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10 Cards in this Set
- Front
- Back
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Triggers of eczema?
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wool
synthetic clothes soaps detergents - including bubble bath carpets sand grasses raised temperature sweating preservatives fragrances deodorisers lanolin nickle animal hair swimming pools fragrances |
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Principles of management of eczema? Treatment analogue?
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1. tepid not hot water, short showers but soaking baths of 10-15min
2. bath oil, colloidal oatmeal Dermaveen, soap substitutes 3. moisturise bd after bathing and before steroids 4. steroids 5. wet compress for 15-60min, after applying steroid or emollient, in severe or persistent disease. 6. pimecrolimus is an alternative to steroids in >2 year olds with mild to mod disease. Tacrolimus oinment is formulated in some pharmacies. 7. tar and ichthammol not on acutely inflammed skin, face or flexurs, a steroid alternative |
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Are antihistamines useful for eczema?
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Of little value except when an allervic trigger is involved. Sedating antihistamines may help to sleep.
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Management of nappy dermatitis?
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- maximise nappy free periods
- use highly absorbent, disposable nappies, change nappies frequently - avoid plastic pants (occlussive) - use steroids if these measures fail. Use antifungal if needed. |
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Eyelid dermatitis?
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- moisturise
- steroid for short period only - pimecrolimus can be used. |
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Presentation: bubbly, itchy vesicles on palms of hands and sometimes soles of feet.
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Pompholyx (bubbles) eczema
stress precipitates the condition |
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What is one clue to urticaria?
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Lesions may blanch when pressed
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What do the following signify about rashes?
- defined advancing edge? - around wrist? - sudden, with fever? - poorly defined edge with vesicles |
- fungal
- scabies - medicine, infection - dermatitis |
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When to refer dermatitis?
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- under 10 needing a steroid
- lesion on face unresponsive to emollients |
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What is the distribution of eczema which is common in:
- <2 year olds - children - adults |
- face & sometimes extensors of feet and elbows; often weeping
- flexures; lichenification due to scratching - flexures, hands, upper eyelid |
