dermatitis/eczema

Question 1

what does hyperkeratosis mean

Answer 1

increased thickness of keratin layer

Question 2

what does parakeratosis mean

Answer 2

persistence of nuclei in the keratin layer

Question 3

what does acanthosis mean

Answer 3

increased thickness of epidermis

Question 4

what is spongiosis

Answer 4

oedema between keratinocytes

Question 5

acute phase of eczema

Answer 5

papulovesicular
erthematous lesions
oedema
ooze or scaling & crusting

Question 6

what can specific substances causing contact dermatitis be identified by

Answer 6

patch testing

Question 7

features of atopic eczema

Answer 7

pruritus
ill-defined erythema and scaling
generalised dry skin
flexural distribution

Question 8

what are some chronic changes of eczema

Answer 8

lichenification
excoriation
secondary infection

Question 9

what type of infection does crusting indicate

Answer 9

staph aureus

Question 10

what is the UK diagnostic criteria for atopic eczema

Answer 10

itching plus 3 or more:

• visible flexural rash
• history of flexural rash
• personal history of atopy
• generally dry skin
• onset before age 2 years

Question 11

treatment of eczema

Answer 11

plenty of emollients
avoid irritants
topical steroids
treat infection
phototherapy
systemic immunosuppressants

Question 12

what is stasis eczema secondary to?

Answer 12

hydrostatic pressure
oedema
red cell extravasation

Question 13

what is phompholyx

Answer 13

a type of eczema that causes tiny blisters to develop across the fingers, palms of the hands and sometimes the soles of the feet