eczema

Question 1

what is the most common type of eczema

Answer 1

atopic eczema

Question 2

what is the most common age range atopic eczema affects

Answer 2

<5 years

Question 3

when do most cases clear

Answer 3

late childhood and adolescence

Question 4

pathophysiology of eczema

Answer 4

altered conversion of keratinocytes which result in protein /lipid scales. dysfunctional skin barrier. water loss from skin = susceptible to infection.

Question 5

common risk factors

Answer 5

stress, genetics (80% chance If both parents), pollen, pets, temp extremes, soaps and detergents, rough clothes.

Question 6

what is the eczema diagnosis

Answer 6

itchy, inflamed and dry skin. chronic with flares

Question 7

MILD; symptoms and treatment

Answer 7

S; dry skin, some itching and redness
T;
-light emollient e.g. e45,
-mild topical steroid e.g. hydrocortisone 0.1-2.5%- continue 48h after inflammation is reduced.

Question 8

MODERATE;s&t

Answer 8

S: thickening of skin

t:
- emollient e.g. platinum hydrous cream,
- moderate topical steroid starting with hydrocortisone for 7-14 days and 5 days fro sensitive areas then try clobetasone butyrate 0.05%
- if itchy - non sedating anti histamine review 3/12

Question 9

if medication is needed between flares

Answer 9

low potency steroid
topical calcineurin inhibitor e.g. tacrolimus
review 3-6 months

Question 10

SEVERE; s&t

Answer 10

S; thickening, bleeding, oozing
t;
-emollients e.g. 50% white soft paraffin
-potent topical steroid e.g. betamethasone validate 0.1%
-sedation/non setting anti histamine
-oral corticosteroid e.g. 30mg 7/7 prednisolone for severe distress

Question 11

treatment ion infected eczema

Answer 11

oral flucloxacilin 2 weeks

Question 12

avoid

Answer 12

aq cream, rubbing in, tube sharing, bath additives

Question 13

when should you apply corticosteroids

Answer 13

30 mins after applying emollient