Eczema & Dermatitis

Question 1

what is contact dermatitis?

Answer 1

contact dermatitis is common inflammation of the skin there are two types of contact dermatitis Allergic & Irritation

Question 2

allergic dermatitis is ?

Answer 2

a form of type 4 hypersensitivity (delayed or T cell mediated hypersensitivity) 2000 allergens have been found to cause allergic dermatitis

Question 3

Irritation dermatitis is ?

Answer 3

• caused by chemicals irritating skin or mechanical means such as rubbing
• there are 4 types of irritant dermatitis

Question 4

there are __ types of irritant dermatitis?

Answer 4

4

Question 5

what are the 4 types of irritant dermatitis?

Answer 5

• Subjective:( no mnfts some burning or stinging)
• Acute: (single exposure, dryness, erythema or edema)
• Chronic: (continuous exposure can last years, scales, fissures, vesicles)
• chemical burn: (deep necrosis)

Question 6

what is the treatment of dermatitis?

Answer 6

• removing source
• washing area
• applying antipuritic cream
• bandaging area
• Topical corticosteroids
• extreme cases can be tx with wet dressings, oral antihistamines & systemic corticosteriods

Question 7

Atopic Eczema

Answer 7

-itchy inflammatory skin with erythme, edema, vesicles & weeping leading to skin thickening. the link to type 1 hypersensitivity is hard to link & eczema is now believed to be a skin disease that predisposes people to allergies

Question 8

treatment of Atopic Eczema

Answer 8

• focused on targeting dryness, pruitis, infection & inflammation by optimal skin care, skin barrier cream, avoiding irritants & foods that cause symptoms. Decrease contact with water.
• topical corticosteriods treat flare ups
• Topical immune modulators having positive results & are side effect free, better option than topical corticosteriod
• wrap therapy & intake of probiotics found to have a treatment effect

Question 9

Nummular Eczema

Answer 9

is coin shaped rashes& predominately affects the arms & legs. Secondary infections are common.

• this type of eczema is chronic with weeks to years between outbreaks more frequently occurring in winter months.
• Cause is unknown history of allergy related disorders & presence of staph colonization at the lesion site

Question 10

treatment of Nummular Eczema

Answer 10

includes decreasing exposure to water & stress, humidity should be increased. Topical emollients, corticosteriods, coal tar preparations & UV light therapy will be used