Atopic Eczema & Other Eczemas Flashcards
what is atopic eczema also called
atopic dermatitis
how common is atopic eczema
affects around 25% school aged children
what is the main clinical feature of atopic eczema and what other subsequent effects does it cause
Pruritus, can cause sleep disturbance and then neurocognitive impairment
what clinical features are seen in atopic eczema
pruritus, ill-defined erythema & scaling, generalised dry skin, flexural distribution
what other atopic diseases is atopic eczema associated with
asthma, allergic rhinitis, food allergy
what chronic changes can be seen in atopic eczema
lichenification, excoriation, secondary infection(common)
what type of secondary infection of atopic eczema is indicated by crusting
staph aureus
describe the presentation of herpes simplex virus secondary infection of atopic eczema
monomorphic punched-out lesions
what is the diagnostic criteria for atopic eczema in the UK
Itching plus 3 or more; visible or history flexural rash(cheeks and extensors in infants), personal history of atopy, generally dry skin, onset before 2 y/o
what is involved in the non-pharmacological treatment of atopic eczema
avoid irritants including shower gels and soaps, phototherapy(mainly UVB)
what is involved in the pharmacological treatment of atopic eczema
plenty emollients, topical steroids, treat infection, systemic immunosuppressants
name 2 other types of eczema in which patients are often also atopic
photosensitive eczema, discoid eczema
what pattern is often seen on photosensitive eczema
affected area often cut off at collar
what is stasis eczema secondary to
hydrostatic pressure, oedema, red cell extravasation
what is a key features of the lesions seen in lichen simplex eczema
well-defined edges
