Dematits/ Eczema Flashcards

1
Q

what is the difference between dermatitis and eczema?

A

nothing! they are the same

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2
Q

what is hyperkeratosis?

A

increased thickness of keratin layer

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3
Q

what is parakeratosis?

A

persistence of nuclei in keratin layer

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4
Q

what is acanthosis?

A

increased thickness of epidermis

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5
Q

what is papillomatosis?

A

irregular epithelial thickening

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6
Q

what is sponglosis?

A

oedema between kertainocytes

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7
Q

what is the main symptom of dermatits?

A

ITCH

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8
Q

describe the acute phase of dermatitis?

A

red lesions
oedema
ooze/scaling and crusting
papulovesicular

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9
Q

describe the chronic phase of dermatitis?

A

thickining (lichenification)
elevated plaques
increased scaling

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10
Q

itchy
ill defined
erythematous (red)
scaly

A

dermatits

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11
Q

what is contact allergic dermatits?

A

when you get dermatitis when you come in contact with certain chemicals, nickel, plants, latex gloves etc

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12
Q

how do identify the substances which cause contact dermatits?

A

patch testing

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13
Q

what is irritant contact dermatits?

A

no specific physical irritation rather than a specific allergic reaction e.g from soap (too much washing up) or a nappy rash

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14
Q

what type of dermatitis is a nappy rash?

A

irritant contact

to urine

usually get ulceration too

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15
Q

what is atopic eczema like?

A

on flexor surfaces
ill defined erythema and scaling
generalised dry skin
associated with other atopic disease-asthma, rhinitis, food allergy

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16
Q

chronic changes in atopic eczema?

A

lichenification
excoriation
secondary infection

17
Q

crusting indicated what type of infection (bacteria wise)

A

staph. aureus

18
Q

monomorphic punched out lesions

A

eczema herpeticum

19
Q

what is eczema herpeticum

A

herpes simplex viral infection (secondary infection of eczema)

20
Q

what is the important gene in atopic eczema?

A

filaggrin

21
Q

how do you treat eczema?

A

emollients

avoidance

topical steroids
treat infection
phototherapy
systemic immunosuppressants

biologic agents

22
Q

what can cause stasis eczema?

A

hydrostatic pressure
oedema
red cell extrasation