Childhood Atopic Dermatitis Flashcards
erythematous ill-defined plaques with overlying scale and crust on the cheeks that spares the nose is indicative of
- atopic dermatitis
atopic dermatitis usually develops before what age
- 5
primary symptom of atopic dermatitis
- pruritis
what is the itch/scratch cycle
- scratching to relieve the AD itch
what condition typically begins as erythematous papules which then coalesce to form erythematous plaques that may display weeping, crusting or scale
- atopic dermatitis
which age impacted by atopic dermatitis has eczematous plaques that appear on the cheeks, forehead, scalp, and extensor surfaces
- infant and toddlers
which age impacted by atopic dermatitis is lichenified eczematous plaques present in flexural areas of the neck, elbows, wrist, and ankles
- older children and adolescents
which age impacted by atopic dermatitis has licenification in flexural region and involvement of hands, wrists, ankles, feet and face
- adults
what is lichenification
- exaggerated skin lines
what is xerosis
- dry skin
what conditions characterize the atopic triad
- asthma - atopic dermatitis - allergic rhinitis
_____% of children with atopic dermatitis will have another atopic disease
- 50-80%
what is a nonspecific term that refers to a group of inflammatory skin conditions characterized by pruritis, erythema, and scale
- eczema
atopic dermatitis is a specific type of ______ dermatitis
- eczematous
factors that play a role in atopic dermatitis
- genetics - skin barrier dysfunction - impaired immune response - environment
when do you test for food allergies with atopic dermatitis
- high suspicion - additional symptoms like diarrhea and vomiting
treatment for atopic dermatitis
- gentle skin care - emollients: petrolatum and moisturizers (ointments) - avoid triggers
treat acute inflammation associated with atopic dermatitis with which vehicle is preferred
- topical corticosteroids (hydrocortisone and desonide) - ointments
2nd line therapy for atopic dermatitis when do you use it
- calcineurin inhibitors - high risk of steroid effects
treat pruritis with
- antihistamines
why do you use standing 1st generation H1 antihistamines at night
- prevent children from scratching at night
treat co-existing skin infection with
- systemic antibiotics
same ingredient in ______ is stronger than lotion or cream
- ointment
what should be considered during hyper acute weepy flares of atopic dermatitis and when pustules or extensive yellow crust are present
- skin bacterial culture
patients with atopic dermatitis are susceptible to what kind of infections
how do we treat
- staphylococcus aureus - group A strep
- systemic antibiotics
poorly defined hypopigmented scaly patches on the face are indicative of
- pityriasis alba
pityriasis alba often presents in what season
why
- spring and summer - skin begins to tan
treatment of pityriasis alba
- sunscreen in the summer - low strength topical steroids
what condition has a characteristic honey-colored crust
- impetigo
