Intro to Eczematous Eruptions Flashcards

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1
Q

What is the allergic triad?

A
  • asthma
  • hay fever
  • atopic dermatitis
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2
Q

Who gets atopic dermatitis?

A
  • children under 5 y/o
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3
Q

Describe clinical symptoms of acute atopic dermatitis.

A
  • intensely pruritic lesions
  • erythematous papules with excoriation
  • vesiculations with serous exudate
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4
Q

Describe clinical symptoms of subacute atopic dermatitis

A
  • erythematous, excoriated scaling papules

- irritated, longer effect

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5
Q

Describe clinical symptoms of chronic atopic dermatitis.

A
  • thickened skin with lichenification
  • fibrotic papules
  • hyper/hypopigmentation s/p; opposite of patients normal
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6
Q

Where do atopic dermatitis symptoms present on infants and why?

A
  • extensor surfaces: friction
  • face/scalp
  • spares diaper area
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7
Q

Where do atopic dermatitis symptoms present on children and adults?

A
  • flexural folds
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8
Q

What is an itch that rashes?

A
  • atopic dermatitis
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9
Q

What are the most common food allergens in children?

A
  • egg
  • soy
  • milk
  • wheat
  • fish
  • shellfish
  • peanut
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10
Q

In what order are substances used? (best to worst)

A
  • ointments > creams > lotions > solutions
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11
Q

What is a risk of using over using corticosteroids?

A
  • skin atrophy
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12
Q

Describe the clinical findings of seborrheic dermatitis

A
  • greasy scales that look like psoriasis overlying erythematous patches or plaques
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13
Q

Where does seborrheic dermatitis affect?

A
  • scalp (dandruff)

- flexeral areas

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14
Q

What is cradle cap/crap?

A
  • seborrheic dermatitis in the first few weeks of life

- resolves by 6 mo but returns in puberty/adulthood

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15
Q

What is the treatment for seborrheic dermatitis?

A
  • low potency topical glucocorticoids (steroids) with topical antifungal
  • antidandruff shampoos to be left in place 3-5mins
  • high potency topical glucocorticoid solution only for severe scalp involvement
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16
Q

Describe the clinical findings of lichen simplex chronicus

A
  • end stage of many pruritic and eczematous disorders

- circumscribed plaques of lichenified skin

17
Q

What causes the patches associated with lichen simplex chronicus?

A
  • chronic scratching or rubbing
18
Q

What are the common areas to find lichen simplex chronicus?

A
  • posterior nucal region
  • dorsum of feet
  • ankles
19
Q

What is the treatment for lichen simplex chronicus?

A
  • high potency topical glucocorticoid cream
  • cessation of itching and scratching
  • oral antihistamine with tricyclic antidepressants
20
Q

Describe the clinical presentation of irritant contact dermatitis

A
  • well demarcated

- localized to thin skin (hands)

21
Q

What is the most common irritant contact dermatitis?

A
  • chronic low-grade
22
Q

Describe an allergic contact dermatitis reaction

A
  • erythemetous
  • vessiculation
  • severe pruritis
23
Q

What is the most common cause of allergic contact dermatitis?

A
  • plant exposure (i.e. poison ivy)
24
Q

Describe the visible appearance of an allergic contact dermatitis reaction

A
  • linear or angular eruption
25
Q

What is the leading causes of allergic contact dermatitis in the world?

A
  • nickel
26
Q

What is the classic sign of neomycin induced allergic contact dermatitis?

A
  • otits externa with red ears
27
Q

What causes diaper rash?

A
  • wetness
  • friction
  • microorganisms
28
Q

intertrigo

A
  • wet skin at a crease

- chafing and maceration

29
Q

seborrheic diaper dermatitis

A
  • involves the creases
30
Q

atopic diaper eczema

A
  • spares the creases
31
Q

What induces candidia?

A
  • antibioitcs
32
Q

What is the treatment for diaper rash?

A
  • airing the diaper area
  • frequent diaper changes
  • barrier ointments
  • low potentcy steroid ointment
33
Q

What treats candida?

A
  • antifungals i.e. diflucan