Flashcards
Dermatitis / Eczema
Cards in this deck (6)
- 1Discoid 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. - 2Seborrhoeic 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
- 3Varicose eczema- Assess for venous disease generally
- Doppler
- Scan
- Compression
Topical steroids +/- anti-infectives
Watch out for contact allergy
- Patch test
- 4Asteototic 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)
- 5Chronic actinic dermatitis- Broad spectrum sunscreens SPF50
- Top steroids
- Top tacrolimus/pimecrolimus
- Cya, MTX, aza
- 6Hand 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)