Eczema and Dermatitis Lecture Powerpoint

Question 1

Eczema definition (general and specific)

Answer 1

-A series of conditions characterized by scaling, crusting, itching, and serous oozing -An interchangeable term for atopic dermatitis

Question 2

Acute eczema common treatments (4)

Answer 2

-topical steroids -antihistamines -oral steroids -antibiotics

Question 3

Subacute vs chronic eczematous inflammation

Answer 3

Subacute is most frequently encountered and appears with scaly, scalded appearance Chronic sees lichenification and fissuring

Question 4

Atopic dermatitis pathogenesis

Answer 4

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

Question 5

Atopic dermatitis episodes tend to…

Answer 5

…Wax and wane

Question 6

Family history of atopy 3 big disorder

Answer 6

-eczema -asthma -allergic rhinitis ALL IGA mediated!

Question 7

Eczema of the infant usualy spares the…

Answer 7

….diaper area

Question 8

Eczema of children and adolescents often occurs in these locations

Answer 8

-lichen plaques of flexural distribution, palamar aspect of wrists, neck

Question 9

Atopic hand dermatitis (eczema)

Answer 9

Eczema of the palmar wrists and dorsum of hands seen in those often exposed to “wet work”

Question 10

Eyelid dermatitis (eczema)

Answer 10

A common feature of atopic dermatitis that has lichenification and presence of Dennie Morgan lines (skin folds under eyes)

Question 11

Atopic cheilitis definition and how can it be differentatied from perioral dermatitis

Answer 11

-dryness, peeling, fissuring of lips -directly found around the mouth while perioral dermatitis spares the lips (clearing ring around lips)

Question 12

Superfatted soaps

Answer 12

Best soaps to treat atopic dermatitis (eczema) as opposed to regular soap

Question 13

First, second, and third line treatment for atopic dermatitis

Answer 13

Topical corticosteroids, systemic corticosteroids (prednisone), topical calcineurin inhibitors (cyclosporine)

Question 14

Contact dermatitis and 2 subtypes

Answer 14

Dermatitis arising from direct skin exposure to a substance -Allergic induced (immune response to touch) -irritant induced (mechanical damage)

Question 15

Most cases of contact dermatitis are ___ induced

Answer 15

irritant

Question 16

Common substances that ellicit allergic contact dermatitis, what is the dermatitis name for those caused by the plant?

Answer 16

-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)

Question 17

Rhus dermatitis presents with papules, plaques, or vesicles in this arrangement

Answer 17

Linear or streak like where plant made contact with skin

Question 18

Sometimes new lesions continue to develop after contact dermatitis exposure up to 21 days. Patients worry that…

Answer 18

….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

Question 19

Contact dermatitis treatments (3)

Answer 19

-topical steroids -oral antihistamines -systemic corticosteroid s reserved for severe cases

Question 20

Diaper dermatitis and 2 subtypes

Answer 20

Frequently occurring skin disorder in children characterizing any inflammatory skin eruption in the diaper area -Contact/irritant (wet diapers often), candida (untreated irritant dermatitis)

Question 21

Dyshidrotic eczema (acute palmoplantar eczema)

Answer 21

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

Question 22

Dyshidrotic eczema (acute palmoplantar eczema) treatment (2)

Answer 22

-Burrows solution (aluminum subacetate) -topical steroids and seran wrap

Question 23

Nummular eczema

Answer 23

Chronic inflammatory skin disease characterized by pruritic coin shaped lesions often on the extremities (and never on the head) sometimes with central clearing

Question 24

___ and ___ should be ruled out before diagnosing nummular eczema

Answer 24

Psoriasis, tinea corporus

Question 25

Seborrheic dermatitis

Answer 25

Dandruff, relapsing skin disorder with erythematous, scaley patches located in areas with high density of sebacious glands such as lateral nasiolabial folds, eyebrows, or scalp

Question 26

3 choice treatments for sseborrheic dermatitis

Answer 26

-OTC topical agents (Head and shoulders, first choice) -topical antifungals (2nd choice) -oral antifungals (reserved for severe)

Question 27

Stasis dermatitis, what can chronic sequelae to?

Answer 27

Inflammatory dermatosis of lower extremities in those with chronic venous insufficiency, most often the medial ankle, very common in patients nowadays, chronic can become lipodermatosclerosis

Question 28

Lipodermatosclerosis

Answer 28

Hyperpigmented and indurated skin constricting ankle region as a result of prolonged stasis dermatitis, gives appearance of inverted champaigne bottle

Question 29

Asteatotic eczema

Answer 29

Common type of pruritic dermatitis in lower extremities of older individuals that creates fissures on the skin

Question 30

Perioral dermatitis

Answer 30

Presents with small inflammatory papules around the mouth that spares the vermillion border of the lip, differentiated from acniform by lack of comedomes, self limiting, seen pirmarilyin women btwn 16-45

Question 31

Treatment for mild, and moderate to severe perioral derrmatitis

Answer 31

-erythromycin -Oral tetracyclines

Question 32

Lichen simplex chronicus

Answer 32

Appearance of lichenifieid plaque and excoriations usually just one lesion due to excessive scratching of it, noted in anxiety and neurodermatitis (created and perpetuated with no underlying condition)

Question 33

Lichen simplex chronicus treatment

Answer 33

-Discontinue the itch scratch cycle!!!!

Question 34

Lichen planus, whats the buzz word with it?

Answer 34

Rare Immune mediated mechanism that causes development between 30’s-60’s of papulosquamous eruption with violaceous (buzz word) papules on skin

Question 35

Wickham’s striae

Answer 35

Reticulated and lacey marks located on lichen planus eruption

Question 36

Lichen planopilaris (follicular lichen planus) will result in…

Answer 36

…permanent hair loss

Question 37

Drugs that induce lichen planus (3 categories)

Answer 37

-ACE inhibitors -B blockers -Diuretics

Question 38

Lichen planus treatment

Answer 38

-high potency topical corticosteroid

Question 39

What condition is pictured?

Answer 39

Chronic Eczematous Inflammation

Question 40

What condition is this?

Answer 40

Atopic cheilitis

Question 41

What condition is pictured?

Answer 41

Dishydrotic eczema

Question 42

What condition is this?

Answer 42

Nummular Eczema

Question 43

What condition is this?

Answer 43

Asteatotic eczema

Question 44

What condition is this?

Answer 44

Perioral Dermatitis

Question 45

What condition is this?

Answer 45

Lichen Planus