Dermatology Flashcards
What are the symptoms of atopic eczema?
Itchy, erythematous rash.
Where does atopic eczema typically appear in infants?
Face and trunk.
Where does atopic eczema typically appear in young children?
Extensor surfaces.
Where does atopic eczema typically appear in older children and adults?
Flexor surfaces, creases of face and neck.
What are the general management steps for atopic eczema?
Avoid irritants, use emollients, topical steroids (liberal use), wet wrapping.
What is the first-line treatment for mild eczema?
Emollients + mild topical corticosteroids (hydrocortisone 1%).
What is added to the treatment for moderate eczema?
Moderate corticosteroids (betamethasone 0.025% or clobetasone 0.05%), topical tacrolimus, bandages.
What is added to the treatment for severe eczema?
Potent corticosteroids (betamethasone 0.1%)
wet wrapping
phototherapy, systemic therapy.
What causes infected eczema?
Staph aureus
How does infected eczema present
Oozing
swollen
sore skin with yellow crust
treated for infected eczema
oral flucloxacillin
Investigation for infected eczema
skin swab and culture
How does eczema herpeticum present
Fever
widespread blisters
punched out lesions around face
How can eczema herpeticum be differentiated from secondary bacteria infection?
Rapid onset and quick spread
high fever, systemic symptoms
What is the management for eczema herpeticum?
Admit!
oral aciclovir
When would you admit for eczema?
Severe eczema not responding to treatment in 1 week
bacterially infected eczema not responding to treatment
2 week referral
When to make a non urgent referral regarding children and skin
Facial eczema not responding to treatment
suspected contact allergic dermatitis
significant social impact
recurrent infections
What virus causes Hand, Foot, and Mouth Disease?
Coxsackie virus.
What are the key symptoms of Hand, Foot, and Mouth Disease?
Mild systemic upset (sore throat, fever), oral ulcers, vesicles on palms and soles.
What is the management of Hand, Foot, and Mouth Disease?
Symptomatic treatment, no school exclusion needed.
What virus causes Roseola Infantum?
Human herpes virus 6.
What is the typical age range for Roseola Infantum?
6-24 months old.
What are the key symptoms of Roseola Infantum?
: Several days of high fever followed by a blanching rose-pink macular rash, starting on the trun
What is the management of Roseola Infantum?
Supportive (antipyretics), monitor for febrile convulsions, no school exclusion required.
