eczema pt 2 Flashcards
touch rule
Rough and red apply steroid
Smooth and skin tone time to stop
Can you use topical steroid in kids under 2
Needs approval by MD
OTC topical steroid use length
up to 7 days
what does one fingertip unit cover
both sides of hand
-entirety of babies back
Practical steroidal useage
match steroid intensity to derm severity
on and off useage for possibly years, adapt to changes
s/e concern when potent, usage is high, long duration of use
Benefit of intrermitant use
allows skin recovery.
underusage is common reson for no benefit
what is severity of condition based on
how much sleep losing
Calcineurin inhibitor
2nd line agent
steoid free for older than 2
useful for thin areas like face
-pimecrolimus or tacrolimus
Benefit of using 2x a week after cleared
To prevent reoccurance
Probitotic treatment
given during flare up is not helpful but used as prevention shows promise. Helped pregnant women and lessen eczema in childern
what do we use in addition to steroid
moisturizers
problem with menthol for eczema
Is irritant to the rash, better for just dry skin
Coal tar remedies for itch?
-more for dandruff not eczema
Scalp shampoo vs skin product (more for psoriasis)
-bad for eczema as works as turnover agent
Oral antihistamine help? What about topical?
NOt very, complexity of claim for rashes
also no