Atopic dermatitis childhood Flashcards
1
Q
3 important Hx questions to ask
A
- does she scratch or rub her skin
- does the rash keep them awake at night
- what moisturizers are used and where
2
Q
def. atopic dermatitis
A
common, chronic, pruritic, inflammatory skin disease with a wide range of severity
- main Sx is itch
3
Q
what is morpho
A
begin as erethymatous papules, whith then become plaques, and weep, crust or scale
4
Q
what is atopic triad
A
- asthma
- dematitis
- allergic rhinitis
5
Q
how many will have abother
A
50-80%
6
Q
where does it affect in children
A
cheeks, forehead, scalp, extensor surfaces
7
Q
where in older children
A
neck, elbows, knees, wrist, ankes
8
Q
4 things to help Tx
A
- moisturizing cream
- hydrocortisone on area
- hydroxyzine at bed
- mild cleasnser
- gentle skin care and avoid triggers
9
Q
4 major components to hit
A
- anti-inflammatory - steroids or calcineurin inhibitor
- anit- pruritic - antihistamines
- antibacterial
- moisturizer - use ointments
10
Q
what is a common issues in flare-up
A
infection (S. aureaus)
- look for pustules, erosions, extensive crust
- Tx with systemic ABx
11
Q
what is pityriasis alba
A
- mild, asymtomaic form on face
- tend to have poorly marginated, slightly scaly, hypopigmented patches
- gets worse when being to tan
