Atopic Dermatitis Flashcards
1st line Tx of atopoc dermatitis
Emollients
2nd line Tx of atopic Dermatitis
Topical:
. Corticosteroids
. Calcineurin inhibitors (Tacrolimus)
3rd line Tx in Atopic Dermatitis
Phototherapy
Ahat is the most potent topical corticosteroid
Clobetasol propionate ointment/cream (Dermovate)
What is the least potent corticosteroid cream
Hydrocortisone acetate
Topicals with hydrocortisone
What is the low level maintenence Management plan for atopic Dermatitis
Daily use of emollients (Bathing/cream or ointment)
Avoid triggers
What is the high level maintenence in management of atopic Dermatitis
Intermittent use of mid-potency topical steroids ( 2days/week)
and/or TCI (3-5 days/week)
What is the management plan for activ flares of atopic Dermatitis
Daily use of topical steroids of appropriate strength till
completely clear
• ± Antihistamines (sedation/anti-pruritic)
• ± systemic antibiotic course (superinfection)
What is the difference between candida dermatitis and contact dermatitis
Candida doesn’t spare flexures while contact do.
Most common cause of diaper dermatitis
Contact dermatitis
2nd is candida dermatitis
Treatment of diaper contact dermatitis
Topical bardier ointment or paste (petrolatum) )
Tx of candida dermatitis
Stop the use of the highly potent corticosteroid
• In acute phase: mild corticosteroid
• Add topical imidazole cream for candida
infection
• Educate the mother on how to change her
daughter’s diapersTopical antifungal tx
What is the fate of pitryasis alba
Self-limiting condition
Management of pitryasis alba
Topical emollients
• Glycerine soap
• Mild topical steroids
• Topical calcineurin inhibitors
• Sunscreen
