Derma Ramos - Eczema Flashcards

1
Q

A non-contagious, pruritic, inflammatory skin disorder characterized by: erythema, papules, vesicles, crusting, scaling and lichenification

A

Eczema

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2
Q

Eczema is often regarded synonymous with

A

Dermatitis

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3
Q

Acute stage of eczema presents with

A

Erythema, papules, vesicles, crusting

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4
Q

Chronic stage of eczema presents with

A

Scaling and lichenification

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5
Q

2 classifications of eczema

A

Intrinsic

Extrinsic

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6
Q

Extrinsic eczema

A

Irritant contact dermatitis
Allergic contact dermatitis
Photodermatitis

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7
Q

Intrinsic dermatitis

A
Seborrheic dermatitis
Nummular dermatitis
Dyshidrotic eczema
Atopic dermatitis
Lichen simplex chronicus
Stasis dermatits
Xerotic eczema
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8
Q

Occurs when the skin is exposed acutely or chronically to chemical or physical agents that irritate the skin

A

Irritant contact dermatitis

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9
Q

Delayed or cell-mediated type hypersentivity

A

Allergic contact dermatitis

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10
Q

Irradiation by UV light results in the transformation of certain substances into allergens or irritants

A

Photodermatitis

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11
Q

Chronic, inflammatory papulosquamous skin disorder related to high load of Ptyrosporum yeast on the skin

A

Seborrheic dermatitis

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12
Q

Annular coin-shaped pruritic plaques

A

Nummular dermatitis

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13
Q

Papulovesicular dermatitis of hands and feet

A

Dyshidrotic eczema

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14
Q

A chronic and recurrent inflammatory dermatologic condition marked by severe pruritus causing excoriations, lichenification, and susceptibility to skin infections

A

Atopic dermatitis

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15
Q

A localized plaque of chronic eczematous inflammation resulting from habitual rubbing and scratching

A

Lichen simplex chronicus

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16
Q

An eczematous dermatitis of the legs associated with edema, varicosed/ dilated veins and hyperpigmentation

A

Stasis/ gravitational dermatitis

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17
Q

Eczema due to dryness of the skin

A

Asteatotic / xerotic eczema

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18
Q

Detergents

A

Irritant contact dermatitis

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19
Q

Nickel

A

Allergic contact dermatitis

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20
Q

Tetracycline

A

Photodermatitis

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21
Q

Pitysporum yeast

A

Seborrheic dermatitis

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22
Q

wool

A

Atopic dermatitis

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23
Q

Rubbing alcohol

A

Asteatotic/ xerotic eczema

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24
Q

Diagnostic criteria
Atopic dermatitis
How many major and minor features

A

Major features

Minor features

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25
Q

Non-allergenic in nature, no previous sensitization necessary

A

Irritant contact dermatitis

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26
Q

Solvents

A

Irritant contact dermatitis

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27
Q

Rubber

A

Allergic cd

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28
Q

Paraben

A

Allergic cd

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29
Q

Water

A

Irritant cd

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30
Q

Sulfa drugs

A

Photodermatitis

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31
Q

Generally begins early in life and characterized by periods of remission and exacerbation

A

Atopic d

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32
Q

Related to altered lipid composition of the stratum corneum and to other subtle changes in epidermal differentiation

A

Asteatotic / xerotic eczema

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33
Q

Alkalis

A

Irritant cd

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34
Q

Formaldehyde

A

Allergic cd

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35
Q

Benzocaine

A

Allergic cd

36
Q

Neomycin `

A

Allergic cd

37
Q

Citrus

A

Photodermatitis

38
Q

Mulberry

A

Photodermatitis

39
Q

Seborrheic dermatitis is more severe among ptx w/

A

Neurolgic dse and HIV infection

40
Q

Nummular dermatitis is often assoc with this condition

A

Atopy

41
Q

Sex predilection of AD

A

Males have an earlier onset

Females have worse prognosis

42
Q

Immunologic rxns associated with this type of eczema are: hypersensitivity rxns, impaired immunoregulation of IgE and increased mast cell releasability

A

AD

43
Q

Acids

A

Irritant cd

44
Q

Medications

A

Allergic cd

And photodermatitis

45
Q

Preservative chemicals

A

Allergic cd

46
Q

Hair dye

A

Allergic cd

47
Q

Dry or cold weather

A
Irritant cd
Xerotic eczema (low humidity/ cold season)
48
Q

Urine

A

Irritant cd

49
Q

Fragrances

A

Allergic cd
And
Atopic

50
Q

Rubber

A

Allergic cd

51
Q

Henna

A

Allergic cd

52
Q

Acrylic clothing

A

Atopic

53
Q

Cosmetics

A

Atopic

54
Q

Soaps

A

Atopic

55
Q

Cleaning agents

A

Atopic

56
Q

Alcohol containing products

A

Atopic

57
Q

Sweating

A

Derma

58
Q

Changes in temp

A

Atopic

59
Q

Physical and emotional stresses

A

Atopic

60
Q

Major features of atopic

A

Pruritus
Flexural lichenification or linearity in adults
Facial and extensor involvement in infant and children
Chronic or chronically relapsing dermatitis
Personal or family history of atopy (asthma, allergic rhinitis, AD)

61
Q

Minor features of AD

A

Xerosis
Ichthyosis/ palmar hyperlinearity/ keratosis pilaris
Immediate (type I) skin test reactivity
Elevated serum IgE
Early age of onset
Tendencuy toward cutaneous infection. Impaired cell-mediated immunity

Tendency toward nonspecific hand or foot dermatitis
Nipple eczema
Cheilitis
Recurrent conjunctivitis
Dennie-Morgan infraorbital fold
Keratoconus
Anterior subscapular cataracts
Orbital darkening
Facial pallor/ facial erythema 
Pityriasis alba
Anterior neck folds
Itch when sweating
Intolerance to wool and lipid solvents
Perifollicular accentuation
Food allergy
Course influenced  by environmental / emotional factors
White dermatographism/ delayed blanch
62
Q

Xerotic eczema worse during

A

Low humidity/ cold season

63
Q

Caused by an allergen

A

Allergic cd

Atopic cd

64
Q

Mild cases irritant cd

A

Erythema

65
Q

Moderate to severe cases of irritant cd

A

Swelling, blistering, ulceration

66
Q

Lesions develop right after exposure and are limited to the areas of skin that have been in contact with the irritant

A

Irritant congtact dermatitis

67
Q

Lesions initially appear on the site of contact, but may later affect other sites or entire integument

A

Allergic cd

68
Q

Irradiation by ultraviolet light results in the transformation of certain substances into allergens

A

Photoallergic

69
Q

Irradiation by ultraviolet light results in the transformation of certain substances into irritants

A

Phototoxic

70
Q

Citrus and mulberry
A. Phototoxic
B. Photoallergic

A

A. Phototoxic

71
Q

Greasy and scaly confluent papules on erythematous base

A

Seborrheic dermatitis

72
Q

Is dyshidrotic eczema is related to sweating

A

No

73
Q

Acute cases of allergic cd

A

Pruritic papules and vesicles on an erythematous base

74
Q

Chronic cases allergic cd

A

Lichenified plaques

75
Q

Common sites of seborrheic dermatitis

A
Scalp
Eyebrows
Eyelashes
Nasolabial folds
Paranasal skin
External skin canal
Presternal area
76
Q

Thiazides

A

Photodermatitis

77
Q

Common sites of lichen simplex chronicus

A

Wrists, ankles, anogenital area (anus, vulva, scrotum), posterior neck, upper eyelids

78
Q

Common sites of asteatotic or xerotic eczema

A

Lower legs, forearms, hands

79
Q

Tx contact dermatitis

A
Prevention and avoidance of contact with irritant or allergen
Barrier creams, non-alkaline cleansers
Topical steroids
Oral antihistamines
Oral antibiotics
Oral steroids, in severe cases
80
Q

Facial seborrheic dermatitis tx

A

Topical antifungal creams (azoles)
Antidandruff shampoo or soap with zinc pyrithione or selenium sulfide (facial wash)
Mild steroid creams/ lotions
Topical immune modulators

81
Q

Scalp lesions

Seborrheic dermatitis tx

A

Antifungal / antidandruff shampoosL: ketoconazole, ciclopirox, tar, salicylic cid, elenium sulfide, zinc pyrithione

Topical steroid lotion

Severe cases: oral antifungal

82
Q

Nummular dermatitis

Tx

A

Intralesional triamcinolone acetonide

83
Q

Dyshidrotic eczema tx

A

Topical or intralesional steroid

Oral prednisone - severe

84
Q

AD

Tx

A
Patient education
Avoidance of triggers
Emollients
Topical corticosteroids
Topical immune modulators
Antihistamines
Antibiotics - secondary bacterial infection
Phototherapy
85
Q

Lichen simplex chronicus tx

A

Stress management
Oral antihistamines
Topical steroid ointment
Intralesional steroid injection

86
Q

Stasis/ gravitational dermatitis tx

A
Leg elevation
Leg compression - stockings, ext. pneumatic compression devices
Wet compress for 10-20 mins BID for acute exudative inflammation (KMNO4, Burrow’s, normal saline)
Topical steroids
Oral antihistamines
Oral antibiotics, if indicated
Pentoxyfilline 400 mg BID- TID
Bland emollient
Sclerotherapy
Vein stripping
87
Q

Xerotic eczema tx

A

Inc water intake
Bathe only once daily with tepid water
Avoid drying agents: rubbing alcohol, harsh soaps, detergents
Limite exposure to cold temp and wind
Apply unscented emollients after bath and whenever necessary - petroleum jelly, urea- containing/ lotion, lactic acid
Apply low-potency steroid ointment