Eczema

Question 1

Define eczema

Answer 1

Chronic atopic condition caused by defects in normal continuity of skin barrier leading to inflammation of skin

Question 2

Clinical features of eczema

Answer 2

Usually begins in infancy

Dry, red, itchy and sore patches over flexor surfaces

Pruritis

Lichenification

Question 3

Pathophysiology of eczema

Answer 3

Tiny gaps in skin barrier provide entrance for irritants, microbes and allergens that create an immune response, resulting in inflammation and the associated symptoms

Question 4

Management of eczema

Answer 4

Emollients 2 or more times a day

Topical steroids (1% hydrocortisone 1-2x daily)

Avoid environmental triggers

Question 5

Causes of eczema exacerbation

Answer 5

Infection

Allergen exposure

Environment (heat, humidity)

Medication changes

Psychological stress

Idiopathic