NUR 4445 Integumentary System 2
1. What is contact dermatitis? What is irritant contact dermatitis vs allergic contact dermatitis?
Answer
- An eczematous eruption produced by either
1. Irritant
local exposure to an irritating substance (no immunologic response)
2. Allergic
Answer
allergic response to a sensitizing substance
2. What are common irritants that cause contact dermatitis (9)?
Answer
- Soap/bubble baths
- Bleaches
- Solvents
- Acids
- Foods
- Saliva
- Urine/feces
- Intestinal secretions
- DIAPERS IN INFANTS
3. How does allergic contact dermatitis happen?
Answer
- Type immunologic reaction (delayed hypersensitivity or cell-medicated)
- Usually no reaction with 1st exposure to the product
- Once sensitized, reaction ~ 8-12 hours after exposure
4. What are common areas of the body that are affected by allergic contact dermatitis (6)?
Answer
,- Eyelids
- neck
- hands
- axilla
- anogenital area,
- lower extremities
5. What are common allergens that cause allergic contact dermatitis (5)?
Answer
- poison ivy
- metals (nickel)
- fragrances
- topical antibiotics (neomycin, bacitracin)
- rubber
6. What are the treatment options for contact dermatitis (3)?
Answer
- Avoid the Irri- tant***
- Creams/ointments
lubricate & protect areas
- Sometimes corticosteroid
7. What is atopic dermatitis (eczema)?
Answer
- Inflammatory skin condition in which recurrent eczematous lesions occur
- Eczematous
red, itchy, lesions that are often weeping or crusted
, 8. Infantile atopic dermatitis (eczema)
Answer
starts ages 2-6 months, resolves by age 3 years
9. childhood atopic dermatitis (eczema)
Answer
may occur after infantile or start around 2-3 years and most (90%) resolve by 5 years
10. adolescent atopic dermatitis (eczema)
Answer
starts around 12 years and continues into early adulthood or lifelong
11. What are the S/S of atopic dermatitis (eczema) (5)?
Answer
- Pruritus
- Erythema
- papules
- vesicles
- oozing, crusting
12. How does atopic dermatitis (eczema) present in infants (3)?
Answer
- Begins on cheeks, forehead, scalp, then trunk
- Extensor surfaces
can be affected (esp. once crawling)
- Diaper area
typically spared, can aid in diagnosis***
13. What does the prognosis of atopic dermatitis look like?
1. What is contact dermatitis? What is irritant contact dermatitis vs allergic contact dermatitis?
Answer
- An eczematous eruption produced by either
1. Irritant
local exposure to an irritating substance (no immunologic response)
2. Allergic
Answer
allergic response to a sensitizing substance
2. What are common irritants that cause contact dermatitis (9)?
Answer
- Soap/bubble baths
- Bleaches
- Solvents
- Acids
- Foods
- Saliva
- Urine/feces
- Intestinal secretions
- DIAPERS IN INFANTS
3. How does allergic contact dermatitis happen?
Answer
- Type immunologic reaction (delayed hypersensitivity or cell-medicated)
- Usually no reaction with 1st exposure to the product
- Once sensitized, reaction ~ 8-12 hours after exposure
4. What are common areas of the body that are affected by allergic contact dermatitis (6)?
Answer
,- Eyelids
- neck
- hands
- axilla
- anogenital area,
- lower extremities
5. What are common allergens that cause allergic contact dermatitis (5)?
Answer
- poison ivy
- metals (nickel)
- fragrances
- topical antibiotics (neomycin, bacitracin)
- rubber
6. What are the treatment options for contact dermatitis (3)?
Answer
- Avoid the Irri- tant***
- Creams/ointments
lubricate & protect areas
- Sometimes corticosteroid
7. What is atopic dermatitis (eczema)?
Answer
- Inflammatory skin condition in which recurrent eczematous lesions occur
- Eczematous
red, itchy, lesions that are often weeping or crusted
, 8. Infantile atopic dermatitis (eczema)
Answer
starts ages 2-6 months, resolves by age 3 years
9. childhood atopic dermatitis (eczema)
Answer
may occur after infantile or start around 2-3 years and most (90%) resolve by 5 years
10. adolescent atopic dermatitis (eczema)
Answer
starts around 12 years and continues into early adulthood or lifelong
11. What are the S/S of atopic dermatitis (eczema) (5)?
Answer
- Pruritus
- Erythema
- papules
- vesicles
- oozing, crusting
12. How does atopic dermatitis (eczema) present in infants (3)?
Answer
- Begins on cheeks, forehead, scalp, then trunk
- Extensor surfaces
can be affected (esp. once crawling)
- Diaper area
typically spared, can aid in diagnosis***
13. What does the prognosis of atopic dermatitis look like?
