Dermatitis Flashcards
Name ENDOGENOUS types of Dermatitis: 3
- ATOPIC
- SEBORRHOEIC
- DISCOID
Name EXOGENOUS types of DERMATITIS? 4
Irritant
Allergic
Photo allergic
Phototoxic
Terminology:
Define LESION
An area of altered skin, it can be singular or multiple.
Terminology:
Define RASH
Widespread area of lesions
Terminology:
Define DERMATOSIS
General term for a disease of the skin
Terminology:
Define ERYTHEMA
Abnormal redness of skin
Terminology:
Define URTICARIA
Hives or an eruption of itching wheals
Terminology:
Define PUSTULE
A vesicle (less than 1 cm in diameter) filled with pure exudate
What can infections to the atopic skin lead to?
Infection increases inflammation AND
reduces topical corticosteroid effectiveness
What additives can cause sensitisation?
Lanolin, fragrances, propylene glycol
And preservatives such as Parabens (hydrobenzoates)
Connecting formulation with AREA/SKIN CONDTITION..
OINTMENTS?
Dry, scaly skin
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Creams
Moist or dry skin,
Preferred for FACE AND FLEXURES
Connecting formulation with AREA/SKIN CONDTITION..
Lotions and solutions
Hairy and intertriginous regions, weeping surfaces
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Pastes
Psoriasis, warts
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Aerosols and sprays
Where direct application is difficult or painful
3 common types of DERMATITIS
- ATOPIC DERMATITIS
- SEBORRHOEIC DERMATITIS
(including infant seborrhoeic dermatitis) - CONTACT DERMATITIS
ATOPIC DERMATITIS
non-pharmacological Tx
- manage triggers
- minimise irritants
- oatmeal bath for itch
ATOPIC DERMATITIS
Pharmacological Tx
- Topical corticosteroids
- anti histamins for urticsria and assistance with sleep
- Pimecrolimus 1% and Tar preparations useful for itchy and chronic atopic dermatitis
Seborrhoeic dermatitis (chronic relapsing skin eruption incerythema and scaling)
Tx
- Azole anti-dandruff shampoo
- Referral, add moderate topical corticosteroid
- Tar prep- apply at night and wash off with azole shampoo in the morning x2 a week
Infantile seborrhoeic dermatitis = cradle cap
Non pharma Tx
Mineral oil, safflower oil, coconut oil 🥥
Avoid olive oil or nut oils
Infantile seborrhoeic dermatitis = cradle cap
Pharma Tx
- consider referral
- compounded cream of Salicylic acid 2% + LPC 3% + SULFUR 2% IN aq cream 6 hours on and wash off
When do dermatitis conditions need REFERRAL?
-infection
-depth
- not responding to treatment
- pain
- heat
- systemic symptoms
