6 - Derm - Eczema - Seborrheic eczema (dermatitis) + other eczema'a

Question 1

pathology

Answer 1

abnormal response to yeast

Question 2

in adults - particularly who? where?

Answer 2

younger males

areas rich in sebaceous glands - eyebrows, side of nose, around eyes, scalp

Question 3

in adults - appearance

-mgmt

Answer 3

erythema, scaling, dandruff

antifungals - ketoconazole shampoo/cream, imidazole, 1% hydrocortisone

Question 4

in children - presents as? appearance?

Answer 4

first few weeks of life as cradle cap

yellow, greasy scalp crusts
red, scaly rash possibly on trunk/nappy area

Question 5

in children - mgmt

Answer 5

emollients, 1% hydrocortisone, (+/- antifungal)

salicyclic acid and olive oil for scalp

Question 6

asteatotic eczema - appearance

Answer 6

dry, red, plate like cracking of skin - crazy paving, known as craquele)

Question 7

asteatotic eczema - ass w?

Answer 7

may be ass w

• soap use
• loss of skin fat in elderly
• dry skin in hypothyroidism

Question 8

asteatotic eczema - mgmt

Answer 8

avoid soap, use emollients, mild topical steroids if required

Question 9

Venous eczema - pathology? where? also known as?

Answer 9

legs
due to chronic venous htn
gravitational/stasis eczema

Question 10

venous eczema - mgmt?

Answer 10

emollients, mild-mod topical steroids, compresion bandaging

Question 11

Discoid eczema - appearance? common ass infection?

Answer 11

well demarcated coin shaped plaques (can be confused with psoriasis)

staph infection common

Question 12

discoid eczema - common in who and where? may be related to?

Answer 12

middle aged men, limbs

maybe related to irritants

Question 13

discoid eczema mgmt

Answer 13

emollients, potent steroids