1.3 Atopic Dermatitis

Question 1

How old does eczema usually present?

Answer 1

3-4month up to 12 months

Question 2

What is infantile seborrhoea dermatitis?

Answer 2

Neck folds, cubical, popliteal, groin, usually becomes atopic dermatitis

Question 3

Where does pompholyx happen?

Answer 3

Hands and soles of feet

Question 4

2 factors that determine resolution of atopic dermatitis?

Answer 4

Avoid environmental

Anti-inflammatory

Question 5

Immune dysregulation in atopic dermatitis which cells?

Answer 5

Dendritic
T-cells
Prefers Th2

Question 6

All patients need consideration of what factors in atopic dermatitis?

Answer 6

Environmental irritants

Infection

Question 7

What kind of environmental irritants are there for atopic dermatitis?

Answer 7

Drying agents
Abrasive clothing
Abrasive surfaces
Heat
Chemicals, fragrance, preservatives

Question 8

atopic dermatitis and infection with which bug?

Answer 8

S.Aureus colonisation, super antigen phenomenon

Question 9

2 types of anti inflammatory therapy?

Answer 9

Topical steroids

Prime role us, tacrolimus: calcineurin inhibitors

Question 10

What is the mnemonic ECEMA?

Answer 10

E - existing diagnosis correct?
C - co-existent disease
E - environmental all accounted?
M - medications adequate?
A - allergy or intolerance?

Question 11

Other DDx of atopic dermatitis?

Answer 11

Scabies
Psoriasis
Miliaria

Question 12

Is psoriasis itchy?

Answer 12

Not really

Question 13

What is ichthyosis vulgar is?

Answer 13

Very dry skin

Question 14

What is co-existent disease processes?

Answer 14

Infection
Ichthyosis vulgaris
Immunodeficiency?
(Failure to thrive, infection, persistent diarrhoea)

Question 15

What co infections to look out for in atopic dermatitis?

Answer 15

Staph
HSV
Strep

Question 16

Which topical steroid for face?

Answer 16

Hydrocortisone

Question 17

What are airborne allergens?

Answer 17

Dust mite
Pollens
Grasses
Animals

Question 18

How to confirm airborne allergens?

Answer 18

Skin prick or RAST

Question 19

What to do if you suspect atopic dermatitis + allergy?

Answer 19

Skin prick, RAST
Elimination diet/food challenge

Avoidance measure

Match results with clinical features

Question 20

What is mainstay treatment for face for atopic dermatitis?

Answer 20

Hydrocortisone

Question 21

What do you use for trunk, and open flexures?

Answer 21

Advantin ointment

Topical pincrolimus roll us/tacrolimus

Question 22

atopic dermatitis phototherapy?

Answer 22

Narrow band-UVB

Question 23

atopic dermatitis oral immunosuppressive for severe use?

Answer 23

Methotrexate/azathioprine

Question 24

How to use topical steroid time period wise?

Answer 24

10 days on, 4 days off

Cyclic use

Question 25

What to monitor for topical steroids in atopic dermatitis?

Answer 25

Consumption: how much (should decrease)

Side effects

Question 26

atopic dermatitis successful management needs 3 things?

Answer 26

Environment (most important)
Dietary
Anti-inflammatory