Eczema

Question 1

What history and examination findings might make you suspect that someone has eczema?

Answer 1

• Chronic itchy rash
  
  • Dry, erythematous, patchy/confluent rash
  • Flexural distribution (adults)
  • Extensor distribution (children)
• Atopic triad (hayfever, eczema, asthma)

Question 2

How might you manage someone with eczema?

Answer 2

• Acute
  
  • Corticosteroids +/- emollients
• Chronic
  
  • Above +/- PUVA, coal tar, immunosuppression