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Paediatrics > Lecture 15 Paediatric Dermatology > Flashcards

Lecture 15 Paediatric Dermatology Flashcards

1
Q

What are the clinical features of atopic eczema

A

Widespread diffuse scaly eruption

Itchy

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2
Q

What mutation predisposes to development of eczema

A

Filaggrin

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3
Q

What is the function of Filaggrin

A

Binds together keratin fibres

Natural moisturising factor

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4
Q

What is the management of Eczema

A

Topical steroids
Emollient
Soap substitute

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5
Q

Name a mild topical steroid

A

Hydrocortisone

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6
Q

Name a moderate topical steroid

A

Eumovate

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7
Q

Name a potent topical steroid

A

Betnovate

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8
Q

Name a very potent topical steroid

A

Dermovate

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9
Q

What are the options if topical steroids don’t work

A

Phototherapy
Immunosuppression
Biologics
JAK inhibitors

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10
Q

What is Discoid Eczema

A

Scattered annular/circular patches itchy eczema

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11
Q

What is the treatment of Discoid Eczema

A

Stubborn to treat

Betnovate C ointment

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12
Q

Where does Seborrhoeic Dermatitis commonly occur

A

Mainly scalp and face

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13
Q

Seborrhoeic Dermatitis is associated with what organism

A

Skin commensal Malasszia

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14
Q

What condition is Seborrhoeic Dermatitis associated with in infants

A

Cradle Cap

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15
Q

What is the treatment of Seborrhoeic Dermatitis

A

Daktocort ointment
Protopic ointment
Emoillients

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16
Q

What is Impetigo

A

Acute superficial bacteria skin infection

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17
Q

What are the symptoms of Impetigo

A

Pustules and honey-coloured crusted erosions

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18
Q

What is the causative organism of Impetigo

A

Staph aureus

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19
Q

What is the treatment of Impetigo

A

Fucidin

Flucloxacillin

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20
Q

What is Molluscum Contagiosum

A

Common benign self-limiting infection

Pearly papules, umbilicated centre

21
Q

What is the causative organism of Molluscum contagiosum

A

Molluscipox virus

22
Q

What is the incubation time for Molluscum contagiosum

A

2 week- 6 months

23
Q

How is Molluscum contagiousm transmitted

A

Close contact

24
Q

What is the treatment of Molluscum contagiosum

A

5% potassium hydroxide

24 months

25
Q

What is the management for viral warts

A

Topical treatments (salicylic acid)
Cryotherapy
Oral zinc

26
Q

What are the symptoms of Viral Exanthems

A

Fever
Malaise
Headache

27
Q

What diseases are associated with Viral Exanthems

A 
Chicken pox
Measles
Rubella
HV6
Erythema infectiousum
28
Q

What are the clinical features of Chicken Pox

A

Viral symptoms

Red papules progressing to vesicles often start in the trunk

29
Q

What is the incubation period of Chicken Pox

A

10-21 days

30
Q

What is the clinical presentation of Parvovirus (slapped cheek)

A

Erythematous rash cheeks
Trunk and limb rash
Aplastic crisis
Viral symptoms

31
Q

What is the causative organism of Hand, foot and mouth disease

A

Enterovirus
Coxsackie virus A16
Enterovirus 71

32
Q

What is the clinical presentation of hand, foot and mouth disease

A

Blisters on the hands, feet and in the mouth

33
Q

What is the treatment of hand, foot and mouth disease

A

Self-limiting

34
Q

What is Eczema Coxsakium

A

Flared sites picks out areas of eczema
Viral symptoms
History of eczema

35
Q

What is Eczema herpeticum

A

Monomorphic punched out lesions

History of eczema

36
Q

What is the treatment of Eczema herpeticum

A

Aciclovir oral or IV

37
Q

What disease is Orofacial Granulomatosis associated with

A

Crohn’s disease

38
Q

What are the clinical features of Orofacial Granulomatosis

A

Lip swelling, fissuring

Oral mucosal lesions (ulcers and tag), cobblestone appearance

39
Q

What are the treatments of Orofacial Granulomatosis

A

Benzoate and cinnamate free diet

40
Q

What are the symptoms of Erythema Nodosum

A

Painful, erythematous subcutaneous nodules over shins
Slow resolution- like bruise
6-8 weeks

41
Q

What are the causes of Erythema Nodosum

A
  • Infections- Streptococcus, URT
  • IBD
  • Sarcoidosis
  • Drugs- OCP, Sulphonamides, Penicillin
  • Mycobacterial infections
  • Idiopathic
42
Q

What are the symptoms of Dermatitis Herpetiforms

A

Symmetry

Scal, shoulders, buttocks, elbows and knees

43
Q

What disease is dermatitis herpetiforms associated with

A

Coeliac disease

44
Q

What is the treatment of dermatitis herpetiforms

A

Emollients, gluten free diet, topical steroids, dapsone

45
Q

What is the clinical presentation of Urticaria

A

Wheals/hives

Angioedema

46
Q

What are the causes of Urticaria

A 
Viral infections
Bacterial infections
Food or drug allergy
NSAIDs, opiates
Vaccinations
47
Q

What is the treatment of Urticaria

A

Antihistamines:

  • Desloratadine (3 x daily)
  • Ranitidine
  • Montelukast
  • Omalizumab
  • Ciclosporin
48
Q

What is Infantile Haemangioma

A

Vascular birth mark

Not present on skin at birth

49
Q

What is the treatment of Infantile Haemangioma

A

No treatment is needed

Beta blockers can speed up process

Paediatrics (30 decks)

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