RTS: Eczema, Dermatitis & Psoriasis Flashcards
What can cause eczema/dermatitis?
Defects in the skin barrier due to loss of water/fats
Allergens
Abnormal IgE response to allergy
What are examples of eczema/dermatitis triggers?
Extreme temps.
Clothing
Inhalant allergens (e.g. pollen/dust)
Foods
What are the symptoms of eczema/dermatitis?
Itching
Red/inflamed skin
Dry/flaky skin
Appearing darker/grey in darker skin tones
Dark pink in lighter skin tones
When can eczema/dermatitis mainly occur in the body?
Joint areas e.g. elbows, wrists, knees
In children can occur on cheeks/face/scalp
When do you refer a patient if they present with eczema/dermatitis?
Signs on infection
Severe fissures in the skin
Reaction to emollients
Uncontrolled flare ups
What are some non-pharmacological interventions for eczema/dermatitis?
Avoiding triggers
Do not scratch
Keep nails short
Recognise early symptoms of flare ups
Correct use of emollients
What is the 1st line treatment option for eczema/dermatitis?
Emollients, e.g. aveeno, E45, diprobase, epaderm
How would the patient use emollients for eczema/dermatitis?
Daily 2-3 times on damp skin, even if flare ups do not occur
What is the 2nd line treatment option for eczema/dermatitis?
Topical steroids, e.g. Hydrocortisone 1% cream
Betnovate (betamethasone) 0.1% Dermovate (clobetasol) 0.05%
What age is licensed to use hydrocortisone 1% cream?
> 10 years old
What age is licensed to use dermovate (clobetasol) 0.05%?
> 12 years old
How would the patient use a topical steroid for eczema/dermatitis?
Applying thinly 1-2 times daily
What should you always tell a patient when applying a topical steroid?
Avoid applying on broken skin, or face/genital area
When do you refer if a patient is requesting to buy a topical steroid?
<10 years old
Broken/infected skin
Pregnant
Severe flare ups
Application to face/genitals
What is contact dermatitis?
A substance that directly damages the epidermis (usually burning/stinging sensation)
