Dermatology Flashcards
What is acne rosaecia
Chronic skin disease of unknown aetiology
Populations more affected by rosaeca
Women aged 30-60 YO
Symptoms of Rosaecia
Predominantly affects forehead, Nose and cheeks
Flushing - 1st signs
papules/pustules
Talengiectasia
Blepharitis
Rhiniphyma
Management of Rosacea wiith predominantly facial flushing
Topical Brimonidine
Mechanism of action of Topical Brimonidine
A2-adrenergic agonist that promotes vasoconstriction of the superficial vessels to help reduce flushing
- Peak onset within 30 mins
- Lasts 3-6 hours
- Used PRN
Management of Mild-Moderate Pustules/papules in roseaca
Topical Ivermectin - 1st line
Alternatives - Topical Metronidazole or Topical Azelic acid
Management of moderate-severe pustules/papules in rosacea
Topical ivermectin + Oral doxycycline
Can you use topical corticosteroids for the management of Roseaca
No - Can exacerbate
Triggers for Roseaca (Five)
Stress
Alcohol
Sunlight exposure
Spicy foods
Caffeine
What is eczema herpeticum
Primary disease of the skin that usually occurs in children who have atopic eczema
What bacteria causes Eczema herpeticum
Herpes Virus 1
Herpes virus 2
Cosackie A16
Describe the rash seen in Eczema herpeticum
1-3mm circular ulcerating rash that is rapidly progressing and PAINFUL
Presentation of eczema herpeticum
Preceeding atopic eczema
Rapidly progressing rash - 1-3mm, punched out, ulcerating lesion, Monomorphic
Fever
Bowel changes
Management of eczema herpeticum
Admission to hospital and treated with IV Aciclovir
