Eczema

Question 1

under the microscope, what 2 things are noted in an eczema biopsy?

Answer 1

spongiosis (oedema between keratinocytes) and inflammatory cell infiltrate

Question 2

4 buzz words for eczema

Answer 2

4 buzz words for eczema:

itchy
ill-defined
erythematous
scaly

Question 3

what is seen in both phases of eczema?

Answer 3

acute - spongiosis

chronic - lichenification

Question 4

contact allergic dermatitis is one of the most common types - name some common allergens.

Answer 4

chemicals
topical therapies
nickel
plants

Question 5

specific substances causing contact dermatitis can be identified by what?

Answer 5

patch testing

Question 6

irritant (contact) dermatitis is also very common but is ___-________ physical __________ rather than a ________ _______ reaction

Answer 6

irritant (contact) dermatitis is also very common but is NON-SPECIFIC physical IRRITATION rather than a SPECIFIC ALLERGIC reaction

Question 7

what is chelitis?

Answer 7

lip-lick irritant dermatitis

Question 8

atopic eczema has an affect on the _____ ______

Answer 8

atopic eczema has an affect on the WHOLE FAMILY

Question 9

what is the main symptom of atopic eczema?

Answer 9

pruritus

Question 10

what is the distribution in atopic eczema?

Answer 10

flexural distribution

Question 11

what other diseases is atopic eczema associated with?

Answer 11

asthma
allergic rhinitis
food allergy

Question 12

name the 3 chronic changes seen in atopic eczema

Answer 12

lichenification
excoriation
secondary infection

Question 13

crusting of atopic eczema indicates what?

Answer 13

Staph. aureus infection

Question 14

monomorphic punched-out lesions describes what?*

Answer 14

eczema herpeticum

a child with eczema, fever, crying and dehydrated

Question 15

what causes eczema herpeticum?

Answer 15

herpes simplex virus

Question 16

what is the diagnostic criteria for atopic eczema?

Answer 16

itching plus 3 or more:

visible rash
history of rash
dry skin
onset before age 2

Question 17

eczema treatment? (7)

Answer 17

emolients
avoid irritants
topical steroids
infection treatment
phototherapy - UVB
immunosuppressants
biologics

Question 18

name the most important gene in eczema

Answer 18

filaggrin

Question 19

coin shaped spots of eczema describes what?

Answer 19

discoid eczema

Question 20

name a common drug culprit for photosensitive eczema

Answer 20

amlodipine

Question 21

stasis eczema is secondary to what? treatment?

Answer 21

hydrostatic pressure or
oedema

treatment is surgery or compression stockings

Question 22

seborrhoeic dermatitis is also known as what?

Answer 22

cradle cap

Question 23

what 2 factors are involved in eczema?

Answer 23

genetic and environmental

Question 24

chronic actinic dermatitis patients are often ______ too

Answer 24

chronic actinic dermatitis patients are often ATOPIC too

Question 25

what is seen in pompholyx eczema?

Answer 25

spongiotic vesicles