Childhood Atopic Dermatitis

Question 1

erythematous ill-defined plaques with overlying scale and crust on the cheeks that spares the nose is indicative of

Answer 1

• atopic dermatitis

Question 2

atopic dermatitis usually develops before what age

Answer 2

• 5

Question 3

primary symptom of atopic dermatitis

Answer 3

• pruritis

Question 4

what is the itch/scratch cycle

Answer 4

• scratching to relieve the AD itch

Question 5

what condition typically begins as erythematous papules which then coalesce to form erythematous plaques that may display weeping, crusting or scale

Answer 5

• atopic dermatitis

Question 6

which age impacted by atopic dermatitis has eczematous plaques that appear on the cheeks, forehead, scalp, and extensor surfaces

Answer 6

• infant and toddlers

Question 7

which age impacted by atopic dermatitis is lichenified eczematous plaques present in flexural areas of the neck, elbows, wrist, and ankles

Answer 7

• older children and adolescents

Question 8

which age impacted by atopic dermatitis has licenification in flexural region and involvement of hands, wrists, ankles, feet and face

Answer 8

• adults

Question 9

what is lichenification

Answer 9

• exaggerated skin lines

Question 10

what is xerosis

Answer 10

• dry skin

Question 11

what conditions characterize the atopic triad

Answer 11

• asthma - atopic dermatitis - allergic rhinitis

Question 12

_____% of children with atopic dermatitis will have another atopic disease

Answer 12

• 50-80%

Question 13

what is a nonspecific term that refers to a group of inflammatory skin conditions characterized by pruritis, erythema, and scale

Answer 13

• eczema

Question 14

atopic dermatitis is a specific type of ______ dermatitis

Answer 14

• eczematous

Question 15

factors that play a role in atopic dermatitis

Answer 15

• genetics - skin barrier dysfunction - impaired immune response - environment

Question 16

when do you test for food allergies with atopic dermatitis

Answer 16

• high suspicion - additional symptoms like diarrhea and vomiting

Question 17

treatment for atopic dermatitis

Answer 17

• gentle skin care - emollients: petrolatum and moisturizers (ointments) - avoid triggers

Question 18

treat acute inflammation associated with atopic dermatitis with which vehicle is preferred

Answer 18

• topical corticosteroids (hydrocortisone and desonide) - ointments

Question 19

2nd line therapy for atopic dermatitis when do you use it

Answer 19

• calcineurin inhibitors - high risk of steroid effects

Question 20

treat pruritis with

Answer 20

• antihistamines

Question 21

why do you use standing 1st generation H1 antihistamines at night

Answer 21

• prevent children from scratching at night

Question 22

treat co-existing skin infection with

Answer 22

• systemic antibiotics

Question 23

same ingredient in ______ is stronger than lotion or cream

Answer 23

• ointment

Question 24

what should be considered during hyper acute weepy flares of atopic dermatitis and when pustules or extensive yellow crust are present

Answer 24

• skin bacterial culture

Question 25

patients with atopic dermatitis are susceptible to what kind of infections

how do we treat

Answer 25

• staphylococcus aureus - group A strep
• systemic antibiotics

Question 26

poorly defined hypopigmented scaly patches on the face are indicative of

Answer 26

• pityriasis alba

Question 27

pityriasis alba often presents in what season

why

Answer 27

• spring and summer - skin begins to tan

Question 28

treatment of pityriasis alba

Answer 28

• sunscreen in the summer - low strength topical steroids

Question 29

what condition has a characteristic honey-colored crust

Answer 29

• impetigo