Eczema & Psoriasis Flashcards
What are some of the types of Eczema?
Atopic
Contact
Discoid
Describe the rash associated with Eczema
Papules and Vesicles on an erythematous base
Itchy erythematous dry scaly patch worse at night
What areas tend to have Eczema?
Face
Flexor aspect
Extensor aspect
What are the features of Eczema in the acute phase?
Weapy
Itchy
Erythematous
What are the features of Eczema in the chronic phase?
Inflammed
Leathery
Thick
Itchy
What is the management of Eczema?
Try to break the itching cycle
Avoid triggers
Emolients/moisturising creams
Phototherapy for severe cases
What is the management of an Eczema flare up?
Topical steroids
Antihistamines
Tacrolimus (Immunosuppressant - Steroid sparing agent for if Eczema severe)
What are some of the complications of Eczema?
Secondary infections - patches becomes crusted and weeping (Give antibiotics)
Secondary viral infections - Molluscum Contagiosum (Pearly papules with unbilical middle)
Eczema herpeticum - Usually herpes simplex virus causes vesicles to form in pre existing skin disease
Define Psoriasis
T cell mediated autoimmune disorder
Chronic inflammatory skin disease due to hyper proliferation of keratinocytes and inflammatory cell infiltration cytokines
What are the features of Psoriasis?
Itchy well demarkated patches Fissuring in plaques Tend to be on extensor side or scalp Asper sign Pitting nails
What is Erythodermic Psorisis?
Tends to occur in people who already have plaque psoriasis
Effects most of skin surface
Widespread erythematous patches with itching and pain
What are the 2 types of Psoriasis?
Plaque
Erythodermic
How can you treat Psoriasis?
Avoid precipitating factors Corticosteroids Topical retinoids Oral methotrexate UVB/Phototherapy Vitamin D
What are some of the complications of Psoriasis?
Psychosocial
Increased risk of infections if on immunosupressants
Pustular form if high steroid doses
Psoriatic arthritis - use NSAIDs, DMARDs
