Atopic eczema

Question 1

What is Atopic eczema

Answer 1

Chronic atopic condition caused by defects in the normal continuity of the skin barrier, leading to inflammation in the skin.

Question 2

Causes of atopic eczema

Answer 2

Genetic component - tends to run in families

Environmental triggers

Question 3

Atopy triad

Answer 3

Eczema, Asthma, Hayfever

Question 4

Atopic eczema presentation

Answer 4

Usually in children with dry, red, itchy, sore patches of skin over the flexor surfaces and on the face and neck. Can get flares of eczema.

Question 5

Atopic eczema differentials

Answer 5

Psoriasis (less itchy, plaques), allergic contact dermatitis, fungal infection, scabies

Question 6

Atopic eczema pathophysiology

Answer 6

Skin becomes thin. Defects in skin barrier means irritants, microbes and allergens can enter tiny gaps. Causes an immune response, resulting in inflammation and associated symptoms.

Question 7

Atopic eczema management

Answer 7

Maintenance and management of flares - Betnovate topical steroid
Use of emollients to create an artificial barrier over skin (e.g. E45, Diprobase, Cetraben)
Use emollient and steroid cream together
Antihistamines to combat itching
Avoid environmental triggers
Topical tacrolimus

Question 8

Steroid creams from least strong to most strong for eczema

Answer 8

Hydrocortisone
Eumovate
Betnovate RD (reduced dose (1/4))
Betnovate
Dermovate

Question 9

Atopic eczema complications

Answer 9

Can get infective eczema - treat with ABX