Pre-placement

Question 1

Dx of atopic

Answer 1

Itchy skin plus 3 or more of:
Visible flexural dermatitis (cheeks / extensor surfaces if < 18 months)
Personal hx of flexural dermatitis
Personal hx of dry skin in last 12 months
Personal hx of atopy / 1st degree relative if < 4
Onset < 2

Question 2

Subtypes

Answer 2

Endogenous - atopic, varicose, discoid, seborrhoiec

Exogenous - contact irritant, contact allergic, photodermatitis

Question 3

Tx of infected eczema

Answer 3

Topical Fucidin H (every 12 hours) - mild steroid

Topical Synylar C (every 12 hours) - potent steroid

Question 4

Eczema Herpeticum

Answer 4

Areas of rapidly worsening, painful eczema
Clustered blisters
Punched out erosions (1-3mm, uniform in appearance)
Possible fever, lethargy or distress

Complications - hepatitis, pneumonitis and encephalitis

Question 5

Topical calcineurin inhibitors

Answer 5

Tacrolimus and pimecrolimus
Alternative to topical steroids
Suppress T lymphocyte responses