WOCN Disease Process Questions With
Solutions
Viral lesions Painful vesicular rash
Bullous pemphigoid May begin with a prodromal phase of weeks to months, characterized
by a periodic, eczema like skin rash, or unicarial plaques
Treatment of Bullous Vulgaris Systemic corticosteroids plus adju...
Bullous pemphigoid May begin with a prodromal phase of weeks to months, characterized
by a periodic, eczema like skin rash, or unicarial plaques
Treatment of Bullous Vulgaris Systemic corticosteroids plus adjuvant therapy with steroid
sparing agents.
3 causative factors of Bullous lesions 1. Congenital
2. Autoimmune
3. Allergic reactions
Congenital Bullous lesions Absence or weakness of anchoring fibrils
Bullous pemphigoid and emphasis vulgaris Attacks anchoring fibrils
, WOCN Disease Process Questions With
Solutions
Allergic factor of Bullous lesions Target anchoring fibrils (toxic epidermal necrolysis)
TEN
Management Guidelines of Bullous lesions for congenital conditions -Gene therapy
-Bilayered skin/tissue based product (Apligraf)
-genetic counseling
Staphylococcal Scalded Skin Syndrome -exfoliation of large skin surfaces due to S.
aureus
-rare
-limited to children under 5
-IV abx
- begins with vesicular rash
CA-MRSA (community acquired) -Genetically different than HA- MRSA
-contagious and easily spread (day cares, military, IV drug users, locker rooms, prisons)
-can cause pneumonia and sepsis, as well as soft tissue infections
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