Eczema Flashcards
What is eczema?
Chronic relapsing-remitting inflammatory skin disorder
What are the triggers for eczema?
Soap/shampoo
Heat
Stress
Pollen
What are the types of eczema?
Atopic Contact dermatitis Discoid Asteatotic Varicose Pampholyx
What are the features of atopic eczema?
Allergy related
Itchy
Papules + vesicles on red + dry base
What are the features of discoid eczema?
Round plaques
Itchy
What are the features of asteatotic eczema?
Occurs in the elderly
Dry skin + excoriations
What are the features of varicose eczema?
Due to poor venous return
Bilateral erythematous scaly legs
What are the features of pampholyx eczema?
Clear vesicles
Itchy
Hands + feet
What is the cause of eczema?
Defect in skin barrier function
Defect in filaggrin gene -> reduced structural integrity of stratum corneum
Where does eczema affect in infants?
Face
Extensor surfaces
Where does eczema affect in older children + adults?
Flexor surfaces
What is the conservative management of eczema?
Avoid triggers
Use EASI score each consultation
What is the EASI score?
Eczema Area and Severity Index
Used to assess the severity of eczema
What is the medical management of eczema?
Emollients
Topical steroids - during flares
Anti-histamines
What are the complications of eczema?
Low mood (use DLQI score) Secondary infection
