dermatitis and eczema trigger

Question 1

predominance of IL13 and IL4 suggest what is occuring

Answer 1

acute inflammation of atopic dermatitis

Question 2

a presentation of scaly plaques/papules with round erosions and cursts suggests what phase of eczema?

Answer 2

subacute

Question 3

a presentation of erythema, vesicles, bullae, weeping and crusts suggests what phase of eczema

Answer 3

acute eczema

Question 4

a presentation of scaling, hyper/hypopigmentation and lichenification suggests what phase of eczema

Answer 4

chronic eczema

Question 5

intense pruritus is the hallmark for what

Answer 5

atopic dermatitis (eczema)

Question 6

what are common impetiginization agents

Answer 6

Staph
HSV
coxsackie
vaccinia

Question 7

hyperlinear palms, keratosis pilaris, and hyperpigmentation are all signs of what

Answer 7

atopic dermatitis
along with periorbital scaly plaques, thinning of lateral eyebrows.

in chronic youll see lichenification, scaling and dyspigmentation

Question 8

gentle cleansers and low strength steroids are a treatment for what?

what are examples of gentle cleansers

Answer 8

atopic dermatitis and nummular eczema

CeraVe, Cetaphil, Vanicream (fragrance free)

Question 9

what are hte non-steroidal creams used in atopic dermatitis and who cannot use these.

Answer 9

not reccommended in <2 yrs old

• tacrolimus
• pimecrolimus
• crisaborole

Question 10

when do we use dupulimab? what is the dose?

Answer 10

systemic treatment of atopic dermatitis. 600mg SC then 300mg SC Q 2 weeks

Question 11

what is the use of antihistamine in atopic dermatitis? what antihistamines do we use?

Answer 11

tx of pruritus

diphenhydramine, hydroxyzine, cetirizine, loratadine

Question 12

confined to area, sharply marginated, never spreads

Answer 12

irritant contact dermatitis

Question 13

a rash with a spreading phenomenon that can even spread beyond infected sites is likely what etiology

Answer 13

allergic contact dermatitis

irritiant contact remains in exposure area and is sharply marginated

Question 14

this most commonly affects the hands, forearms, upper chest, neck and face

Answer 14

airborne contact dermatitis

Question 15

what type of testing is used for allergic contact dermatitis?

Answer 15

patch testing (must have clinical correltation)

do NOT use skin prick!!

Question 16

what are haptens and what do they mediate

Answer 16

cause T cell mediated inflammation seen in allergic contact dermatitis

Question 17

hydrocortisone and desonide are considered high, medium or low potency?

Answer 17

low

Question 18

triamcinolone, mometasone and fluocinolone are considered high, medium or low potency?

Answer 18

medium

Question 19

clobetasol, halobetasol and betamethasone dipropionate cream are considered high, medium or low potency?

Answer 19

high

Question 20

fluocinonide and desoximetasone cream are considered high, medium or low potency?

Answer 20

high

Question 21

what is PUVA therapy used for?

Answer 21

contact dermatitis, nonpharmacological treatment

also for dyshidrotic eczema!

Question 22

ICD, cutaneous candidiasis and miliaria can all cause what?

Answer 22

diaper dermatitis

Question 23

the use of zinc oxide, petroleum jelly as well as sometimes nystatin, clotrimazole, and econazole is for what diagnosis

Answer 23

diaper dermatitis

nystatin, clotrimazole, and econazole for candidiasis if needed

zinc oxide and petroleum jelly for diaper dermatitis

Question 24

pruritic, coin shaped, scaly plaques with no hx or Fhx of atopy

Answer 24

nummular eczema

Question 25

interferon therapy for Hep C and venous stasis are both risks for developement of what diagnosis

Answer 25

nummular eczema

Question 26

Tacrolimus, pimecrolimus, and crisaborole are all used for hwat

Answer 26

localized atopic dermatitis in patients that are >2 years old. non steroidal

Question 27

what are the sebum-rich areas of the body and what diagnosis typically effects these areas

Answer 27

face, scalp, neck, upper chest and back seborrheic dermatitis

Question 28

pityrosporum yeast is assocaited with which diagnosis

Answer 28

seborrheic dermatitis

Question 29

presentation is dry and pruritic with erythema and fine greasy scaling. what areas can this occur in?

Answer 29

seborrheic dermatitis can occur in obv the scalp, eyebrows, beard, eyelid (probs cuz eyelashes) but can also occur in posterior ears, external ear canal, upper chest, nasolabial folds, anogenital areas and intertriginous areas crazy.

Question 30

MC in patients with HIV, parkinson's or a generally immunocomp state

Answer 30

seborrheic dermatitis

Question 31

frequently co-exists with rosacea and psoriasis

Answer 31

seborrheic dermatitis

Question 32

1st line is ketoconazole shampoo, but can use tar shapmoo, vanicraem Zbar, prythone zinc and other shampoos what is this dx and what other treatment options are there

Answer 32

seborrheic dermatitis can use steroids such as clobetasol solution, betamethasone, and flucinolone scalp oil

Question 33

can use steroids such as clobetasol solution, betamethasone, and flucinolone scalp oil

Answer 33

seborrheic dermatitis also use shampoos like ketoconazole(1st line), tar and pyrithone zinc

Question 34

symptoms include pruritus, a sense of heaviness and edema of the lower extremities

Answer 34

stasis dermatitis

Question 35

MC on the medial ankle. reddish brown discoloration with weeping, crusting and scaling of the skin. can see loss of hair and hyperpigmentaation

Answer 35

stasis dermatitis

Question 36

how do you treat stasis dermatitis that is weeping

Answer 36

wet compresses (clean water and burrows). topical steroids like triamcinolone/clobetasol (this is just typical tx)

Question 37

common predisposing factors for this diagnosis are chronic skin conditions, emotional stress, and habitual scratching (porbs d/t anxiety)

Answer 37

lichen simplex chronicus

Question 38

tx with emollients, intralesional kenalog injections, and traimcinolone

Answer 38

lichen simplex chornicus

Question 39

what condition can be caused by mid/high potency steroid use and what is the treatment for this

Answer 39

periooral dermatitis. 1. taper down from seroid using low potency steorids! 2. topical pimecrolimus 1% (can also use erythromycin, metronidazole, azelaic acid, or clinda) advise patient that it may flare up prior to getting better

Question 40

topical pimecrolimus 1% has shown to be beneficial in what diagnosis

Answer 40

perioral dermatitis

Question 41

Pruritic "tapioca like vesicles" common on the hands that burns, itches and is painful. typically w hx of AD and MC between 20-40

Answer 41

dyshidrotic eczema

Question 42

MOA: inhibition of T-lymphocyte activation, which prevents release of cytokines. what drug is this and what class does it belong to?

Answer 42

pimecrolimus cream or tacrolimus ointment class: calcineurin inhibitors

Question 43

BBW: rare lymphoma and skin cancer! (teratogenicity)

Answer 43

calcineurin inhibitors (tacrolimus and pimecrolimus)

Question 44

CI in children <2y/o and with use of occlusive dressings

Answer 44

calcineurin inhibitors (tacrolimus and pimecrolimus)

Question 45

MOA: Reduces corneocyte production used in seborrheic derm and tinea versicolor!

Answer 45

selenium sulfide

Question 46

CI in Oral/ophthalmic/anal/intravaginal use

Answer 46

selenium sulfide

Question 47

MOA: reduce cell turnover Use: seborrheic derm

Answer 47

pyrithione zinc

Question 48

yayyyyy all done!

Answer 48