Week 3 - Contact Dermatitis/Eczema

Question 0

What is eczema known for?

Answer 0

“the itch that rashes” - closely associated with family history - increase in serum IgE

Question 1

What is unique about ointments?

Answer 1

They have the highest potency of deliverable product

Question 2

How should you treat Atopic Dermatosis?

Answer 2

Cutaneous hydration (ointments, no soap), topical glucocorticoids, identify and eliminate flares

Question 3

What is contact dermatitis?

Answer 3

Inflammatory reaction of the skin precipitated by an exogenous chemical

• Two types:
  1. Irritant - direct toxic effect on the skin
  2. Allergic - immunologic reaction that causes tissue inflammation (Type IV Hypersensitivity)

Question 4

What percent of all occupational illness (except injury) is contact dermatitis?

Answer 4

50%

Question 5

What populations tend to get Seborrhiec Dermatosis?

Answer 5

Males & infants/newborns

Question 6

What are common features of seborrhiec dermatosis?

Answer 6

DANDRUFF!!

• Patches & plaques with indistinct margins
• Chronic, superficial inflammatory process affecting the hairy/sebaceous gland regions of the body (scalp, eyebrows, face, axilla, diaper area)
• Wide range (mild to severe)
• Common HIV skin manifestation
• Etiology (cause) unknown

Question 7

What are some neurological abnormalities that S. D. is associated with?

Answer 7

Epilepsy, Quadriplegia, facial paralysis, parkinson’s disease

Question 8

How to treat SD in adults?

Answer 8

• Use low potency glucocorticoids
• HYGEINE & WASHING IMP.
• Dandruff shampoo
• Antifungals, Metronidazole
• Anti-inflammatories

Question 9

What is photodermatitis and how to treat?

Answer 9

An immune-based dermatitis in which UV light alters the antigen to make it an effective immunogen resulting in Type IV cell-mediated reaction

• Commonly seen with thiazide diuretics and tetracyclines
• Therapy consists of stopping med and use of UV-A and UV-B blocker sunscreen