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Dermatology > Eczema > Flashcards

Flashcards in Eczema Deck (42):
1

What is eczema also known as?

Dermatitis

2

What is the most common form of eczema?

Atopic eczema

3

Who is eczema more common in?

Children but can also develop (1st time) in adults

4

What is the classical appearance of atopic eczema?

Itchy
Dry
Cracked
Sore
Red

5

Where does atopic eczema often affect?

Hands, inside elbows, backs of knees, face, and scalp

6

What other conditions are often associated with eczema?

Hayfever
Asthma
Food allergies

7

How many UK children are affected by eczema at some point?

1 in 5

8

Is there a familial link in atopic eczema?

Yes

9

M:F?

1:1

10

What is a discoid pattern of atopic eczema?

Coin sized area of inflammation on the limbs

11

What is a follicular pattern of atopic eczema?

Numerous small bumps that coincide with hair follicles

12

What tests are done to diagnose eczema?

None, it is done clinically. The skin may need to be swabbed however if infection is suspected

13

What can cause an AE flare-up?

Environmental
State of wellness
Dryness of skin
Teething in babies
Stress
Food allergens

14

What environmental factors can cause a flare up of atopic eczema?

Heat
Dust
Wool
Pets
Soaps
Detergents
Chemicals

15

Can atopic eczema be cured?

No

16

Which jobs may atopic eczema be an issue in?

Catering
Hairdressing
Cleaning
Healthcare work

17

What can help prevent AE?

Regular use of medical moisturisers

18

Is there evidence to support exclusive breast feeding as a preventative measure in susceptible infants?

No although it is still advocated

19

What can be used to treat frequent flare ups of eczema?

Topical steroids
Calcineurin inhibitors

20

Where should weaker topical steroids be used?

Face
Breast
Genitals
Eyelids
Armpits

21

What can be used to help with sleep disturbance?

Antihistamines

22

Who is phototherapy recommended for?

Adults (not usually children)

23

What agents can be used in severe eczema to act on the immune system?

Oral Steroids
Azathioprine
Ciclosporin
Methotrexate
Mycophenolate mofetil

24

What is categorised as clear skin?

If there is normal skin and no evidence of active eczema

25

What is categorised as mild eczema?

Areas of dry skin, and infrequent eczema (+- small areas of redness)

26

What is categorised as moderate eczema?

Areas of dry skin, frequent itching, redness (+- excoriation and localised skin thickening)

27

What is categorised as severe eczema?

Widespread areas of dry skin, constant itching, and redness (+- excoriation, skin thickening, bleeding, oozing, cracking, pigmentation)

28

What does infected eczema look like?

Weeping, crusted, pustules present, fever, malaise.

29

What is contact dermatitis?

Dermatitis triggered by contact with a particular substance

30

How quickly does a contact dermatitis reaction occur?

Within a few hours of days of exposure

31

Which parts of the body are most commonly affected by contact dermatitis?

Hands and face

32

What additional treatment is suggested to pts with contact dermatitis?

Avoid the allergen/irritant

33

M:F in contact dermatitis?

1:2

34

What is perioral dermatitis?

Red, bumpy rash that appears around the mouth

35

What is noticable about the pattern of rash formed in perioral dermatitis?

There is skin sparing around the top lip

36

What is dermatitis herpetiformis?

A chronic blistering skin condition associated with coeliac disease

37

What is seborrhoeic dermatitis?

A chronic skin condition with red, scaly, greasy, itchy, and inflammed areas of skin

38

Where is affected in seborrhoeic dermatitis?

Areas rish in sebaceous glands such as the face, scalp, and chest

39

What is dandruff?

A milder form or seborrhoeic dermatitis

40

What is seborrhoeic dermatitis called in babies?

Cradle cap

41

What are the risk factors for seborrhoeic dermatitis?

Stress
Winter
Poor immune function
PD
Epilepsy
Down Syndrome

42

What are the 4 treatment options for seborrhoeic dermatitis?

Anti-fungal cream
Anti-inflammatory agents
Coal tar
Phototherapy