Atopic Eczema

Question 1

What is a topic eczema and when do children present with it?

Answer 1

1. Chronic, itchy, inflammatory disease of the skin.

2. 95% by the age of 5, 95% will grow out of it.

Question 2

What is this a presentation of?

Dry, red and itchy skin. Acutely, red weepy and crusty. Chronically, dry and thickened from frequent scratching.

Answer 2

Atopic eczema

Question 3

What site does eczema occur on in these age groups?

1. Under 1 year
2. 1 to 5 years
3. Over 5-years

Answer 3

1. Begins on face before progressing.
2. Patches on extensor surfaces of wrists, elbows, ankles, and knees.
3. Flexures of knees and elbows.

Question 4

What is the management for a topic eczema?

Answer 4

1. Emollients, avoid soap as they dry skin, three times daily.
2. Topical steroids for flare-ups (one fingertip enough to treat area to size of the flat of the adult hand)
3. Apply bandage of a thick layer of emollients help school and hydrate skin
4. Adjunct UVB phototherapy

Question 5

Which secondary infection occur in atopic eczema?

Answer 5

Eczema herpeticum (HSV)