Dermatitis

Question 1

• Itchy Rash with blisters
• linear, erythematous streaking with vesicles

Answer 1

Rhus Contact Dermatitis (poison ivy etc)

Question 2

Treatment for Rhus contact dermatitis (poison ivy etc)

Answer 2

1. systemic corticosteroid
2. topical corticosteroid
3. oral antihistamine

Question 3

Answer 3

Rhus contact dermatitis (poisoin ivy etc)

Question 4

Answer 4

Atopic Dermatitis

Question 5

Erythematous, Eczematous Patches

Antecubital & Popliteal common for this

Answer 5

Atopic Dermatitis (eczema)

Question 6

Important symptom of Atopic Dermatitis

Answer 6

eczema and asthma go hand - in - hand

Question 7

Treatment for Atopic Dermatitis (eczema)

Answer 7

1. Oral Antihistamine (control itch)
2. topical corticosteroid (put out the fire) *use carefully because baby’s skin is thinner than adults
3. Topical Immune Modulator (Elidel, Protopic)
4. Moisturizing cleansers, emollients, humidifier

Question 8

• itching
• excoriated erythema with vesicles

Answer 8

Dyshidrotic Dermatitis

Question 9

Worse when warm or moist - more common in feet but can happen in hands if they often wear gloves & sweat

Answer 9

Dyshidrotic Dermatitis

Question 10

Treatment for Dyshidrotic Dermatitis

Answer 10

1. Topical Corticosteroid
2. Oral Antihistamine

**RULE OUT TINEA & CONTACT DERM!!!

Question 11

multiple round, dry, itchy, erythematous patches.

• no white scaling. no central clearing

Answer 11

Nummular Dermatitis

Question 12

Answer 12

Dyshidrotic Dermatitis

Question 13

Answer 13

Nummular Derm

Question 14

Nummular Dermatitis Treatment

Answer 14

1. Topical Corticosteroid
2. Oral Antihistamine
3. Moisturizing cleansers, emollients, humidifier - worse in winter

**RULE OUT TINEA!!

Question 15

• Redness & flaking
• Oily skin, dandruff
• Erythema with mild scaling, diffuse flaking to scalp

Answer 15

Seborrheic Dermatitis

Question 16

Answer 16

Seborrheic Dermatitis

Question 17

Overgrowth of Fungus or yeast on skin

Answer 17

Seborrheic Dermatitis

Question 18

Seborrheic Dermatitis Treatment

Answer 18

1. Sulfa based cleanser &/or antidandruff shampoo
2. topical antifungal (ketoconazole)
3. topical steroid (low potency)

Question 19

• Swelling, redness & itching to lower extremeties
• multiple varicosities
• edema, Lichenified, Eczematous
• Varicose veins
• *Worsens after standing

Answer 19

stasis Dermatitis

Question 20

worse when standing.

no infection

things are static due to decreased blood flow.

*Seen in pts with h/o CHF & HTN**

Answer 20

Stasis Dermatitis

Question 21

Answer 21

Stasis Dermatitis

Question 22

Stasis Dermatitis Treatment

Answer 22

1. Topical Steroids
2. Oral antihistamine
3. Compression Stockings
4. Systemic Corticosteroids
5. Oral ABX
6. Venous Ultrasounds

*R/o clot if one leg more swollen than the other

* Sugars can go up with oral steroid use, watch if pt diabetic

Question 23

• red bumps around mouth and nose
• multiple erythematous papules
• no pustules, no honey colored crust

Answer 23

Perioral Dermatitis

Question 24

can be caused by certain lipglosses or toothpastes

Answer 24

Perioral Dermatitis

Question 25

Answer 25

Perioral Dermatitis

Question 26

Perioral Dermatitis Treatment

Answer 26

1. Oral ABX (Tetracyclines, minocycline, doxycycline) - anti-inflammatory affect 2. Topical Antibiotics (Clindamycin) **\*Do not use Corticosteroids b/c they can make condition worse with long term use\*\***

Question 27

Dermatitis due to contact with something

Answer 27

Contact Dermatitis

Question 28

Contact Dermatitis Treatment

Answer 28

Prednisone dosing for peds & adults - possible dosing for Rhus contact dertmatitis

Question 29

Answer 29

Contact Dermatitis