CLIPP 32 - Derm Flashcards
Acute urticarial causes
histamine release triggered by allergens, viruses, or temperature
Atopic Triad
atopic dermatitis (eczema), asthma, allergic rhinitis (hayfever)
Treatment of Seborrheic Dermatitis
baby oil and small brush, daily shampooing, low potency topical steroid
4 triggers of acne
make-up, mechanical factors, occlusion, overzealous cleaning
Treatment of Chronic Nickel Contact Dermatitis
avoidance, emollient, medium-potency topical steroid (BID x 2 wks)
Acute Contact Dermatitis Manifestations
Vesicles, edema, erythema, pruritis. Commonly caused by poison ivy, poison oak, poison sumac (toxicodendrons)
Impetigo treatment
topical antibiotic (mupirocin), systemic antibiotics if invasive or abscess formation
Mild Potency Topical Steroids (classes and example)
Class 6&7
hydrocortisone acetate 1% (OTC)
Intermediate Potency Topical Steroids (classes and example)
Class 4&5
triamcinolone acetonide, 0.1%
Potent Topical Steroids (classes and example)
Class 2&3
betamethasone dipropionate, 0.05%
Super Potent Topical Steroids (classes and example)
Class 1
clobetasol propionate, 0.05%
4 Side effects of topical steroids
skin atrophy, telangiectasias, hypopigmentation, HPA suppression
Pediculosis Capitis (Head Lice) Pharmacologic Treatment
- 1% permethrin lotion, once weekly x 2-3wks
- benzyl alcohol 5%/malthion 0.5% in areas of permethrin resistance
- lindane 1% no longer recommended
Pediculosis Capitis (Head Lice) Non-pharmacologic Treatment
- occlusive treatment in combination with wet combing
- wash items in hot water or dry on high heat
- seal unwashable items in an airtight bag for >26 hours
Scabies Treatment
- permethrin 5% cream, once weekly x 2wks applied overnight and washed off in morning
- moderate potency topical steroid for post-scabetic itch if necessary
- oral ivermectin if permethrin allergy
