Common skin disease

Question 1

Atopic dermatitis/eczema

Answer 1

1. Children 3mo - 2yrs
2. Fam h/o atopy
3. Itchy, dry
4. Flexors more effected, nappy ares in infants
5. Resolves in few yrs
   Avoid irritants
   Emoilients/moisturisers
   MAINSTAY - STEROIDS 1-2wks during flares
   Hydrocort 1% cream (mild) - face axilla groin
   Triamcinolone, Prednisolone, mometasone - trunk, limbs

Question 2

Contact dermatitis

Answer 2

1. No fam h/o atopy
2. New product use
3. Mx - steroids (same as above)

Question 3

Seborrhoic dermatitis

Answer 3

1. Dandruff - scalp, eyebrows, eyelids, nasolabial folds
2. Mx
   Skull: Anti yeast shampoo - Ketoconazole/Selinium sulfide
   Steroid lotion for 7 nights
   Face and body: Antifungal + Steroid

Question 4

Seborrhoic dermatitis of infancy

Answer 4

1. Cradle cap - skull, not itchy
2. <3 months
3. DD: atopic dermatitis
4. MX:
   Dry, clean, expose to air
   Salicylic acid lotion