Eczema & dermatitis Flashcards

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1
Q

What is the major histological finding in eczema generally?

A

Spongiotic dermatitis

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2
Q

Which type of dermatitis shows extravasation of RBCs?

A

Stasis dermatitis

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3
Q

Which type of eczema is associated with the presence of eosinophils in histology?

A

Drug-related

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4
Q

Which type of eczema is due to repetitive trauma to the skin?

A

Contact eczema

Irritant eczema

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5
Q

Which type of eczema is due to type-1 hypersensitivity?

A

Drug-related

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6
Q

Which type of dermatitis is due type IV hypersensitivity reaction?

A

Contact allergic

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7
Q

Which type of dermatitis is due to physical trauma by hydrostatic pressure?

A

Stasis dermatitis

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8
Q

Explain the immunopatholgy behind contact allergic dermatitis

A

Langerhan cells present antigens to Th cells which activate T cell ativation

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9
Q

How do you test for contact allergic dermatitis?

A

Patch testing

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10
Q

What % of school-aged children are affected by atopic eczema?

A

25%

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11
Q

What are the 3 atopic condtions associated to eczema?

A

Allergic rhinitis
Asthma
Food allergy

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12
Q

What is the common infective organism in complicated eczema?

A

Staph.aureus

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13
Q

What is eczema herpeticum?

A

Infection by HSV over preexisting atopic eczema

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14
Q

Diagnosing eczema requires itching plus 3 or more of what?

A
Visible flexural rash
History of flexural rash
Personal history of atropy
Generally dry skin
Onset before age 2
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15
Q

Where is eczema normally on infants?

A

Not flexural surfaces

Cheeks and extensor surfaces

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16
Q

What is the pattern of discoid eczema?

A

Circular/oliptic lesions

17
Q

Discoid eczema is immunologically similar to what type of eczema?

A

Atopic

18
Q

What is chronic actinic dermatitis?

A

A photsensitive dermatitis most common in men over 50

19
Q

What is stasis eczema?

A

Eczema secondary to hydrostatic pressure

It is eczema around varicose veins

20
Q

What are the key histological signs of stasis eczema?

A

Red cell extravasation

Oedema

21
Q

What is seborrhoeic dermatitis?

A

Eczema found in areas with high concentrations of sebaceous glands

22
Q

What is eczema?

A

A type of eczema which causes lots of tiny blisters to form on the hands and sometimes soles of feet

23
Q

What is lichen simplex?

A

A localized circular area of lichenification

24
Q

What is the treatment for eczema?

A

Frequent use of emollients
Avoiding irritants

Topical steroids
Treating infections
UVB therapy