in labor, cryptorchidism,
check maternal urine for decreased estriol/estrogens and presence of non-hydrolyzed DHEA)
Fabry's (alpha-galactosidase, angiokeratoma corporis diffusing, BATHING trunk distribution, painful hands)
Ehler's-Danlos (Type V and IX, both with lysyl oxidase deficiency)

G6PD Deficiency - caution with Dapsone, sulfonamides, antimalarials.

Lesch-Nyhan - hypoxanthine-guanine phosphoribosyltransferase (HGPRT), juvenile gout, self-mutilation, MR,
renal disease, build up of uric acid. Tx with Allopurinol

MNEMONIC NOTES: X-linked recessive disorders

Some additional ones:
Forms of Cutis laxa (lysyl oxidase)
ADDITIONAL CREDIT: Galderma Derm In Review Cram Pack p. 35
REFERENCES: Spitz 2nd edition

RATING:

Features of Peutz Jeghers syndrome

ACRONYM: The dominant fashion COP aBREASTed the Peutz-Jeghers patient for Author :OSU
wearing speckled brown lip stick (STK11) Dermatology
Date : Sat
MNEMONIC: 07/16/2011
Autosomal Dominant @ 06:00
Colon cancer
Ovarian cancer
Pancreatic cancer
Breast cancer
Speckled brown macules around mouth / on lips
STK11 (serine/threonine kinase) important in cell cycle progression
MNEMONIC NOTES: Features of Peutz Jeghers
Treat pigmented macules with laser
REFERENCES: Spitz p. 186

RATING:

Rickettsial diseases - treat with Doxy

ACRONYM: Rickettsial diseases Author :OSU

Dermatology
MNEMONIC: Date : Sat
-Ricke Rick Required Recussitation Regarding RMSF at the ornate Derma center (ornate scutum) 07/16/2011
@ 03:51
RMSF - R. rickettsiae - Dermacentor tick with ornate scutulum

-Akari and her pet mouse mite have a pox infection. She also has a bloody lip. (see photo)

Rickettsialpox - R akari - house mouse mite - Liponyssoides sanguineus

-Cheop off the rat's tail, he doesn't pay REnT (Rat, Endemic, Typhi)
Endemic typhus - R. typhi (short ending like a shortened tail) - Xenospsylla cheopsis - rat flear

-You'd be a scrub if you had chiggers in your oriental rugs tsutsuing up your legs (chewing) while
you play the trombone

Scrub typhus - Orientia tsutsugamushi - Chiggers - tromboculid mite larvae

ePidemic typhus - Prowazecki - body louse

Any last burning Q(uestions) about tick feces?

Q fever - Coxiella burnetii - dried tick feces.

MNEMONIC NOTES: Treat with Doxy. Even RMSF in kids <9yo. One course of doxy shouldn't hurt
much per E-medicine. Chloramphenicol has worse outcomes.
REFERENCES: Galderma 2010 p. 295

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RATING:

Bumpy face differential

ACRONYM: Merely ABC Author :Dr.

Gibbons
MNEMONIC: Date : Fri
DDx: “Merely ABC” 07/15/2011
Merely: Muir-Torre - sebaceous neoplasms, colon cancer, loss of (MLH1, MSH2) staining @ 04:36
A: Adenoma sebaceum/AF in Tuberous Sclerosis
B: Birt-Hogg-Dube - fibrofolliculoma, acrochordons, trichodiscomas (FAT Hogg)
Brooke-Spiegler – Trichoepithelioma, Cylindroma, Spiradenoma, Cysts
C: Cowdens –Tricholemmoma (tricholeMOOma mooo goes the Cow)

MNEMONIC NOTES: Bumpy face differential; All are autosomal dominant. Tuberous sclerosis is often
a new mutation
ADDITIONAL CREDIT: Anonymous
REFERENCES: Dermpath diagnostics

RATING:

Normal Skin Differential

ACRONYM: I VACUUM DOG PUS Author :OSU

Dermatology
MNEMONIC: Date : Thu
Ichthyosis 07/14/2011
Vitiligo @ 09:26
Argyria
Candida
Urticaria
Ucrticaria pigmentosa
Macular Amyloid
Dermatophyte
Onchocerciasis
Gold
Psoriasis, guttate
Ulerythema ophyrogenes
Seborrheic dermatitis / Scleredema
MNEMONIC NOTES: Can look like normal skin at first - subtle histology
ADDITIONAL CREDIT: Anonymous
REFERENCES: Elston requisites in dermpath

RATING:

Spindled cells SLAMmed up against the epidermis

ACRONYM: SLAM Author :OSU

Dermatology
MNEMONIC: Date : Thu
07/14/2011
Sspindle cell SCC - Keratin + @ 09:17
Loeiomyosarcoma - Smooth muscle actin (SMA)+
Atypical fibroxanthoma (AFX) - CD68+, Vimentin+, CD99+, Procollagen-1 but really considered diagnosis of
exclusion
Melanoma - S100+
MNEMONIC NOTES: Spindled cells slammed up against epidermis
ADDITIONAL CREDIT: Anonymous
REFERENCES: Elston Req in Dermpath p. 419

RATING:

Subcorneal pustule

ACRONYM: A CAT PISSSSS Author :OSU

Dermatology
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MNEMONIC: Date : Thu
07/14/2011
Acute Generalized Exanthematous Pustulosis (AGEP, Beta-lactams and macrolides common (PCN,
@ 09:13
aminopenicillins, cephalosporins; Azithro, Clarithro, Erythro), also Ca channel blockers (Diltiazem), and anti-
malarials)
Candida (satellite pustules)
Acropustulosis of infancy (onset between 3-6 months old, recurrence Q3-4 weeks, resolves by age 3, sx
treatment)
Transient neontal pustular melanosis (widespread on newborn with pigmented skin, collarettes of scale,
resolves)
Psoriasis, pustular (Acitretin, Phototherapy NBUVB or PUVA)
Impetigo (Gram positive purple cocci in blister cavity)
Subcorneal pustular dermatosis / Sneddon Wilkinson / IgA Pemphigus (DIF>IIF, intercellular IgA to
desmocollin-1)
Staphylococcal Scalded Skin Syndrome (Exfoliative toxin, renal failure / infants can't clear toxin)
MNEMONIC NOTES: Subcorneal pustules
ADDITIONAL CREDIT: Anonymous
REFERENCES: Elston Req in Dermpathp. 419; Bolognia 2nd ed

RATING:

Fungal eumycetomas with black grains

ACRONYM: My Lousy Greasy Jeans are black Author :OSU

Dermatology
MNEMONIC: Date : Thu
My - Madurella mycetomatis 07/14/2011
Lousy - Leptosphaeria sp. @ 08:06
Greasy - Madurella grisea
Jeans - Exophiala jeanselmei
are black - black grains
MNEMONIC NOTES: Actinomycetomas have yellow or white grains, except for Actinomadura
pelletieri which has RED grains
ADDITIONAL CREDIT: Anonymous
REFERENCES: Elston, Req in Dermpath, p. 284

RATING:

Loa Loa - caused by deer fly, mango fly, treated with Diethylcarbamazine

ACRONYM: the dear 2 Ethyl's eating Mango jam on 2 Loa(ves) of bread and Author :OSU
drinking Chrystal lite, couldn't see the flies because of worms in their Dermatology
eyes Date : Thu
07/14/2011
MNEMONIC: @ 06:23
Diethylcarbamazine - Loa Loa - mango fly, deer fly (Chrysops) - causes worms visible along conjunctiva
MNEMONIC NOTES: Found in West Africa
ADDITIONAL CREDIT: Anonymous
REFERENCES: Galderma 2010 p. 294

RATING:

Saddle nose deformity

ACRONYM: Snorting Cocaine off one's WRIST gives one a saddle nose Author :OSU
Dermatology
MNEMONIC: Date : Thu
Cocaine 07/14/2011
Wegener's granulomatosis (c-ANCA positive (Proteinase-3)) @ 04:31
Relapsing Polychondritis (Anti-Collagen II, painful swelling of ears and cartilage sites like nose; if has oral
aphthae or vasculitis, check for myelodysplastic syndrome; Tx: Prednisone, NSAIDS, colchicine, Dapsone)
Infectious chondritis (Leprosy)
Syphilis, congenital
Traumatic chondritis
MNEMONIC NOTES: Also hypohidrotic ectodermal dysplastia
REFERENCES: Bolognia 2nd edition, p. 601
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RATING:

Minocycline for M. Marinum

ACRONYM: Minnows swim in the marina Author :OSU

Dermatology
MNEMONIC: Date : Thu
Minnows (Minocycline) is treatment of choice for Mycobacteria marinum, which causes fish tank granuloma; or 07/14/2011
broken skin in swimming pool or lake. @ 03:44
MNEMONIC NOTES: Clarithromycin use has also been described.
ADDITIONAL CREDIT: Anonymous
REFERENCES: Galderm review binder

RATING:

Gluten free grains

ACRONYM: Gluten-free foods can taste bland like ROCoKS Author :OSU
Dermatology
MNEMONIC: Date : Wed
Rice 07/13/2011
Oats @ 12:33
Corn
=oK grains with DH

MNEMONIC NOTES: Gluten containing grains: Wheat, Rye, Barley

Of note: DH enteropathy is patchy so small bowel bx not always positive, but is
positive in 90% of DH pts.
Both GI and skin sx disappear with gluten free diet
Gluten free diet is only way to decrease risk of MALT lymphoma
Dapsone produces rapid release. Check G6PD
Iodide ingestion (e.g. shellfish, iodized salt) causes dramatic worsening of DH.
DH assoc with Autoimmune thyroid disease (Hashimotos) and type 1 diabetes.
Endomysial Ag = tissue Transglutaminase-2 - in GI tract
Epidermal transglutaminase is Transglutaminase-3, which cross-reacts with
anti-endomysial antibodies.
ADDITIONAL CREDIT: Anonymous
REFERENCES: Bolognia 2nd ed, p 448

RATING:

Foscarnet causes penis ulcerations

ACRONYM: Foscarnet causes penile ulcerations Author :Anonymous

Date : Wed
MNEMONIC: 07/13/2011 @
Fos Carnet! My penis is ulcerated! 12:17
("Gosh darnit! My penis is ulcerated!")
MNEMONIC NOTES: Due to contact toxicity when excreted in urine
ADDITIONAL CREDIT: Anonymous
REFERENCES: Bolognia 2nd Ed p 315

RATING:

Bazex's Follicular Atrophoderma

ACRONYM: BAZEX Author :Matt

Molenda
MNEMONIC: Date : Tue
BCCs of face 07/12/2011
Atrophoderma, follicular - face, hands and elbows @ 12:42
Zero sweat (hypohydrosis)
Empty follicles (hypotrichosis)
X-linked Dominant

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vs. Rombo Syndrome, atrophoderma mostly limited to face. Acral erythema instead of atrophoderma. Also
cyanosis and peripheral vasodilation. Possibly autosomal dominant. See image to right.

MNEMONIC NOTES: Bazex's Follicular Atrophoderma (Bazex-Dupre-Christol)

ADDITIONAL CREDIT: Matt
REFERENCES: Galderma review binder 2010-2011, p. 375

RATING:

Schistosomiasis

ACRONYM: "Man's own eye, rice, and sharp edge" Author :Anonymous
Date : Mon
MNEMONIC: 07/11/2011 @
11:29
S. mansoni - has phallic protrusion like "man's own eye"
S. japonicum - rounded edges like rice or sushi, in GI tract
S. haemotobium - sharp pointy edge that cause bladder to bleed
MNEMONIC NOTES: Dx: stool exam, urine exam, exam of snips of tissue from paragenital
granulation tissue
Tx: Praziquantel 20mg/kg BID (TID for japonicum)
ADDITIONAL CREDIT: Anonymous
REFERENCES: Du Vivier 3rd edition, p 353 and http://www.k-
state.edu/parasitology/625tutorials/Trematodes01.html

RATING:

DNA viruses

ACRONYM: HHAPPPPPy Author :OSU

Dermatology
MNEMONIC: Date : Sat
Herpes - HSV, VZV, CMV (blueberry muffin baby), Roseola (HHV6 and 7 - half a dozen roses), Kaposi's 07/09/2011
(HHV8), possibly PR @ 08:45
Hepadna - Hepatitis B
Adeno
Papilloma= HPV. 6,11,16,18 in Gardasil. 6,11 = warts. 16,18 = dysplasia; E6-p53; E7-Retinoblastoma
Polyoma = JC John Cunningham Virus - PML - why Efalizumab taken off market; Merkel Cell = CK20 -
paranuclear dot
Papova = old name that includes Papilloma and Polyoma
Pox = Molluscum, Smallpox, Vaccinia; (Orf = parapox)
Parvo B19 = slapped cheeks, lacy rash, anemia, joint pain in adults. Bad in pregnancy, sickle cell.
MNEMONIC NOTES: Parvo is ssDNA, the rest are dsDNA
ADDITIONAL CREDIT: Anonymous
REFERENCES: First Aid for Step 1

RATING:

p450 Inducers

Mnemonic: Queen Barb takes PhenPhen and Refuses Greasy Carbs Author :OSU
Dermatology
MNEMONIC: Date : Fri
Queen - Quinidine 07/08/2011
Barb - Barbiturates @ 04:16
takes
PhenPhen - Phenytoin
and
Refuses - Rifampin
Greasy - Griseofulvin
Carbs - Carbamazepine
MNEMONIC NOTES: p450 inducers decrease the concentration of similarly metabolized drugs and
may make them less effective.
REFERENCES: First Aid for Step1

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RATING:

Lichenoid Drug

ACRONYM: HANG PC Author :Matt

Molenda
MNEMONIC: Date : Fri
HCTZ 07/08/2011
Antimalarials / Allopurinol @ 03:54
Naprosen/NSAIDS
Gold
Penicillamine / Phenothiazines
Captopril / ACEI / Ca Channel blockers
MNEMONIC NOTES: Lichenoid drug reaction - LP but with Eos
ADDITIONAL CREDIT: Anonymous
REFERENCES: American Academy of Dermatology

RATING:

MAL PDT uses Red light at 635 nm

ACRONYM: 635 flipped along a linear horizontal axis spells RED Author :OSU
Dermatology
MNEMONIC: Date : Fri
See photo to right 07/08/2011
@ 01:24
MNEMONIC NOTES: 635 REd light - MAL PDT - Cream, penetrates deeper because more
hydrophobic
410nm - Blue light - ALA PDT - solution, more hydrophilic/superficial
410nm is Soret Band - excitation peak for protoporphyrin IX
Peak levels of ALA reached in 11-12 hours
Sensitive to visible light
Chemical sunscreens offer NO protection to visible light.
Need physical sunscreen, sun avoidance, and bright light avoidance for 2 days.
Broad spectrum sunblock recommended for weeks.
Peanut and almond oil in MAL cream. Must use nitrile gloves to apply.
REFERENCES: Wolverton, Ch 18

RATING:

Dapsone treated conditions

ACRONYM: DAPSONE Author :OSU

Dermatology
MNEMONIC: Date : Thu
Dermatitis herpetiformins - expect rapid response 07/07/2011
IgA,Linear @ 11:31
Pyoderma gangrenosum, Pemphigus
SLE, bullous
Other dermatoses with increase Eos or Monocytes - but most effective against neutrophils; Leprosy too
Neutrophilic dermatoses like Bechets
Erythema elevatum diutinum (assoc with monoclonal IgA)
MNEMONIC NOTES: Dapsone inhibits myeloperoxidase
Check quantitative G6PD before starting
Active metabolite is hydroxylamine, and oxidant, which causes hemolytic
anemia and methemoglobinemia
Methylene blue does NOT work in those who are G6PD deficient, so cannot
treat their methemoglobinemia.
Vitamin E 800IU/day helps prevent methemoglobinemia and hemolytic
anemia.
Cimetidine inhibits p450 which decreases production of hydroxylamine
metabolite.
Agranulocytosis can occur between 3-12 weeks, so monitor WBC
Dapsone hypersensitivity: Fever, rash (morbilliform to TEN), hepatitis, +/-
Eosinophilia.
Falsely lowers Hgb A1C in diabetics

REFERENCES: Wolverton, 2nd edition, Ch 12

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RATING:

Angioid Streaks

ACRONYM: PEPSI LITE Author :OSU

Dermatology
MNEMONIC: Date : Thu
Pseudoxanthoma elasticum (PXE) 07/07/2011
Ehlers-Danlos @ 08:57
Penicillamine, Paget's disease of bone
Sickle Cell Anemia
Idiopathic (50%)
Lead poisoning
Increased Phosphate
Thalassemia, Tuberous sclerosis
Epilepsy
MNEMONIC NOTES: Angioid streaks are ruptures of Bruch's membrane. They are yellow-gray,
wider than blood vessels and extend radially across the fundus
ADDITIONAL CREDIT:
REFERENCES: http://emedicine.medscape.com/article/1190444-clinical#a0218 and
Elston requisites in Dermatopathology

RATING:

Thermotherapy / Therapeutic localized hyperthermia

ACRONYM: Cook the CLAMS Author :Matt

Date : Wed
MNEMONIC: 07/06/2011
Chromomycosis @ 03:08
Leishmaniasis, cutaneous
Acne
Mycobacteria, cutaneous
Sporotrichosis
MNEMONIC NOTES: Conditions that may respond to thermotherapy
ADDITIONAL CREDIT: Matt
REFERENCES: Badgwell Doherty C, Doherty SD, Rosen T. Thermotherapy in dermatologic
infections. J Am Acad Dermatol. 2010 Jun;62(6):909-27; quiz 928.

RATING:

Neutrophils stuffed in dermal papillae

ACRONYM: PLAID Author :Elston

et al
MNEMONIC: Date : Tue
Pemphigoid (bullous) - DIF shows linear IgG4, C3 highlighting roof on salt split skin, BPAg2 05/24/2011 @
Lupus (bullous) - linear, granular "full house" staining along BMZ, Collagen VII 05:03
EBA - epidermolysis bullosa Acquisita - DIF shows linear IgG, C3 highlighint floor on salt split skin
IgA, Linear IgA - linear IgA on DIF - think Vancomycin if acquired
DH - dermatitis herpetiformis - granular IgA on DIF, tissue transglutaminase
MNEMONIC NOTES: Neutrophils stuffed in dermal papillae (also subepidermal bullae)
ADDITIONAL CREDIT: Elston Et. al
REFERENCES: Elston, Requisites in Dermatology: Dermatopathology, p. 419

RATING:

Eosinophilic spongiosis = HAAPPIED

ACRONYM: HAAPPIED Author :Elston

et. al
MNEMONIC: Date : Tue
Herpes getationis 05/24/2011 @
Arthopod bite 04:31
Allergic contact dermatitis

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Pemphigus
Pemphigoid
Incontinentia pigmenti
Erythema toxicum (spongiosis adjacent to follicle)
Drug
MNEMONIC NOTES: Eosinophilic spongiosis
ADDITIONAL CREDIT: Elston Et. al
REFERENCES: Elston, Requisites in Dermatology: Dermatopathology, p. 419

RATING:

Neuts in the horn (Neutrophils in stratum corneum)

ACRONYM: PTICS Author :Elston

et. al
MNEMONIC: Date : Tue
Psoriasis 05/24/2011 @
Tinea 04:26
Impetigo
Candida
Syphilis
MNEMONIC NOTES: Neuts in the horn
ADDITIONAL CREDIT: Elston Et. al
REFERENCES: Elston, Requisites in Dermatology: Dermatopathology, p. 419

RATING:

Parasitized histiocytes

ACRONYM: pH GiRL Author :Dirk

Elston, M.D.
MNEMONIC: et al.
Penicillium marnefii (looks similar to histoplasmosis) Date : Tue
Histoplasmosis - lacks true capsule, evenly spaced within the histiocytes 05/24/2011
Granuloma inguinale @ 04:22
Rhinoscleroma - Mikulicz cells are histiocytes containing large round collections of bacilli, Russel bodies are
"pregnant plasma cells"
Leishmaniasis - lines up around edges of histiocytes, look for kinetoplast
MNEMONIC NOTES: Parasitized histiocytes
ADDITIONAL CREDIT: Elston Et. al
REFERENCES: Elston, Requisites in Dermatology: Dermatopathology, p. 281

RATING:

PEH with Pus (pseudoepitheliomatous hyperplasia with pus)

ACRONYM: Here Come Big Green Leafy Veggies Author :Dirk

Elston, MD
MNEMONIC: Date : Tue
Halogenoderma 05/24/2011
Chromomycosis - copper pennies @ 04:11
Blastomycosis - broad based buds, refractile wall, uniform size, Mucicarmine negative.
Granuloma inguinale
Leishmaniasis - leish "lights up" like a makeup mirror -- organisms surround periphery of histiocytes.
Vegetative Pemphigus (Pemphigus vegetans)
MNEMONIC NOTES: Pseudoepitheliomatous hyperplasia with intraepidermal pustules
ADDITIONAL CREDIT: Elston et al.
REFERENCES: Elston Requisites in Dermatology: Dermatopathology - p. 279

RATING:

X-Linked Dominant Disorders

ACRONYM: IF C COP Author :Matt

Date : Sun
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MNEMONIC: 05/22/2011
@ 08:59
Incontinentia Pigmenti (NEMO gene, affects NfKB)
Focal dermal hypoplasia (Goltz's Syndrome, lobster claw)
Conradi–Hünermann syndrome (the ü is stippled, just like the bone epiphyses)
CHILD
Oro-Facial-Digital Syndrome
Plus Albright's and Bazex Follicular Atrophoderma
MNEMONIC NOTES: Think of a cop as dominant. IF C COP.
ADDITIONAL CREDIT: G.G. Papadeas D.O.
REFERENCES: http://dermmnemonics.org/

RATING:

Elastosis Perforans Serpiginosa

ACRONYM: MAD PORES Author :OSU

Dermatology
MNEMONIC: Date : Wed
Marfans 03/09/2011
Acrogeria @ 12:23
Down's syndrom
Pseudoxanthoma Elasticum
Osteogenesis Imperfecta
Rothmund Thompson
Ehlers Danlos
Scleroderma
MNEMONIC NOTES: Diseases associated with EPS
ADDITIONAL CREDIT: Anonymous
REFERENCES: Spitz

RATING:

Lofgren's Syndrome - Sarcoid

ACRONYM: FAILE Author :Shane

Clark
MNEMONIC: Date : Wed
"Loaf around and you'll FAILE" Fever, Arthritis, Iritis, LAD of hilum, EN 03/02/2011 @
09:41
MNEMONIC NOTES: features of Lofgren's syndrome
ADDITIONAL CREDIT: Sarah Hostetler
REFERENCES:

RATING:

Pigmented Purpuric Dermatoses

ACRONYM: Author :Shane

Clark
MNEMONIC: Date : Wed
Gougerot and Blum are French, whom are always "like annoyed" (lichenoid) 03/02/2011 @
09:39
Ducas and Kapatenakis are Greek "sponge" divers (spongiotic)

MNEMONIC NOTES: to remember that Gougerot and Blum is "lichenoid"

Ducas and Kapetanakis is "spongiotic"
ADDITIONAL CREDIT: OSU Dermatology
REFERENCES:

RATING:

Drug causes of Eruptive Xanthomas

ACRONYM: IP HERO Author :Matt

Molenda

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MNEMONIC: Date : Wed
03/02/2011
Indomethacin
@ 09:38
Prednisone
HAART
Estrogens
Retinoids
Olanzapine
MNEMONIC NOTES: You'll be the In-Patient HERO if you know the causes of eruptive xanthomas.
REFERENCES: Andrews, 10th edition, p. 535

RATING:

Pigmented Purpuric Dermatoses

ACRONYM: David Lambert Goes to Madison Square Garden Author :Shane

Clark
MNEMONIC: Date : Sun
Ducas and Kapetanakis 01/23/2011 @
Lichen aureus 08:41
Majocchi's
Schamberg's
Gougerot-Blum

MNEMONIC NOTES:
ADDITIONAL CREDIT: OSU Dermatology
REFERENCES:

RATING:

Merkel Cell

ACRONYM: AEIOU Author :Shane

Clark
AEIOU Date : Thu
Asymptomatic 01/20/2011 @
Expanding lesions 08:54
Immunosuppressed (HIV etc)
Older than 50
UV exposed sites
MNEMONIC NOTES: Merkel Cell - mneumonic to assist in diagnosis
ADDITIONAL CREDIT: Orlando Derm
REFERENCES:

RATING:

Thrombotic Thrombocytopenic Purpura (TTP)

ACRONYM: FAT RN Author :Matt

Molenda
MNEMONIC: Date : Wed
Fever 01/19/2011
Anemia, hemolytic @ 02:08
Thrombocytopenia
Renal abnormalities
Neurologic disturbances
MNEMONIC NOTES: TTP Pentad; Other associated findings include: arthritis, pleuritis, Raynaud's
phenomenon, abdominal pain, hepatomegaly.
ADDITIONAL CREDIT: Anonymous
REFERENCES: Andrews, p. 822

RATING:

DAPSONE treated conditions

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ACRONYM: DAPSONE Author :Matt
Molenda
MNEMONIC:
Date : Wed
Dermatitis herpetiformis 11/17/2010
IgA, linear @ 09:00
Pemphigus / Pyoderma Gangrenosum
SLE, bullous variant
Other (Eosinophilic, Monocyctic)
Neutrophilic dermatoses / Vasculitis / HSP
Erythema Elevatum Diutinum
MNEMONIC NOTES: Recall conditions treated with Dapsone; also used to treat Leprosy / Hansen's
disease, but not as monotherapy.
ADDITIONAL CREDIT: Anonymous
REFERENCES: Wolverton, 2nd edition, Ch12, 239-256

RATING:

Parasitized histiocytes on path

ACRONYM: His GIRL Penelope Author :Galderma

Date : Wed
MNEMONIC: 11/10/2010 @
Histoplasmosis 01:40
Granuloma Inguinale
Rinoscleroma
Leishmaniasis
Pencilliosis
MNEMONIC NOTES: Parasitized histiocytes.
ADDITIONAL CREDIT: Anonymous
REFERENCES: Galderma review

RATING:

Livedoid appearance differential

ACRONYM: 8 C's, drugs, and Vasculitis Author :Dr.

Malerich
MNEMONIC: Date : Wed
Coaguability disorder (Antiphospholipid antibody) 10/06/2010
Cryoglobulinemia (type I) @ 03:18
Cholesterol emboli
Calcium / Calciphylaxis
Connective tissue disease
Carditis (vegetative endocarditis with emboli)
Cancer (Polycythemia vera)
Hep C

Also remember:
Drugs: (Amantadine, Minocycline, Quinidine)
Vasculitis

MNEMONIC NOTES: If if doesn't go away when warm, if it's on arms, or is painful -- need systemic
workup.
ADDITIONAL CREDIT: Anonymous
REFERENCES: Dr. Malerich

RATING:

Black eschar differential

ACRONYM: CAGES Author :Dr.

Malerich
MNEMONIC: Date : Wed
Clostridium 10/06/2010
Aspergillus ( Deep Fungal e.g. fusarium)/Anthrax @ 03:09
Group B strep
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Ecthyma gangrenosum - pseudomonas
Spider bite

Tache noir - Ricketssial Spotted Fevers

MNEMONIC NOTES: Black eschar differential

ADDITIONAL CREDIT: Anonymous
REFERENCES: Dr. Malerich

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