4.3 Skin Conditions Flashcards
How do you describe the appearance of eczema?
Erythematous
Ill-defined
Scaley
Generalised
What can eczema lead to?
Lichenification- skin becomes thick and leathery
What are some features of eczema?
Pruritis and inflammation
Flexural
Acute or chronic
How does eczema relate to other medical conditions?
History of atopy, such as hayfever or asthma
More likely to have other inflammatory conditions later on e.g. rheumatoid arthritis, Crohn’s
How do you treat eczema?
Avoid exacerbating factors
Topical therapies:
- Emolients
- Steroids
- Calcineurin inhibitors
What are calcineurin inhibitors?
Immunosupressors
How would you describe psoriasis?
Extensor areas (so knees, elbows etc) can also get on scalp
Well defined
Silvery scaley
Plaques
Erythematous
What causes psoriasis?
Strong genetic predisposition
Immune mediated inflammation, T cell cytokine production stimulated increasing keratinocyte proliferation
What is the most common type of psoriasis?
Plaque psoriasis
What can trigger psoriasis?
ACEi
Beta blockers
NSAIDs
How do you treat psoriasis?
PSORIASIS
Phototherapy
Salicylic acid
Ointments (emolients)
Retinoid (oral acitretin)
Calcineurin Inhibitors
Vitamin A
Steroids
Immunosupressors e.g. methotrexate
Sun (vitamin D analogues)
How do you describe acne vulgaris?
Well defined
Discrete
Erythematous
Papules
Vesicles
Comedones
Crust
What are the key features of acne vulgaris?
Affects skin of the face,neck and upper body
What causes acne vulgaris?
Increased sebum production
Too much keratin in pores
Overgrowth of cunibacterium acnes
How is acne vulgaris classified?
Mild
Moderate
Severe
