Eczema Flashcards
What is eczema?
a chronic atopic condition caused by defects in the normal continuity of the skin barrier, leading
How does eczema present in infancy?
Dry, red itchy and sore patches of skin over flexor surfaces - inside elbows and knees and face and neck
How do emollients work eczema?
Create artificial barrier over skin to compensate for defective skin barrier
Use as often as possible esp after washing and before bed, as thick and greasy as possible
What should patients avoid with eczema?
Bathing in hot water
Scratch/scrubbing skin
Soaps and body washes that remove natural oils in the skin
How are flares of eczema treated?
Thicker emollients
Topical steroids
Wetn wraps
Antibiotics in severe illness
Speciaist treatments in eczema
Zinc impregnated bandages
Topical tacrolimus
Phototherapy
Systemic immunosupressants eg oral corticosteroids, methotrexate and azathioprine
Thin creams emollients
E45
Diprobase cream
Oliatum
Aveeno
Cetraben
Epaderm
Thick, greasy emollients
50:50 ointment (50% liquid paraffin)
Hydromol ointment
Diprobase ointment
Cetraben
Epaderm
Where is best to avoid with steroid crema in children?
Eyes, face, genitals
Steroid ladder of mild to very potent
Mild - Hydrocortisone 0.5%, 1% + 2.5%
Moderate - Eumovate (clobetasone butyrate 0.05%)
Potent - Betnovate (betamethasone 0.1%)
Very potent: Dermovate (clobetaspl propionate 0.05%)
Moderate steroid cream
Moderate - Eumovate (clobetasone butyrate 0.05%)
Potente steroid cream
Betnovate (betamethasone 0.1%)
Very potent steroid cream
Dermovate (clobetaspl propionate 0.05%)
Most common infection with eczema orgnaism
S.aureus
Most common infection with eczema orgnaism
S.aureus
