10- Paediatric Dermatology Flashcards

Question

management of eczema split into

Answer 1

- maintenance - flares - specialist treatment

Answer 2

- Provoking factors avoided - Emollients used to create an artificial barrier over the skin to compensate for the defective skin barrier --> Used as often as possible, particularly after washing and before bed (3-4 times a day) - AVOID -->Hot baths -->Scratching --> Soaps which remove natural oils

Answer 3

Thicker the more effective **Thin creams:** * E45 * Diprobase cream * Oilatum cream * Aveeno cream * Cetraben cream * Epaderm cream **Thick, greasy emollients:** * 50:50 ointment (50% liquid paraffin) * Hydromol ointment * Diprobase ointment * Cetraben ointment * Epaderm ointment

Answer 4

- Thicker emollients and “wet wraps’ (applying a wrap to areas covered in emollient overnight) - Topical steroids (oral if severe) - Antibiotics to treat infections

Answer 5

use lowest dose for shortest period of time to get symptoms under control

Answer 6

reduce immune activity in the skin and reducing inflammation

Answer 7

mild- face and flexure * Mild: Hydrocortisone 0.5%, 1% and 2.5% * Moderate: Eumovate (clobetasone butyrate 0.05%) * Potent: Betnovate (betamethasone 0.1%) * Very potent: Dermovate (clobetasol propionate 0.05%)

Answer 8

* Mild: Hydrocortisone 0.5%, 1% and 2.5% * Moderate: Eumovate (clobetasone butyrate 0.05%) * Potent: Betnovate (betamethasone 0.1%) * Very potent: Dermovate (clobetasol propionate 0.05%)

Answer 9

**Bacterial** - Most commonly staphylococcus aureus - Oral antibiotics: flucloxacillin - Severe cases may require admission and IV abx **Eczema herpeticum** - Viral skin infection cause by HSV or VZV

Answer 10

Background - Psoriasis is a chronic, autoimmune skin condition that can also affect the nails and joints. It tends to flare up from time to time. (psoriatic arthritis- pitting, onycholysis = nail signs)) - Increases risk of arthritis and CVD- inflammation of vasc

Answer 11

- Occurs due to increased production of skin cells - Skin cells normally replaced every 3-4 weeks, however in this chronic condition it only takes 3-7 days - Underlying cause not fully understood- to do with immune system mistaking healthy cells

Answer 12

Triggers - Injury to skin - Throat infection- strep - Medications - Stress - Infection - Smoking and alcohol Genetic

Answer 13

- Usually **extensor** e.g. elbows and knees and scalp region (as opposed to eczema) - Erythematous, crusty skin covered with silvery scales - Raised and rough plaques - Guttate more common in children, may be preceded by strep throat infection - Nail psoriasis e.g. pitting, thickening, oncolysis - Psoriatic arthritis 10-20% (usually middle age starts)

Answer 14

- Emollient - Topical corticosteroids - Topical Vitamin D analogues (Calcipotriol) Second line - Phototherapy (narrow band UV B) - Methotrexate, - Cyclosporin - Retinoids - Psychosocial counselling

Answer 15

plaque guttate flexural pustular erythroderma

Answer 16

the most common sub-type resulting in the typical well-demarcated red, scaly patches affecting the extensor surfaces, sacrum and scalp

Answer 17

transient psoriatic rash frequently triggered by a streptococcal infection. Multiple red, teardrop lesions appear on the body --> trunk o second most common o children o small raised papules

Answer 18

: in contrast to plaque psoriasis the skin is smooth

Answer 19

commonly occurs on the palms and soles - Rare - Pustules form under erythematous skin - Not infectious - Medical emergency and usually require hospital admission

Answer 20

o Rare form of psoriasis with extensive erythematous inflamed areas covering most of the surface area of the skin o Skin falls away in large patches resulting in raw exposed areas o Medical emergency

Answer 21

o Rare form of psoriasis with extensive erythematous inflamed areas covering most of the surface area of the skin o Skin falls away in large patches resulting in raw exposed areas o Medical emergency

10- Paediatric Dermatology Flashcards

(46 cards)