eczema Flashcards
commonly affected areas
flexural areas
aka
atopic dermatitis
definition of atopic eczema
itchy skin condition in the last 12mo plus 3 of - onset <2yrs -Hx flexural involvement -Hx dry skin -Hx other atopic disease or FHx
what gene
filaggrin gene
pathophysiology
spongiosis - intracellular oedema within epidermis
thickening of epidermis
inflamamtion
where does eczema often affect in infants
face and turnk
where does eczema often affect in younger children
extensor surfaces
where does eczema often affect in older kids
flexural surfaces
basis of Mx
avoid irratants emolients topical steroids wet wrapping oral ciclosporin if sevre
pompholyx
type of eczema affecintg hands and feet
small blisters on hands and feet, intensely itchy
irritant contact dermatitis
non-allergic reaction due to weak acids/alkalis e.g. detergent
often seen on hands
++erythema
allergic contact dermatitis
TIV hypersensitivity
acute weeping eczema
Seborrhoeic dermatitis in children
relatively common affects scalp (cradle cap), nappy area, face ,flexures
erythematous rash with coarse yellow scales
Seborrhoeic dermatitis in children - Mx
mild/mod - baby shampoos and oils
severe - mild topical steroids
Seborrhoeic dermatitis in adults
chronic dermatitis due to inflammatory response to proliferation of a fungus - Malassezia furfur
