DERMATITIS- Flashcards
DERM- TEST 2
What are the two most common types of drug-induced skin symptoms?
a. Vesicular and Bullous
b. Macular and Papular
c. Morbilliform (measles-like) and Urticaria
d. Pustular and Purpuric
c. Morbilliform (measles-like) and Urticaria
Which medications are most commonly associated with morbilliform rashes
a. Antihistamines and antifungals
b. PCNs, Sulfa drugs, cephalosporins, erythromycin, and NSAIDs
c. Antivirals and antipsychotics
d. Diuretics and beta-blockers
Answer: b. PCNs, Sulfa drugs, cephalosporins, erythromycin, and NSAIDs
When do drug eruption reactions commonly occur after starting medication?
a. 1-2 days
b. 3-5 days
c. 1-2 weeks
d. 3-4 weeks
Answer: c. 1-2 weeks
Which of the following is an appropriate diagnostic test for a suspected drug eruption?
a. Lumbar puncture
b. Monospot/EBV panel
c. MRI
d. Serum alcohol level
b. Monospot/EBV panel
What is one important aspect to document when identifying a potential drug allergy?
a. Specific laundry detergent used by the patient
b. Presence of systemic and respiratory symptoms
c. Favorite foods
d. Birth weight
b. Presence of systemic and respiratory symptoms
why because this can be a true allergy
Atopic Dermatitis
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What is the primary symptom of atopic dermatitis?
a. Fever
b. Pruritus
c. Headache
d. Nausea
Answer: b. Pruritus
Which phase of atopic dermatitis typically involves the cheeks and chin in infants aged 2 months to 2 years?*
a. Adolescent phase
b. Childhood phase
c. Infant phase
d. Adult phase
c. Infant phase
What is the primary goal in managing atopic dermatitis?
a. Prescribe antibiotics
b. Control itching and minimize rash
c. Increase exercise
d. Limit dietary fiber
Answer: b. Control itching and minimize rash
Which topical medication is commonly used for mild flares of atopic dermatitis?
a. Clindamycin
b. Tacrolimus
c. Hydrocortisone (HC) 2.5% cream
d. Lotrimin
Answer: c. Hydrocortisone (HC) 2.5% cream
For severe refractory flares of atopic dermatitis, what is an appropriate next step?
a. Increase hydration
b. Referral to dermatology and allergists
c. Recommend herbal supplements
d. Advise strict bed rest
*Answer:** b. Referral to dermatology and allergists
May include a symmetric, macular to maculopapular rash starting on the trunk and extending to extremities; mouth usually not affected
Drug Eruption Reaction:
CBC, Monospot/EBV panel, ANA, ASO titers, mycoplasma testing, CXR
Drug Eruption Reaction:
These can be differentials for?
Viral exanthem, scarlet fever, measles, roseola, Kawasaki disease, HFM, erythema infectiosum.
Drug Eruption Reaction:
What treatment would you do for drug eruption reaction?
Discontinue new medications, document potential allergy, antihistamines (Diphenhydramine, Hydroxyzine),
severe reactions may require Prednisone. Follow-up based on severity, potential allergy consult
Elevated IgE levels, genetics, immune impairment, environmental factors, foods, chemicals, allergens.
What is this?
Atopic Dermatitis
A child 6 years old complaints of pruritus, dry skin, oozing/bleeding skin, secondary infections, family history of eczema/asthma/allergic rhinitis.
what does this child have
Atopic Dermatitis:
Control itching, minimize rash, reduce inflammation, moisturize skin, prevent flares.
For what condition?
Atopic Dermatitis:
Infant phase (2mo-2yrs) involves scalp, face, neck, chest, extensor surfaces.
Childhood phase (2-10 years) affects flexor surfaces.
Adolescent/Adult phase affects flexor areas, hands.
what is this?
Atopic Dermatitis:
Low to mid-potency topical steroids (e.g., Hydrocortisone 2.5%), antihistamines; avoid triggers.
Is this a treatment for
aa) low flat
a) mild flare
b) mod flare
c) severe flare
d) both aa & a
D) both aa & a low to mid flare
Low to mid-potency topical steroids (e.g., Hydrocortisone 2.5%), antihistamines; avoid triggers.
—- these are low to mid steroids
Increase steroid potency (e.g., Triamcinolone 0.1% or 0.5%), use topical immunomodulators (Elidel, Protopic) if necessary.
a) mild
b) mod
c) severe
d) both b and c
Moderate to Severe Flare Treatment
d) both b and c
When do you refer to term & allergists for what type of atopic term flare?
a. mild
b. mod
c. severe
d. n/a
c- severe
Secondary Infections:
Treatments? may include Bactrim, Clindamycin, Bactroban ointment.
When should you follow up?
Bactrim, Clindamycin, Bactroban ointment.
Follow up?
1-2 weeks to evaluate treatment or as needed.
A child was started on doxy for treating bacterial pneumonia. Now the child has a rash that started about 10 days ago. The rash is
symmetric, macular to maculopapular rash scattered and becomes confluent; usually starts on trunk and extends to extremities; may be brownish colored and peeling w/ resolution; mouth is usually not affected
What is this?
drug eruption reaction
Which of the following is a primary cause of contact dermatitis in the diaper area?
a. Lack of exposure to detergents and lotions
b. Prolonged contact with urine and feces
c. Absence of barrier ointment use
d. Drinking non-potable water
b. Prolonged contact with urine and feces
