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Sydney Child Health Program > 1.3 Atopic Dermatitis > Flashcards

1.3 Atopic Dermatitis Flashcards

1
Q

How old does eczema usually present?

A

3-4month up to 12 months

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2
Q

What is infantile seborrhoea dermatitis?

A

Neck folds, cubical, popliteal, groin, usually becomes atopic dermatitis

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3
Q

Where does pompholyx happen?

A

Hands and soles of feet

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4
Q

2 factors that determine resolution of atopic dermatitis?

A

Avoid environmental

Anti-inflammatory

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5
Q

Immune dysregulation in atopic dermatitis which cells?

A

Dendritic
T-cells
Prefers Th2

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6
Q

All patients need consideration of what factors in atopic dermatitis?

A

Environmental irritants

Infection

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7
Q

What kind of environmental irritants are there for atopic dermatitis?

A 
Drying agents
Abrasive clothing
Abrasive surfaces
Heat
Chemicals, fragrance, preservatives
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8
Q

atopic dermatitis and infection with which bug?

A

S.Aureus colonisation, super antigen phenomenon

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9
Q

2 types of anti inflammatory therapy?

A

Topical steroids

Prime role us, tacrolimus: calcineurin inhibitors

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10
Q

What is the mnemonic ECEMA?

A 
E - existing diagnosis correct?
C - co-existent disease
E - environmental all accounted?
M - medications adequate?
A - allergy or intolerance?
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11
Q

Other DDx of atopic dermatitis?

A

Scabies
Psoriasis
Miliaria

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12
Q

Is psoriasis itchy?

A

Not really

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13
Q

What is ichthyosis vulgar is?

A

Very dry skin

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14
Q

What is co-existent disease processes?

A

Infection
Ichthyosis vulgaris
Immunodeficiency?
(Failure to thrive, infection, persistent diarrhoea)

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15
Q

What co infections to look out for in atopic dermatitis?

A

Staph
HSV
Strep

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16
Q

Which topical steroid for face?

A

Hydrocortisone

17
Q

What are airborne allergens?

A

Dust mite
Pollens
Grasses
Animals

18
Q

How to confirm airborne allergens?

A

Skin prick or RAST

19
Q

What to do if you suspect atopic dermatitis + allergy?

A

Skin prick, RAST
Elimination diet/food challenge

Avoidance measure

Match results with clinical features

20
Q

What is mainstay treatment for face for atopic dermatitis?

A

Hydrocortisone

21
Q

What do you use for trunk, and open flexures?

A

Advantin ointment

Topical pincrolimus roll us/tacrolimus

22
Q

atopic dermatitis phototherapy?

A

Narrow band-UVB

23
Q

atopic dermatitis oral immunosuppressive for severe use?

A

Methotrexate/azathioprine

24
Q

How to use topical steroid time period wise?

A

10 days on, 4 days off

Cyclic use

25
Q

What to monitor for topical steroids in atopic dermatitis?

A

Consumption: how much (should decrease)

Side effects

26
Q

atopic dermatitis successful management needs 3 things?

A

Environment (most important)
Dietary
Anti-inflammatory

Sydney Child Health Program (113 decks)

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