1: Dermatology - Eczema Flashcards
What is eczema also referred to as
Atopic dermatitis
When does eczema usually manifest by
6-months
What % of children does eczema clear by 10-years
75
What can eczema be triggered by
- Heat
- Stress
- Infection
What is a risk factor for eczema
Personal or FH of eczema
How does infantile eczema present clinically
- Cradle Cap
- Affects face - especially cheeks
- Extensors surfaces- including elbows and knees
- Spares diaper region
Does infantile eczema affect effect flexor or extensor surfaces
Extensors (Hands and Knees)
How does childhood eczema present
- Lesions on flexor surfaces, including in skin folds
- Lichenification
Does childhood eczema affect flexor or extensor surfaces
Flexor: antecubital and popliteal fossa
Why does lichenification occur
Due to scratching
What are 2 features of adolescent eczema
- Nummular eczema
- Lichenification
What is nummular eczema
Round coin-shaped lesions
What other two conditions in eczema associated with
- Asthma
- Allergic rhinitis
What are four conservative measures to manage eczema
- Limit to 5-10m luke warm baths
- loose fitting clothes
- moisturise after showers
- avoid irritant soaps
What is first-line medical management for eczema
emollient
Apart from emollients, what else is given to treat eczema
topical corticosteroids
If emollient and topical steroid are given, describe order
emolient should be given first 30-minutes before topical corticosteroids
What is given to manage mild eczema
topical hydrocortisone
What are complications of eczema in children
- Sleep disturbance
- Secondary Staph.a infection
What is eczema herpeticum
Primary infection of the skin with HSVI or HSV2
In which children is eczema herpeticum more common
Those with atopic eczema
How does eczema herpeticum present
- Painful, rapidly spreading rash with punched-out monomorphic lesions
Explain management of eczema herpeticum
- Eczema herpeticum can be life-threatening so admit for IV acyclovir
