eczema pt 1

Question 1

what is the skin barrier dysfunction

Answer 1

Breaks down and over reaction occurs, skin is susceptible and begins to itch

Question 2

stages of eczema

Answer 2

actute, sub-acute, chronic (scaling)
-flare up lasts about 7 days if irritant removed

Question 3

Presentation

Answer 3

young children (80% before 5)
-blistering to dry skin to scale
-Pruritis: scratch itch scratch and distrubed sleep
-face especiallt in infants (hand elbow wrist knees)

Question 4

Allergic march (family history)

Answer 4

if in familiy more likely to have
eczema > asthma> allergic rhinitis

Question 5

Prickly heat

Answer 5

Sweat stays on skin, away when clean skin

Question 6

Worsened by what

Answer 6

Low humidty, stress, irritants(clothing, sweating), allergins (dust, food)
-winter is worse, more flare up

Question 7

General treatment

Answer 7

-avoid triggers
-gloves
-cotton over wool over synthetic clothing

Question 8

Counteract dry skin

Answer 8

Baths, weather exposure, humidifier, cream

Question 9

Treatment of acute flare ups

Answer 9

Weeping lesions
-use plain water for 20 min qid for 2-3days or longer contact

Question 10

Can steroids be used in weeping stage

Answer 10

yes. otherwise flare up will last longer. heal crack and weeping skin

Question 11

How long does acute stage last

Answer 11

4-8 days

Question 12

Wwhat change to steroid for when becomes more chronic

Answer 12

change from cream to ointment. if can afford can alternate between two

Question 13

Prescribed agents

Answer 13

Ultravate, halog, westcort

Question 14

Spectro eczema care strength

Answer 14

Marketing glitch made it be behind the counter and stregnth of 4

Question 15

Duration of topical steroids

Answer 15

3 weeks max

Question 16

topical steroid common s/e

Answer 16

Skin atrophy, straie, telangiectasia (spider veins)