Dermatology - Dermatitis and Psoriasis
1. What is the MC secondary bacterial infection of dermatitis?: - secondary bacterial
infection with Staph aureus
2. What is important to keep in mind about treating types of dermatitis?: - skin
hydration with emollients and moisturizers is very important along with treating the condition with topical steroids
3. What is a helpful medication to treat itching from a skin condition?: - oral
antihistamine, as you want to decrease the amount of products applied to the skin
4. What are skin care tips for dermatitis?: - short showers with lukewarm water
- use of gentle, hydrating, fragrant free soaps and moisturizers
- moisturize the skin often and immediately after a shower
- pat skin slightly dry
- avoid tight clothing and irritating fabrics
- avoid scratching as possible
5. What is the MC way patients get secondary infections?: - scratching the lesions
6. What is eczema (atopic dermatitis)?: - chronic or chronically relapsing inflammatory skin condition
,7. Who is eczema common in and which area of the body?: - MC in infancy and childhood
- MC on the face
8. What is the "atopic triad"?: - atopic dermatitis/eczema
- allergic rhinitis/conjunctivitis
- asthma
9. What are symptoms of eczema?: - dry, itchy skin that leads to habitual scratching and results in
lichenified skin, that causes further itching
- pruritus
- "the itch that rashes"
- may have papules, red patches, or plaques
- erosions, excoriations, fissures, or alopecia in hairy areas
10. What are RFs for eczema?: - inhaled allergens: dust mites, pollens
- microbes: Staph, Strep, Candida
- foods: eggs, milk, peanuts, soy, fish, wheat
- fabrics: wool
- emotional stress
- seasonal
, 11. Describe the etiology and cause of eczema.: - there is a skin barrier dysfunction along with
genetics, the environment, and immune factors
12. What are common areas where eczema occurs?: - face
- scalp
- anterior and posterior knees
- flexor surface of elbows
- elbows
- neck
- ankles
13. How is eczema diagnosed?: - Clinical diagnosis
- KOH slide may be done to rule out fungal infection (budding yeasts and hyphae)
- bacterial culture if suspect secondary infection
14. What is first line treatment for mild eczema?: 1. Low potency steroids (Class 6-7) for 2-4
weeks 2x/day, then reassess
2. If failed steroids OR treating the face/skin folds/mucosal areas, use a CNI
Supportive care
1. What is the MC secondary bacterial infection of dermatitis?: - secondary bacterial
infection with Staph aureus
2. What is important to keep in mind about treating types of dermatitis?: - skin
hydration with emollients and moisturizers is very important along with treating the condition with topical steroids
3. What is a helpful medication to treat itching from a skin condition?: - oral
antihistamine, as you want to decrease the amount of products applied to the skin
4. What are skin care tips for dermatitis?: - short showers with lukewarm water
- use of gentle, hydrating, fragrant free soaps and moisturizers
- moisturize the skin often and immediately after a shower
- pat skin slightly dry
- avoid tight clothing and irritating fabrics
- avoid scratching as possible
5. What is the MC way patients get secondary infections?: - scratching the lesions
6. What is eczema (atopic dermatitis)?: - chronic or chronically relapsing inflammatory skin condition
,7. Who is eczema common in and which area of the body?: - MC in infancy and childhood
- MC on the face
8. What is the "atopic triad"?: - atopic dermatitis/eczema
- allergic rhinitis/conjunctivitis
- asthma
9. What are symptoms of eczema?: - dry, itchy skin that leads to habitual scratching and results in
lichenified skin, that causes further itching
- pruritus
- "the itch that rashes"
- may have papules, red patches, or plaques
- erosions, excoriations, fissures, or alopecia in hairy areas
10. What are RFs for eczema?: - inhaled allergens: dust mites, pollens
- microbes: Staph, Strep, Candida
- foods: eggs, milk, peanuts, soy, fish, wheat
- fabrics: wool
- emotional stress
- seasonal
, 11. Describe the etiology and cause of eczema.: - there is a skin barrier dysfunction along with
genetics, the environment, and immune factors
12. What are common areas where eczema occurs?: - face
- scalp
- anterior and posterior knees
- flexor surface of elbows
- elbows
- neck
- ankles
13. How is eczema diagnosed?: - Clinical diagnosis
- KOH slide may be done to rule out fungal infection (budding yeasts and hyphae)
- bacterial culture if suspect secondary infection
14. What is first line treatment for mild eczema?: 1. Low potency steroids (Class 6-7) for 2-4
weeks 2x/day, then reassess
2. If failed steroids OR treating the face/skin folds/mucosal areas, use a CNI
Supportive care
