Phys di exam 4 (abnormalities)

What is the Most common inflammatory skin disorder?

Eczematous dermatitis

What is A group of conditions that causes inflamed, irritated, and often itchy skin?

Eczema

What are the 3 types of eczema?

- Irritant contact dermatitis

- Allergic contact dermatitis

- Atopic dermatitis

What condition is described as having a histology of intracellular edema and epidermal breakdown?

Eczema

What are the 3 stages of eczema?

1. Acute

2. Subacute

3. Chronic

What stage of eczema is described as erythematous pruritic, weeping vesicles?

Acute

What stage of eczema is described as erythema and scaling?

Subacute

What stage of eczema is thick, lichenified, pruritic plaques?

Chronic

T/f: Itching typically present with patients with eczema

T

Patients with atopic dermatitis often have a HX of _______.

allergy

70% of patients have family history of ______ diseases

Atopic

What conditions has a Onset usually in the first year (60%)?

Atopic dermatitis

What gender is mc affected by atopic dermatitis?

Males

What type of hypersensitivity is atopic dermatitis?

Type I (IgE mediated)

In children what condition is described as lesions involve flexures, nape, and dorsal aspects of limbs?

Atopic dermatitis

lichenified plaques affect the flexures, head, and neck are found on adolescent and adults in what condition?

Atopic dermatitis

T/f: a patient with atopic dermatitis should continue scratching and rubbing lesions

F

Irritants

Moisturizer

Mild pH

Antithistamines

Are all potential cause of what?

Atopic dermatitis

T/f: atopic dermatitis may be permanent or may improve as child ages with occasional flareups

T

What are the stages of contact dermatitis?

Acute

Subacute

Chronic

What stage of contact dermatitis is described as pruritis, erythema and edema, exuding serum and crusts?

Acute

What stage of contact dermatitis is described as dry scales, erythema, may blister?

Subacute

What stage of contact dermatitis is described as Lichenification (thickening of the epidermis)?

Chronic

T/f: Rashes may not appear for hours to days for contact dermatitis

T

What is a condition that is linked to Eczema Craquele and is relatively common in the winter more common in males?

Asteatotic Dermatitis

Dry, "cracked", fissured skin is a hallmark for what condition?

Asteatotic Dermatitis

What can occur with over-bathing, aging,

a genetic tendency for dry skin, and high temps with low

humidity?

Asteatotic Dermatitis

- Increase humidity

- Warm bath with bath oils

- Emollient ointments

- Avoid irritating fabrics

Are all management for what?

Asteatotic Dermatitis

What is pompholyx (dyshidrotic eczema)?

Bubble

Dyshidrotic Eczema, Dyshidrosis described what condition?

Pompholyx Eczema

What is formerly a disorder of sweat glands but no evidence?

What areas are most affected?

Pompholyx Eczema

Hands and the feet

Sides of the fingers, palms, soles of the feet are the mic areas for what condition?

Pompholyx Eczema

Tapioca" appearance described what condition?

Pompholyx Eczema

T/f: Pruritis and painful fissures is linked to pompholyx Eczema

T

What does an initial pompholyx Eczema look like?

- Blister like vesicles

- Clusters

What later appears as Scaling, lichenification, painful fissures, and erosions?

Pompholyx Eczema

Stress, sweat, rising temperatures, seasonal (spring or

summer), shampoo, soap, nickel are common triggers of what?

Pompholyx Eczema

What is the aka for Neurodermatitis (Eczema)?

Lichen Simplex Chronicus

What condition has intense itching of areas of the skin?

Neurodermatitis (Eczema)

lichenified skin plaques with excoriations described what condition?

Neurodermatitis (Eczema)

nape of neck, extensor surfaces of the upper extremities, the inner thighs, lower extremities, ankle flexures, or on the vulva and anogenital region mic locations for what?

Neurodermatitis (Eczema)

T/f: Neurodermatitis (Eczema) has many triggers

F (None)

"Itch-scratch-itch" cycle is linked to what condition?

"Itch-scratch-itch" cycle

Scratching and skin damage can lead to _______

Further infections

- Try not to scratch / stop the itching

- Cool compresses

- Moisturizers

- Coal tar preparation

- Corticosteroids

Tx for what?

Neurodermatitis

What is the aka for Nummular Eczema?

discoid eczema

Pruritic, coin-shaped, or oval lesions that may arise in children

or adults describes what condition?

Nummular eczema

Where is nummular eczema usually found?

Usually found on the upper or lower limbs

T/f: Nummular Eczema is mc found in the trunk

F

• Treat with oral or topical corticosteroids

• Avoid irritants

To for what?

Nummular Eczema