Eczematous and Papulosquamous Disorders Flashcards Preview

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Flashcards in Eczematous and Papulosquamous Disorders Deck (47)
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1

Hallmark of disease is pruritus. Scratching leads to eczamatous change and lichenification. Lesions may ooze, crust, become purulent

atopic dermatitis (eczema)

2

Two very common locations for atopic dermatitis

antecubital and popliteal flexure areas

3

Antihistamines used to treat pruritus of atopic dermatitis

doxepin or vistaril

4

Solution used to dry up oozing lesions

Burows (Domeboro)

5

Corticosteroid treatment for mild to moderate cases of atopic dermatitis

desonide 0.05% or hydrocortisone 2.5%

6

High potency corticosteroid treatment for moderate atopic dermatitis

fluocinolone 0.025%, triamcinolone 0.1%, betamethasone dipropionate 0.05%

7

Used for patients who require therapy to the face or skin folds for more than three weeks

Topical calcineurin inhibitors

8

Name the Topical calcineurin inhibitors

tacrolimus (protopic) and pimecrolimus (Elidel)

9

Black box warning of Topical calcineurin inhibitors

increase the incidence of skin cancer and lymphoma with long term use

10

Coin shaped lesions that usually occur on the trunk and lower extremities. Tx is the same as for atopic dermatitis

nummular eczema

11

occurs as a result of chronic eczematous changes and scratching. Circumscribed plaque of thickened skin with increased markings with some scaling

lichen simplex chronicus

12

Vesicular eruption on the skin of the hands and feet marked by intense itching (vesicles are deep). Scaling, fissures and lichenification may follow

dyshydrotic eczema

13

Caused by direct exposure to a substance as far back as 2 weeks ago or may develop rxn to products that have been used for yrs. Intense pruritis, rash, papular erythematous lesions

contact dermatitis

14

Common plant substance in north america found in poison ivy/oak/sumac, mango skin, or gingko fruit, that is responsible for contact dermatitis

oleoresin urushiol

15

Systemic corticosteroids that can be used for plant based contact dermatitis that covers a large area (>10% BSA), face, or genitals

prednisone 2-3 wks

16

Topical corticosteroids for contact dermatitis

clobetasol 0.05% crm

17

Helpful for treating pruritus of allergic contact dermatitis but not plant based

antihistamines

18

Caused by a combination of wetness, pH elevation and friction. Erythema in diaper area

diaper dermatitis

19

When should you suspect candidal infection secondary to diaper dermatitis?

predominately in creases and there are satellite lesions

20

Treatment for diaper dermatitis without secondary yeast infection

frequent diaper changes, vaseline or desitin

21

Treatment for diaper dermatitis with secondary yeast infection

topical antifungal (nystatin, miconazole, clotrimazole), vaseline. No steroids

22

Treatment of candidiasis if failure of topical therapy

oral fluconazole (diflucan)

23

1-2 mm clustered erythematous papules, paulovesicles or paulopustules with or without scale. Occurs most often around the mouth sparing the vermillion border

perioral dermatitis

24

What is perioral dermatitis strongly correlated with?

topical steroid use

25

First line treatment for perioral dermatitis

topical calcineurin inhibitors***, topical erythromycin, or topical metronidazole

26

What diseases may have widespread seborrheic dermatitis?

HIV and Parkinson's

27

Erythematous scaling patches develop in areas of sebaceous glands (scalp, face, trunk)

seborrheic dermatitis

28

What is thought to be the pathogen responsible for seborrheic dermatitis?

saphrophyte Malessezia (pityrosporum ovale)

29

In addition to erythema, some pruritus, and distribution involving nasolabial folds and central face, what characterizes clinical manifestation of seborrheic dermatitis

swollen and greasy appearance

30

Treatment of seborrheic dermatitis if located on the scalp

T-gel, selenium sulfide, zinc pyrithione, or ketoconazole shampoo