Dermatology Flashcards
At what age does eczema present?
in 1st year of life
How can eczema severity be assessed?
- Visual analogue scales (1-10)
- Patient-orientated eczema measure: max score 28. Looks at itchiness, sleep, bleeding, weeping, cracked, flaking, dry/rough
- CDLQI
Features of acute eczema?
Erythematous, weeping
Features chronic eczema?
lichenification, dry
Where is eczema seen most on an infant?
Face & scalp, elbows & knees
Eczema distribution in adults?
Flexures, palms & soles, nipples, head & neck
1st step in management of any severity of eczema?
Emollients - use all over body, even when eczema is clear. Use large amounts often
Child with eczema has not responded to the moderate potency topical steroids he was prescribed, what is the next step in his Mx?
Topical calcineurin inhibitors - apply to active areas (e.g. Tacrolimus)
What is the Mx of widespread infected eczema in child who is allergic to penicillin?
Erythromycin - 1-2w Tx depending on response
If a child is failing to respond to any Tx, what should you consider?
Herpes virus - eczema herpeticum. Tx with oral acyclovir
Pneumonic for remembering eczema Mx ladder?
Eczema sometimes causes bullying, poor souls.
(Emollients –> steroids (top), calcineurin inhibitors, bandages (+ dressings), phototherapy, systemic therapy
What can you prescribe if eczema is keeping child up at night?
Antihistamines - decrease itching
Classical feature of impetigo?
Golden crusted lesions around mouth
Tx of mild impetigo? What if MRSA?
Mild = top fusidic acid MRSA = top mupirocin
Most common cause of nappy rash?
Irritant dermatitis
