Atopic eczema counselling

Question 1

brief intro

Answer 1

dermatitis - lipid barrier breaks down –> itchy dry red skin creases

gets flare ups

children <5

Question 2

causes

Answer 2

idiopathic
genetics
FH
pollution, dust mites, diet, infections

Question 3

tx principles

Answer 3

avoid exacerbating factors - soap, detergents, dust mites, stress, pollen, mould, pets, pregnancy, foods

emollients - moisturise skin & keeps barrier intact –> reduce flares. may become sensitised eventually

topical steroids - use until flare gone then stop OR weekend therapy

other hospital-based: topical immunomodulators, immunosuppressives, tar shampoos, antihistamines

Question 4

should i change diet if food triggers present

Answer 4

keep food diary 4-6 weeks - change diet under dietician supervision

Question 5

when using steroids

Answer 5

apply emollients first for 10-15 mins. remember to wash hands

SEs thinning of skin // striae // bruising // discolouration // telangiectasia

may trigger/worsen acne/rosacea

may affect children growth

Question 6

complications

Answer 6

infection (get new supply cream)