Eczema

Question 1

NICE guidelines for eczema
[…] skin + 3/5 of:

Visible […] eczema*
History of […] eczema*
History of […] skin
History of […] or allergic […] (or history of atopy in 1st degree relative if <4 years)
Onset <2 years old (do not use if <4 years old)
or on the cheeks/extensors in children <18 months

Answer 1

itchy
flexural
flexural
dry
asthma, rhinitis

Question 2

Eczema herpeticum
Dermatological […] . Disseminated […] infection due to impaired skin […] as a result of atopic dermatitis.

It results in a monomorphic […] rash which can ulcerate and crust. There may be systemic effects, such as fever.
Diagnosis can be confirmed with a […] + Tzanck test.
Treatment is with IV […]

Answer 2

emergency
HSV, protection
vesicular
swab
aciclovir

Question 3

Erythroderma - emergency
Widespread […] affecting >[…]% of the skin surface.
This can result in […] and […] loss, causing […] and systemic symptoms.
The commonest cause of erythroderma is […] of a pre-existing skin condition such as […] […]

Answer 3

erythema, 90
heat, fluid, hypothermia
exacerbation
atopic dermatitis

Question 4

Mx
1. […] irritants
2. […]
3. […] steroids
(Put emollient on first, then wait 30min until applying steroid)
4. wet wrapping (with emollient)

Answer 4

Avoid
Emollients
Topical