Dermatology Flashcards
What is ‘champaign bottle leg’?
Cause
Presentation
Treatment
Lipodermosclerosis
Venous insufficiency causing fibrosis
Pigmented tight and hard skin, usually lower leg. Painful
Compression stockings,vein surgery, pain relief
What is the presentation of chronic atopic eczema?
Erythemous dry crusty flaky skin. Itchy.
Located on flexor surfaces, face, hands
How does acute or exacerbated atopic eczema differ from chronic?
Weeping and exudate
Vesicles and bullae
Complications of atopic eczema?
Broken skin becoming infected - appears like impertigo
Viral warts
Conjunctival irritation
Erythroderma
In a child with atopic eczema what may show on blood tests?
Eosinophilia
High IgE
Prognosis of eczema in early childhood?
Prognosis of eczema in adolecence or adulthood
Childhood - most clears by aged 6 or early teens
Adulthood - tends to follow relapsing remitting course
Behavioural management of atopic eczema?
Avoid irritants - soaps, animals, wool
Avoid getting too hot
Early medical management of atopic eczema?
Emollients
Steroid creams
What steroid creams should be used in early eczema?
Face - mild - hydrocrotisone
Body - mod - clobetasone
Soles and palms - strong - betamethasone
If steroid cremes are ineffective at dealing with atopic eczema at their recommended dose what can be done next? Assume effect on quality of life.
Oral steroids
UV phototherapy
Ciclosporin/azothioprine
What other sorts of eczema are there except atopic?
Discoid
Hand
Seborrhoeic
Contact
Where does seborrheic eczema tend to effect?
Side of nose, eyebrows, scalp, trunk
What sort of eczema should mild steroids be used as a preventative rather than reliever?
Seborrhoeic
What is psoriasis?
Polygenetic disorder causing hyperproliferation of the skin with inflammation
How does psoriasis present?
Well demarcated pink/red scaly plaques.
Extensor surfaces
Nail pitting - onycolysis - yellow discoloration