Dermatitis Flashcards

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1
Q

What is contact dermatitis

A

Type of eczema occuring following exposure to causative agent

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2
Q

Presentation of contact dermatitis

A

Dry, painful, pruritic skin rash, blistering and fissuring

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3
Q

Where is contact dermatitis usually located

A

On hands in an asymetrical distribution, usually more on dominant hand

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4
Q

Types of contact dermatitis

A

Irritant contact dermatitis, allergic contact dermatitis.

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5
Q

When does irritant contact dermatitis occur

A

Repeated exposure to irritant such as metals, solvents or detergents.

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6
Q

Those affected by irritant contact dermatitis

A

Anyone after exposure, but more common in those with underlying skin condition causing weakened barrier

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7
Q

What is allergic contact dermatitis

A

Type IV hypersensitivity reaction

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8
Q

Who is affected by allergic contact dermatitis

A

Occurs in minority who have become sensitised to an allergen such as metals, rubber or plastics.

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9
Q

Management of contact dermatitis

A

Emollient creams and topical corticosteroids

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10
Q

What is seborrhoeic dermatitis

A

Common dermatitis affecting areas of skin rich in sebaceous glands

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11
Q

Who is seborrhoeic dermatitis most common in

A

Young adults and elderly

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12
Q

Presentation of seborrhoeic dermatitis

A

Ill-defined, greasy, flaky scales on erythematous backgorund

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13
Q

Areas affected by seborrhoeic dermatitis

A

Sebum rich areas such as nasolabial folds, posterior auricular skin and scalp

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14
Q

Cause of seborrhoeic dermatitis

A

Thought to be caused by inflammatory reaction to proliferation of Malassezia furfur (yeast on skin). Some genetic factors of extent of reaction

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15
Q

Risk factors for development of seborrhoeic dermatitis

A

Family history, oily skin, immunosuppression, neurological and psychiatric diseases, stress.

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16
Q

How is seborrhoeic dermatitis managed in adults

A

Zinc pyrithione shampoo, ketoconazole shampoo or cream, short course of topical corticosteroid

17
Q

What is infantile seborrhoeic dermatitis

A

‘Cradle cap’ diffuse, yellow, greasy scales with no underlying erythema.

18
Q

Management of infantile seborrhoeic dermatitis

A

Topical emoiliant, commonly olive oi.

19
Q

What is atopic dermatitis

A

‘Eczema’

20
Q

Presentation of atopic dermatitis

A

Dry skin and flares of erythematous, poorly demarcated patches that are itchy.

21
Q

Common areas affected in infants by eczema

A

Cheeks

22
Q

Common areas affected by eczema in adults and older children

A

Flexures such as elbow and knees

23
Q

NICE diagnosis for atopic dermatitis

A

Itchy skin and 3/5 of:
Visible flexural eczema.
History of flexural eczema.
History of dry skin.
History of asthma or allergic rhintis.
Onset of <2 years

24
Q

Complications of atopic dermatitis

A

Eczema herpeticum, superficial bacterial infection, erythroderma, side effects of topical corticosteroids.