Eczema and Papulosquamous Dz Flashcards
Excematous lesion descroption
Scaling
Crusting
Serous oozing
Atopic Dermatitis
AKA Eczema
Common (11% of pop)
Most cases by age 5-7
40% clear by adulthood
Atopic Dermatitis s/s
Pruritis is hallmark
Scratching leads to skin change
Lesions may ooze, crust and become purulent
Atopic Dermatitis Tx
Avoid heat, low humidity Treat stress, anxiety Antihistamines Hydration Topical steroids (hydrocortisone)
Doxepin and Vistaril
Antidepressants w/ antihistamine SE
Used for atopic dermatitis
Topical Calcineurin inhibitors
Used instead of medium potency topical steroids
Less SE
Tacrolimus, Pimecrolimus
2nd line because of BBW
Topical Calcineurin inhibitors Black box warning
May increase risk of skin CA and lymphoma
Nummular eczema
Atopic dermatitis that is described as coin shaped lesions
Same tx as atopic derm.
Usually on trunk and LE
Lichen simplex chronicus
Chronic eczematous changes from scratching
Dyshydrotic Eczema
Vesicular eruption of hands and feet.
Very itchy, blisters, deep
Dyshydrotic Eczema tx
High potency topical steroids
Hydration of skin w/ emollient cream
COntact dermatitis
Caused by an allergy and direct contact
Tx of plant based contact dermatitis
Oatmeal bath, cool, wet compress
Calamine lotion, Zanfel soap
Antihistamines for sedation
Clobetasol steroid cream
Systemic steroids are needed for contact dermatitis if…
> 10% BSA
or genital or face involvement
Use Medrol dose pack
Diaper Dermatitis
Erythema in diaper area
Can involve candidiasis infxn
If diaper rash is mostly in skin folds and there are satellite lesions…
It is most likely candidiasis
Diaper rash tx
w/o yeast: frequent diaper change, vasoline
w/ yeast: all of above plus topical atifungal
Perioral dermatitis
1-2 mm clustered papules
Associated w/ topical steroid use
Vermillion border is spared
Perioral dermatitis tx
May resolve on its own 1st line: Topical calcineurin inhibitor or Topical erythromycin For severe: systemic tetracycline or doxycycline
Seborrheic Dermatitis
May be widespread in HIV or parkinsons
Erythematous scaling patched in scalp, face and trunk
Caused by saphrophyte infxn
Seborrheic Dermatitis presentation
Erythema (red or pink)
Swollen and greasy
Pruritis
White or yellowish scales
Seborrheic Dermatitis Tx
Antiproliferative shampoo (head and shoulders) Antifungal shampoo
Lichen planus
Uncommon disorder of middle aged adults
May effect skin, mouth, genitals, scalp, nails, esophagus
Lichen planus s/s
Wickman striae
Intense prutitis
