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Flashcards in Eczema Deck (30):
1

What is eczema also known as?

Atopic dermatitis

2

What areas does it commonly affect?

Flexural areas

3

What is the definition of atopic eczema?

Itchy skin condition in the last 12 months plus 3 of the following

Onset before age 2
History of flexural involvement
History of generally dry skin
History of other atopic disease

4

What is spongiosis?

Intercellular oedema within the skin

5

What is acanthosis?

Thickening of the epidermis

6

What gene is associated with atopic eczema?

Filaggrin gene

7

What is the pathogenesis of eczema?

Genetics
Environmental factors
Epidermal barrier dysfunction

8

What are the clinical features of eczema?

Itch
Distribution in flexures, face, hands and feet

9

What are the acute changes of eczema?

Pruritis
Eyrthema
Scale
Papules
Vesicles
Exudate, crusting

10

What are the chronic changes of eczema?

Lichenification
Plaques
Fissuring

11

What are some of the external causes of eczema?

Contact dermatitis
Lichen simplex
Photoallergic or photo aggravated eczema

12

What are some of the internal types of eczema?

Atopic
Discoid
Venous
Seborrhagic dermatitis
Pompholyx

13

What type of reaction is allergic contact dermatitis?

Type 4 hypersensitivity

14

What can cause irritant contact dermatitis?

Friction
Cold
Over exposure to water
Chemicals (acids, detergents, solvents)

15

Who are commonly affected by irritant contact dermatitis?

Hairdressers
NHS staff
Cleaners
Nappy rash

16

What test is used to test for type 4 hypersensitivity?

Patch testing

17

What is a common name for seborrhagic dermatitis in children?

Cradle cap

18

What is the cause of seborrhagic dermatitis?

Overproduction of malassezia yeast

19

What are the signs of seborrhagic dermatitis?

Red, sharply marginated lesions covered with greasy looking scales

20

What is the treatment for seborrhagic dermatitis?

Topical anti-yeast (ketoconazole)

21

What is the appearance of discoid eczema?

Circular plaques of eczema

22

What are the signs of pompholyx/vesiular eczema?

Intensely itchy
Common on palms and soles

23

What is the appearance of asteatotic eczema?

Cracked and scaly
Very dry skin

24

What is the treatment for asteatotic eczema?

Emollients

25

Where is a common area affected by venous eczema?

Ankle and lower leg

26

What is a resolution for venous eczema?

Compression stockings

27

What are the clinical symptoms of eczema herpeticum?

Fever, often unwell
Itchy clusters of blisters and erosions
Swollen lymph glands

28

What causes eczema herpeticum?

Herpes simplex 1 and 2

29

What is the general treatments for eczema?

Emollients
Soap substitutes
Intermittent topical steroids
Calcineurin inhibitors

30

What are some of the treatments for severe eczema?

UV light
Immunosuppression