Eczema and Dermatitis Lecture Powerpoint Flashcards
100 slides fuck me
Eczema definition (general and specific)
-A series of conditions characterized by scaling, crusting, itching, and serous oozing -An interchangeable term for atopic dermatitis
Acute eczema common treatments (4)
-topical steroids -antihistamines -oral steroids -antibiotics
Subacute vs chronic eczematous inflammation
Subacute is most frequently encountered and appears with scaly, scalded appearance Chronic sees lichenification and fissuring
Atopic dermatitis pathogenesis
Many factors may contribute, unsure if immune system causes problem with skin or skin problem causes immune response but manifests as chronic pruritic inflammation of skin
Atopic dermatitis episodes tend to…
…Wax and wane
Family history of atopy 3 big disorder
-eczema -asthma -allergic rhinitis ALL IGA mediated!
Eczema of the infant usualy spares the…
….diaper area
Eczema of children and adolescents often occurs in these locations
-lichen plaques of flexural distribution, palamar aspect of wrists, neck
Atopic hand dermatitis (eczema)
Eczema of the palmar wrists and dorsum of hands seen in those often exposed to “wet work”
Eyelid dermatitis (eczema)
A common feature of atopic dermatitis that has lichenification and presence of Dennie Morgan lines (skin folds under eyes)
Atopic cheilitis definition and how can it be differentatied from perioral dermatitis
-dryness, peeling, fissuring of lips -directly found around the mouth while perioral dermatitis spares the lips (clearing ring around lips)
Superfatted soaps
Best soaps to treat atopic dermatitis (eczema) as opposed to regular soap
First, second, and third line treatment for atopic dermatitis
Topical corticosteroids, systemic corticosteroids (prednisone), topical calcineurin inhibitors (cyclosporine)
Contact dermatitis and 2 subtypes
Dermatitis arising from direct skin exposure to a substance -Allergic induced (immune response to touch) -irritant induced (mechanical damage)
Most cases of contact dermatitis are ___ induced
irritant
Common substances that ellicit allergic contact dermatitis, what is the dermatitis name for those caused by the plant?
-plant oleoresin urushiol (poison ivy and oak) –> Rhus dermatitis -metals -preservatives -fragrances -topical antibioitcs (bacitracin is frequently a source of allergic rxn thats used in tons of ointments)
Rhus dermatitis presents with papules, plaques, or vesicles in this arrangement
Linear or streak like where plant made contact with skin
Sometimes new lesions continue to develop after contact dermatitis exposure up to 21 days. Patients worry that…
….the blisters made it spread (impossible) or they didn’t clean it all off (possible if they are stinky boi) but more likely its just the manifestations of the delayed response
Contact dermatitis treatments (3)
-topical steroids -oral antihistamines -systemic corticosteroid s reserved for severe cases
Diaper dermatitis and 2 subtypes
Frequently occurring skin disorder in children characterizing any inflammatory skin eruption in the diaper area -Contact/irritant (wet diapers often), candida (untreated irritant dermatitis)
Dyshidrotic eczema (acute palmoplantar eczema)
Intense pruritic and chronic dermatitis of unknown cause that involves palms and soles and lateral aspects of fingers where it is unusal to find most dermatitis often seen in young adults
Dyshidrotic eczema (acute palmoplantar eczema) treatment (2)
-Burrows solution (aluminum subacetate) -topical steroids and seran wrap
Nummular eczema
Chronic inflammatory skin disease characterized by pruritic coin shaped lesions often on the extremities (and never on the head) sometimes with central clearing
___ and ___ should be ruled out before diagnosing nummular eczema
Psoriasis, tinea corporus






