Eczema

Question 1

Eczema

Answer 1

aka dermatitis
Chronic inflammatory skin condition
3 main types in children:
Infantile seborrhoeic eczema
Atopic eczema
Napkin dermatitis

Question 2

Infantile seborrhoeic eczema

Answer 2

Common in first two months of life
Scaly, non-itchy rash
Initially on scalp
May spread to face, flexures and nappy areas
Treatment is emollients and mild topical steroids

Question 3

Atopic eczema clinical features

Answer 3

Usually episodic (may be continuous in severe cases)
Dry, red, itchy rash
Extensors and face in infants and young children
Flexures in older children
May have acute weeping papulorvesicular eruption
May have chronic dry scaly thickened skin
FH of atopy

Question 4

Atopic eczema management

Answer 4

Emollients
Eradication of triggers
Treatment of secondary infection
Topical steroids
Newer topical therapies (eg tacrolimus and pimecrolimus - topical calcineurin inhibitors)
Systemic immunosuppression for small number of children

Question 5

Napkin dermatitis

Answer 5

Can be:
Irritant contact dermatitis (nappy rash)
Candidiasis
Seborrhoeic dermatitis

Question 6

Nappy rash

Answer 6

Due to prolonged contact of faeces and urine with the skin
Skin red, moist and might ulcerate
Inguinal folds spared
Frequent nappy changes and barrier creams to prevent
Air exposure can hasten recovery