Eczema Flashcards
What is this a presentation of?
Rash with inflamed red skin that is poorly demarcated, itchy, excoriations, under 2 years old, flexor surfaces, dry skin.
Eczema
What are the two types of eczema?
- Endogenous - atopic, seborrheic, discoid
2. Exogenous - allergic/irritant contact
What is usually present in the family history in eczema?
Atopy
What is the term for the thick leathery skin from chronic rubbing in eczema?
Lichenification
What do crusting, weeping, or pustules suggest in the context of eczema?
Secondary infection
Which area does atopic eczema typically spare?
Nappy area
At what age do most children grow out of eczema?
13 years old
What are the three steps of management of eczema?
- Explain the condition to the patient
- Emollients and soap substitutes
- Topical corticosteroids
What is important to explain to people with eczema?
- Control not cure
- Fluctuates and can be difficult to treat
- Report any severe weeping rash (may be ticum)
What is this a presentation of?
Extensive crusted papules, blisters, fever, and malaise. On a background of atopic eczema.
Ticum
What causes ticum and how is it treated?
- Primary infection by HSV1/HSV2
2. IV acyclovir
What is the treatment regime for emollients in eczema?
Use 3-4 times per day even when eczema is less active.
What is the treatment regime for topical corticosteroids in eczema?
- Exacerbations only
- Apply once per day 30 mins after emollient
- Limit use to under 1 week
- 1 fingertip for 2x area of adult hands
What systemic treatments should be used in refractory eczema?
Azathioprine, ciclosporin, methotrexate.
What is this a presentation of?
Red, scaly rash affecting scalp (dandruff), eyebrows, nasolabial fold, and cheeks. Adult.
Adult seborrheic dermatitis
