Dermatitis/eczema

Front 1

What are the ssx of acute eczema?

Back 1

1. Vesicles, blisters, intense erythema

2. Intense pruritis

Front 2

What are the MCC of acute eczema?

Back 2

1. Contact with specific allergens, chemicals, or other acute inflammatory vehicles

Front 3

What are the classes of topical corticosteroids (strength)?

Back 3

1. Class I= most potent

2. Class 7= weakest

Front 4

How do you tx acute eczema?

Back 4

1. Cool wet dressing-- vasoconstriction

2. Topical corticosteroids

3. Antihistamines

4. Abx

Front 5

What do you want to target in the use of abx to tx acute eczema?

Back 5

1. Staphyococcus

Front 6

What are the side effects of topical steroids?

Back 6

1. Atrophy

2. Tachyphylaxis

3. Roacea/folliculitis

4. Glaucoma

Front 7

How should you administer topical steroids over a long period of time?

Back 7

1. Switch them up every 2-3 weeks

2. Switch among classes

Front 8

What is the strongest class you should use on the face?

Back 8

1. 6 or 7

Front 9

What are the ssx of eczema?

Back 9

1. Erythema and scale in various patterns

2. Indistinct border

3. No pruritis to intense pruritis

Front 10

How do you tx subacute eczema?

Back 10

1. Minimize water

2. Topical steroids

3. **Topical calcineurin inhibitors (tacrolimus)

4. Moisturize

5. Abx

Front 11

What are the ssx of chronic eczema?

Back 11

1. Thickened skin

2. Surface skin markings become more prominent

3. Washboard lesion

4. Intense pruritis

5. Pain can replace itch

Front 12

What is the precursor to chronic eczema?

Back 12

1. Subacute--- uncontrolled itching

Front 13

How do you tx chronic eczema?

Back 13

1. Topical steroids--- II-V with occlusion

2. Group I with no occlusion

3. Triamcinalone injection

Front 14

How do you tx hand eczema?

Back 14

1. Skin protection: gloves, barrier creams

2. Topical corticosteroids, calcineurin inhibitors

3. ORal steroids, retinoids, cyclosporine

Front 15

What should you tell your patients that have hand eczema about hand-washing?

Back 15

1. Wash hands as infrequently as possible

2. Wash hands in lukewarm water

3. Avoid direct contact with household cleaners

4. Do not touch or do anything that causes burning or itching

5. Wear rubber gloves when irritants are encountered

6. White cotton gloves should be worn

Front 16

What is the MC type of hand eczema?

Back 16

1. Irritant contact dermatitis

Front 17

What populations are most at risk for irritant contact dermatitis?

Back 17

1. Mothers with young kids (diapers)

2. Occupations with repeated wetting and drying

Front 18

How do you tx irritant contact dermatitis?

Back 18

1. Lubrication

2. Avoid irritants

Front 19

How do you tx allergic contact dermatitis?

Back 19

1. Tx acute, subacute, and chronic once it is diagnosed

Front 20

What are the ssx of pompholyx?

Back 20

1. Symmetric vesicular hand and foot dermatitis

2. Moderate to severe pruritis

3. Pain

Front 21

What are the MCC of pompholyx?

Back 21

1. Allergic contact

2. Idiopathic

3. Mycosis

Front 22

How do you tx pompholyx?

Back 22

1. Topical steroids

2. Cold wet compress

3. Oral abx

4. Methotrexate

5. PUVA tx

Front 23

What are the ssx of nummular eczema?

Back 23

1. Coin-shaped red plaques

2. Variable pruritus

Front 24

What is the MC site for nummular eczema?

Back 24

1. Dorsum of hand

2. Extensor aspects of UE and LE

Front 25

How do you tx nummular eczema?

Back 25

1. Topical corticosteroids

2. Moisturizing

Front 26

How do you tx chapped fissured feet?

Back 26

1. Topical corticosteroids

2. Lubrication

3. Calcineurin inhibitors

Front 27

What are the ssx of lichen simplex chronicus?

Back 27

1. Eczematous eruption seoncdary to habitual scratching

2. Lichenification

Front 28

How do you tx lichen simplex chronicus?

Back 28

1. Stop scratching

2. Tx as chronic eczema

3. Abx if infected

Front 29

What are the ssx of prurigo nodularis?

Back 29

1. Nodular form of lichen simplex chronicus

2. MC on extensor aspects of arms and legs

3. Red or brown hard, dome-shaped nodules

Front 30

How do you tx prurigo nodularis?

Back 30

1. IL steroids

2. Exicsion

3. Capsaicin

Front 31

What are the ssx of neurotic excoriations?

Back 31

1. linear excoriatons due to patient's digging in their skin to relieve itching or extract imaginary material

Front 32

How do you tx neurotic excoriations?

Back 32

1. Topical corticosteroids

2. Systemic abx

3. IL-steroids

4. Psychotherapy

Front 33

What are the ssx of stasis dermatitis?

Back 33

1. Eczematous eruption on the LE

2. Due to long-term edema of lower legs

Front 34

How do you tx stasis dermatitis?

Back 34

1. Topical steroids

2. Wet dressings

3. Oral abx

4. Compression stockings

Front 35

What are the ssx of atopic dermatitis?

Back 35

1. Chronic, pruritic eczematous

2. Starts in childhood

Front 36

What are the unfavorable prognostic factors in atopic dermatitis?

Back 36

1. Persistent dry or itchy skin in adult life

2. Widespread dermatitis in childhood

3. Allergic rhinitis

4. FHx of atopic dermatitis

Front 37

What is the infant phase of atopic dermatitis?

Back 37

1. Baby in winter months

2. Extensor surfaces common

3. Diaper area spared

Front 38

What is the childhood phase of atopic dermatitis?

Back 38

1. Inflammation of flexor surfaces

2. Scratch cycle due to irritation

3. Hypopigmentation

4. Affects sleep, school, work, job

Front 39

What is the adult phase of atopic dermatitis?

Back 39

1. Onset near puberty

2. Inflammation with lichenification

3. Hand dermatitis

4. Upper eyelids

5. Dennie Morgan line***

Front 40

What is keratosis pilaris?

Back 40

1. Associated with eczema

2. Normal variant of skin

3. Follicular-based small papules

4. Filled with keratin

Front 41

How do you tx keratosis pilaris?

Back 41

1. Topical retinoids

2. Short courses of topical steroids

Front 42

What i pityriasis alba?

Back 42

1. Associated with atopic dermatitis

2. Asymptomatic, hypopigmented scaling plaque

3. Common on face, lateral upper thighs, arms

Front 43

What is eczema herpeticum?

Back 43

1. HSV infection in AD patients

2. MC in areas of active or recently-healed dermatitis

Front 44

How do you tx eczema herpeticum?

Back 44

1. Acyclovir

2. Cool wet compress

3. Abx

Front 45

What is contact dermatitis?

Back 45

1. Contact with an irritant

2. Also can be due to allergy

Front 46

How do you tx contact dermatitis?

Back 46

1. Avoid exposure

2. Topical steroids

3. Barrier creams

Front 47

How can you deduce the cause of allergic contact dermatitis?

Back 47

1. Plants produce linear lesions

2. May correspond to shape of substance

3. Location

4. Nickel MC allergy worldwide

Front 48

How do you tx allergic contact dermatitis?

Back 48

1. Minimize topical products

2. Use ointments over creams

3. Fragrance free

Front 49

What is the patch test?

Back 49

1. Indicated when inflammation persists despite avoidance of offending agent

TRUE test:

Thin layer Rapid Use Epicutaneous

Contains 29 allergens-- remove and read after 48 hours and then 72 hours