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V
Venous Ulcer / Stasis Ulcer
Etiology: chronic venous insufficiency
Appearance: irregular border, shallow, exudative ulcer
At risk: elderly, hx of DVT, obese, immobility
Location: Gaiter area (malleoli region)
Ass. condition: venous dermatitis
Tx: wound care and compression
Verrucae planae
Etiology: HPV 3 and 10
Appearance: skin colored or pink smooth surfaced slightly elevated flat topped papules
Location: dorsal hands, arms, face
Verruca vulgaris / cutaneous warts
Etiology: HPV 1-4
Appearance: cauliflower-like papules with a rough papillomatous and hyperkeratotic surface ranging in size from 1 mm to 1 cm+
Location: fingers, dorsal hands, knees, elbows
Vibrosis
Etiology: Vibrio vulnificus, ingestion of contaminated seafood or exposure of open wounds to seawater
Appearance: widespread hemorrhagic bullae
Sx: fevers, chills, hypotension
Tx: doxy, 3rd gen cephalosporin
1/4
Vitiligo
Etiology: autoimmune attack on melanocytes
Associated conditions: DM, Graves disease, Addison disease, adrenal insufficiency, SLE, RA
Appearance: sharply demarcated depigmented patches and macules
Location: periorificial, acral
Tx: topical steroids, topical calcineurin inhibitors, phototherapy, laser tx
Vohwinkel Syndrome / PPK Mutilans
Etiology:
Appearance: star shaped hyperkeratotic plaque
Location: on knuckles, palms, soles
Ass. conditions: autoamputation of fingers, deafness
1/8
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