1: Dermatology - Eczema

Question 1

What is eczema also referred to as

Answer 1

Atopic dermatitis

Question 2

When does eczema usually manifest by

Answer 2

6-months

Question 3

What % of children does eczema clear by 10-years

Answer 3

75

Question 4

What can eczema be triggered by

Answer 4

• Heat
• Stress
• Infection

Question 5

What is a risk factor for eczema

Answer 5

Personal or FH of eczema

Question 6

How does infantile eczema present clinically

Answer 6

• Cradle Cap
• Affects face - especially cheeks
• Extensors surfaces- including elbows and knees
• Spares diaper region

Question 7

Does infantile eczema affect effect flexor or extensor surfaces

Answer 7

Extensors (Hands and Knees)

Question 8

How does childhood eczema present

Answer 8

• Lesions on flexor surfaces, including in skin folds

- Lichenification

Question 9

Does childhood eczema affect flexor or extensor surfaces

Answer 9

Flexor: antecubital and popliteal fossa

Question 10

Why does lichenification occur

Answer 10

Due to scratching

Question 11

What are 2 features of adolescent eczema

Answer 11

• Nummular eczema

- Lichenification

Question 12

What is nummular eczema

Answer 12

Round coin-shaped lesions

Question 13

What other two conditions in eczema associated with

Answer 13

• Asthma

- Allergic rhinitis

Question 14

What are four conservative measures to manage eczema

Answer 14

• Limit to 5-10m luke warm baths
• loose fitting clothes
• moisturise after showers
• avoid irritant soaps

Question 15

What is first-line medical management for eczema

Answer 15

emollient

Question 16

Apart from emollients, what else is given to treat eczema

Answer 16

topical corticosteroids

Question 17

If emollient and topical steroid are given, describe order

Answer 17

emolient should be given first 30-minutes before topical corticosteroids

Question 18

What is given to manage mild eczema

Answer 18

topical hydrocortisone

Question 19

What are complications of eczema in children

Answer 19

• Sleep disturbance

- Secondary Staph.a infection

Question 20

What is eczema herpeticum

Answer 20

Primary infection of the skin with HSVI or HSV2

Question 21

In which children is eczema herpeticum more common

Answer 21

Those with atopic eczema

Question 22

How does eczema herpeticum present

Answer 22

• Painful, rapidly spreading rash with punched-out monomorphic lesions

Question 23

Explain management of eczema herpeticum

Answer 23

• Eczema herpeticum can be life-threatening so admit for IV acyclovir