Dermatitis / Eczema

Question	Answer
Discoid Dermatitis	- Role of central heating - Avoid soaps - Potent or superpotent TCS (topical cortico-steroid) (Dermovate) then potent TCS (Betnovate) - Cream or ointment? - Emulsifying oint or 50/50 WSLP or emolin 50/50 spray. Image: Discoid Dermatitis (binary/octet-stream)
Seborrhoeic dermatitis	- Dandruff - Yeast thought to be partly to blame Treatment usually a combination of: - Topical low potency steroid cream - Anti-fungal cream - Shampoo (Selsun, ketoconazole) - Oral anti-fungal Image: Seborrhoeic Dermatitis (binary/octet-stream)
Varicose eczema	- Assess for venous disease generally - Doppler - Scan - Compression Topical steroids +/- anti-infectives Watch out for contact allergy - Patch test Image: Varicose Eczema (binary/octet-stream)
Asteototic eczema	- Associated with increasing age - Worse in cold weather - Made worse by soaps, detergents and frequent washing. - Treat with emollients - (and if needed steroid creams) Image: Asteototic Eczema (binary/octet-stream)
Chronic actinic dermatitis	- Broad spectrum sunscreens SPF50 - Top steroids - Top tacrolimus/pimecrolimus - Cya, MTX, aza Image: Chronic Actinic Dermatitis (binary/octet-stream)
Hand and foot eczema	- Common (lifetime prevalence 15%) - Stubborn - Highly restricting (affects quality of life = asthma & psoriasis, medical consultations in 70%) - Endogenous factors - Primary irritant factors - Contact allergic factors (patch test) Image: Hand And Foot Eczema (binary/octet-stream)

Resource summary

	Created by Dariush Zarrabi about 6 years ago