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Dermatology > Eczematous Disorders and Dermatitis > Flashcards

Eczematous Disorders and Dermatitis Flashcards

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Dermatology Board Prep flashcards
1
Q

the result of local inflammation and chronic scratching

A

eczema

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2
Q

what is eczema known as?

A

“the itch that rashes”

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3
Q

which areas of the body does eczema commonly affect?

A

flexor regions + hands, nipples, and eyelids

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4
Q

what are 2 onsets of eczema?

A

present early in life
with geographic move

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5
Q

what do most patients with eczema have in their history? (2)

A

personal/family history of atopy
sensitive skin

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6
Q

erythematous, maculopapular rash that can include vesicles, weeping skin, plaques, excoriation, and lichenification

A

eczema

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7
Q

what are 5 disorders that can cause eczematous rash?

A

atopic dermatitis
nummular dermatitis
irritant contact dermatitis
allergic contact dermatitis
seborrheic dermatitis

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8
Q

skin disorder characterized by highly sensitive dry skin and pruritis

A

atopic dermatitis

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9
Q

what are common triggers for atopic dermatitis?

A

dust/pollen
food
seasonal temperature changes
clothing
stress

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10
Q

when are there increased flares of atopic dermatitis?

A

in winter months

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11
Q

a patient presents with varying demarcated erythematous/hyperpigmented patches, plaques, and lichenification +/- scale on the crease of the back of their knee. what are they experiencing?

A

atopic dermatitis

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12
Q

where is atopic dermatitis usually present on the body?

A

flexor surfaces

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13
Q

what other symptoms, besides skin findings, can be present in a patient with atopic dermatitis?

A

allergy-type symptoms

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14
Q

a patient presents with this in the crease of their antecubital space. what is the diagnosis?

A

atopic dermatitis

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15
Q

a patient presents with this in the crease of the back of their knee. what is the diagnosis?

A

atopic dermatitis

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16
Q

what is education for this skin condition? (4)

A

bathe 1/day with gentle cleansers
use hypoallergenic products
wear cotton
avoid scratching

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17
Q

what medication can be used to help with scratching in atopic dermatitis? (2)

A

hydroxyzine
diphenhydramine

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18
Q

what is the 1st line treatment for this skin condition? (2)

A

topical steroids -
triamcinolone
desonide

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19
Q

what may improve lichenification, itching, and scaling in atopic dermatitis?

A

coal tar preparations

20
Q

what is the 2nd line treatment for this condition?

A

immunosuppressants by dermatologist -
topical tacrolimus

21
Q

inflammatory dermatitis with coin-like plaques composed of grouped small papules and vesicles on an erythematous/hyperpigmented base

A

nummular dermatitis

22
Q

where and when is nummular dermatitis more common in?

A

on the extremities during winter

23
Q

how long do nummular dermatitis flares last?

A

weeks to months

24
Q

a patient presents with these coin-like plaques with small papules on a hyperpigmented base. what is the diagnosis and treatment (2)?

A

nummular dermatitis

topical steroids - triamcinolone
desonide

25
Q

what is education for this skin condition?

A

bathe 1/day with gentle cleansers
use hypoallergenic products
wear cotton
avoid scratching

26
Q

localized inflammation confined to areas exposed to environmental irritants

A

irritant contact dermatitis

27
Q

what part of the body is most affected by irritant contact dermatitis?

A

hands

28
Q

what are 3 predisposing factors of irritant contact dermatitis?

A

history of atopy
winter months
mechanical irritation

29
Q

a patient presents with these lesions of erythema, vesicles, bullae, scaling/flaking. what are they experiencing?

A

irritant contact dermatitis

30
Q

what is the diagnosis and treatment of this skin condition?

A

irritant contact dermatitis
topical steroids

31
Q

what can be given in severe cases of irritant contact dermatitis?

A

oral steroids

32
Q

classic, delayed, cell-mediated hypersensitivity reaction and skin inflammation caused by re-exposure to a previously sensitized substance

A

allergic contact dermatitis

33
Q

a patient presents with well demarcated erythema and edema with superimposed closely spaced papules or vesicles at site of contact. what are they experiencing?

A

allergic contact dermatitis

34
Q

a patient presents with this skin condition. what is the diagnosis?

A

allergic contact dermatitis

35
Q

what is a diagnostic for allergic contact dermatitis?

A

patch test

36
Q

what does a positive patch test show for allergic contact dermatitis?

A

erythema and papules +/- vesicles within the patch site

37
Q

a patient presents with this skin lesion. what is the diagnosis and 1st line treatment?

A

allergic contact dermatitis
topical steroids

38
Q

a patient presents with this skin condition on her eyelids. what is the diagnosis and 1st line treatment?

A

allergic contact dermatitis
moisturizer

39
Q

common, chronic disorder with erythema and scaling, that occurs in regions where the sebaceous glands are most active

A

seborrheic dermatitis

40
Q

when seborrheic dermatitis is on the scalp, what is it called?

A

dandruff

41
Q

when are seborrheic dermatitis flares the worst?

A

in the fall

42
Q

what pathogen is involved in seborrheic dermatitis?

A

malassezia furfur (lipophilic yeast)

43
Q

a patient presents with gray-white skin, sharply demarcated with overlying patches. what is the diagnosis?

A

seborrheic dermatitis

44
Q

a patient presents with orange-red skin with white dry scaling overlying patches

A

seborrheic dermatitis

45
Q

a patient presents with gray-white, dry skin, sharply demarcated on their scalp. what is the diagnosis and treatment (3)?

A

seborrheic dermatitis

antifungal ketoconazole
selenium shampoo
+/- topical corticosteroids

46
Q

a patient presents with orange-red sharply demarcated and greasy patches, macules, and papules. what is the diagnosis and treatment?

A

seborrheic dermatitis

topical steroid + antifungal combo

47
Q

a patient presents with this skin condition. what is the diagnosis and treatment?

A

seborrheic dermatitis
topical steroids + antifungal combo

Dermatology (15 decks)

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