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Nikolskys Sign
Series Editor and Author:
Frank L. Urbano, MD
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1. Which of the following statements does NOT apply to autoimmune skin
disorders?
- Blistering of the skin is the most notable clinical characteristic of these
disorders
- Histologic findings include intraepidermal splits
- Nikolskys sign can help differentiate these disorders
- Pemphigoid disorders are absent from this classification
- These disorders are characterized by weakened cell-cell adhesion or acantholysis
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2. Patients with which of the following disorders do NOT routinely exhibit a
positive Nikolskys sign?
- Bullous impetigo
- Epidermolysis bullosa
- Pemphigus foliaceus
- Systemic sclerosis
- Toxic epidermal necrolysis
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3. Which of the following is a characteristic of Nikolskys sign
- It can be elicited only by exerting pressure on normal skin in patients with
pemphigus
- It can indicate the prognosis of patients with blistering skin diseases
- It frequently is positive in patients with bullous pemphigoid
- It usually is painless
- It occurs exclusively on the skin and on no other mucosal surfaces
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Updated 1/04/08 kkj
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