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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
What is the management for viral warts
Topical treatments (salicylic acid) Cryotherapy Oral zinc
26
What are the symptoms of Viral Exanthems
Fever Malaise Headache
27
What diseases are associated with Viral Exanthems
``` Chicken pox Measles Rubella HV6 Erythema infectiousum ```
28
What are the clinical features of Chicken Pox
Viral symptoms | Red papules progressing to vesicles often start in the trunk
29
What is the incubation period of Chicken Pox
10-21 days
30
What is the clinical presentation of Parvovirus (slapped cheek)
Erythematous rash cheeks Trunk and limb rash Aplastic crisis Viral symptoms
31
What is the causative organism of Hand, foot and mouth disease
Enterovirus Coxsackie virus A16 Enterovirus 71
32
What is the clinical presentation of hand, foot and mouth disease
Blisters on the hands, feet and in the mouth
33
What is the treatment of hand, foot and mouth disease
Self-limiting
34
What is Eczema Coxsakium
Flared sites picks out areas of eczema Viral symptoms History of eczema
35
What is Eczema herpeticum
Monomorphic punched out lesions | History of eczema
36
What is the treatment of Eczema herpeticum
Aciclovir oral or IV
37
What disease is Orofacial Granulomatosis associated with
Crohn's disease
38
What are the clinical features of Orofacial Granulomatosis
Lip swelling, fissuring | Oral mucosal lesions (ulcers and tag), cobblestone appearance
39
What are the treatments of Orofacial Granulomatosis
Benzoate and cinnamate free diet
40
What are the symptoms of Erythema Nodosum
Painful, erythematous subcutaneous nodules over shins Slow resolution- like bruise 6-8 weeks
41
What are the causes of Erythema Nodosum
* Infections- Streptococcus, URT * IBD * Sarcoidosis * Drugs- OCP, Sulphonamides, Penicillin * Mycobacterial infections * Idiopathic
42
What are the symptoms of Dermatitis Herpetiforms
Symmetry | Scal, shoulders, buttocks, elbows and knees
43
What disease is dermatitis herpetiforms associated with
Coeliac disease
44
What is the treatment of dermatitis herpetiforms
Emollients, gluten free diet, topical steroids, dapsone
45
What is the clinical presentation of Urticaria
Wheals/hives | Angioedema
46
What are the causes of Urticaria
``` Viral infections Bacterial infections Food or drug allergy NSAIDs, opiates Vaccinations ```
47
What is the treatment of Urticaria
Antihistamines: - Desloratadine (3 x daily) - Ranitidine - Montelukast - Omalizumab - Ciclosporin
48
What is Infantile Haemangioma
Vascular birth mark | Not present on skin at birth
49
What is the treatment of Infantile Haemangioma
No treatment is needed | Beta blockers can speed up process

Paediatrics (30 decks)

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