Inlammatory conditions Flashcards
Appearance of atopic eczema
Itchy, erythematous, dry scaly patches
Extensor surfaces and face in infants
Flexor surfaces in children and adults
May be vesicular and exudative acutely
May have excoriations and lichenification in chronic
Management of atopic eczema
Avoid triggers
Emollients
Topical steroids for flares
Topical tacrolimus if unresponsive to steroids
Antibiotics for secondary bacterial infections (crusted, weepy lesions)
What is acne vulgaris
Inflammatory condition affecting the pilosebaceous follicle
Present in >80% of teenagers
Affects face, chest and upper back
Appearance of mild, moderate and severe acne
Mild - open or closed comedones i.e no inflammation
Moderate and severe - inflammatory lesions….papules, pustules, nodules or cysts present
Management of acne vulgaris
Avoid over cleaning the skin
Topical retinoid +/- benzoyl peroxidase
Topical clindamycin + benzoyl peroxidase
COCP or cyproterone (acne exacerbated by POP)
If no response try oral lymecycline for 3 months
When are retinoids contraindicated
Pregnancy
Breast feeding
What is psoriasis
Chronic skin inflammation due to hyperproliferation of keratinocytes
Appearance of psoriasis
Well demarcated, erythematous plaques with a scale
Common in extensor surfaces and scalp
Nail changes
Asymmetric oligoarthritis or symmetric polyarthritis
Management of psoriasis
Emollients
Topical steroids
If extensive or systemic: methotrexate, ciclosporin, TNF antagonists
What is rosacea
Chronic inflammatory skin condition that comes and goes
Causes erythema, dilated blood vessels and pus filled spots
Management of rosacea
Avoid triggers
Oral tetracycline
Brimonidine gel
