Eczema

Question 1

When to refer?

Answer 1

when the following has not resolved sx,

using skin hydration, difficulty controlling itch, avoiding triggers and management of infection

Question 2

Treatment of refractory eczema?

Answer 2

IV steroids
UV therapy
Immunosuppresive drugs

Question 3

Pompholyx eczema

Answer 3

on soles of feet, hands, fingers, watery blisters, very itchy (ref: how to treat)

Question 4

Dermatitis:
1/ Questions on history
2/ Mx of contact dermatitis

Answer 4

1/ Occupation [hairdresser/cleaner]
Treatment to date 
Exacerbating/ Relieving factors 
History of atopy e.g. eczema 
Exposures to irritants e.g. soap/latex/cleaning agents

2/ Avoid triggers 
Emollient use frequently 
Topical steroid 
Topical antibiotic to infected regions 
Use soap free cleansers 
Use wet dressings if severe 
Antihistamines 
Identify irritants by patch testing 
Having cool baths 

[Ref: KFP Exam Q’s from GPRA FB page] .