Trigger associated with exacerbation of atopid dermatitis
Pets or animal dander
Trigger associated with exacerbation of atopid dermatitis
pollens
Trigger associated with exacerbation of atopid dermatitis
Soaps or detergents
Trigger associated with exacerbation of atopid dermatitis
Food allergens
Trigger associated with exacerbation of atopid dermatitis
Changes in climate and temperature
Trigger associated with exacerbation of atopid dermatitis
sweating
Trigger associated with exacerbation of atopid dermatitis
Infections
Trigger associated with exacerbation of atopid dermatitis
Textiles
Trigger associated with exacerbation of atopid dermatitis
emotional stressors
Trigger associated with exacerbation of atopid dermatitis
Treatment of atopic dermatitis
Control of symptoms by relief of itching, hydration of the skin and minimization of inflammatory changes.
Keep child fingernails short
Tx for atopic dermatitis
Why shouldn't you use heat for treating atopic deteratitis?
Aggravates itching.
Promote hydration of the skin
TX for atopic dermatitis
Diphenhydramine (Benadryl)
oral antihistamine to treat atopic dermatitis
daily bathing in warm water followed by application of an occlusive product such as a cream or ointment to seal in moisture.
Tx for atopic dermatitis
Why shouldnt' use use lotion sfor atopic dermatitis?
Have a higher water content; however, they promote drying of the skin because of an evaporative effect.
Most common prescribed treatment for atopic dermatitis and used to reduce inflammation
Topica corticosteroids
what is most often used to tx mild to moderate atopic dermatitis?
1% hydrocortisone cream or ointment
High potentcy steroids should be avoided in infants and young children for tx of atopic dermatitis?
Risk of increased absorption and systemic side effects such as growth suppression.
Tx for severe or persistent atopic dermatitis
Wet wrap therapy, which enhance penetration of topical corticosteroids and may help relieve pruritis.
Act specifically to suppress T cell activity, thereby inhibitin gthe inflammatory process involved in the development of atopic dermatitis
Eladil and Protopic
S/E of corticosteroids that is not seen in Eladil and Protopic
Thinning of the skin, and therefore safe to be used on the face
Worsening symptoms of atopic dermatitis may indicate...
secondary infection or contact dermatits
Atopic dermatitis often resolves by...
adolescense
Caused by contact with soaps, detergents, poison oak/ivy, fabric softener, and loations
Contact dermatitis
Colonization of the skin by _______________ ________ is present in 90% of children with atopic dermatitis
Staphylococcus aureau
Total serum IgE, Specific IgE antibodies and eosinophil counts are lab test useful in evaluating
atopic dermatitis
Bullae or vescicles & pruritis are signs of
Contact dermatitis
Erythamatous leasions signs of
contact dermatitis
Tx of contact dermatitis
Remove irritant
Cool compress (burrows solution)
-oatmeal soaks
antihistamines
Calamin loation
Medication for severe diaper dermatitis
Hydrocortisone 1%
Overgrowth of pityrosporum - yeast
Seborrheic dermatitis
Scales, dandruff, yellow-red patches
seborheic dermatitis
Tx of seborrheic dermatitis
Baby shampoo, emoillient x 20 minutes, gently brush and rinse
Tx for adolescents in seborrheic dermatitis
Shampoo w. selsun. Head and shoulders, oatmeal or cream for body
spongiosis
Inflammation of skin's spongy layer seen in seborrheic
use of mineral oil left overnight 2- 4 weeks may aid in removing persistent scales
Tx of seborrheic dermatitis
sensitization phase
Initial exposure to the antigen in contact dermatitis
Elicitation phase
hypersensitivity response in contact dermatitis
Topical retinoids to comodones only, in the evening
Treatment for comedomal acne
Topical antibiotics to entire area, nnot just lesions
Tx for mild to moderate inflammatory acne
Oral antibiotics
tx for acne, moderate to severe
Oral isotrentinoin
For severe papulonodular acne
Tx of severe papulonodular acne during menses
Norgestimate and ethinyl estradoil for flare-ups during menses
Involves pilosebacceous follicles: pore, sebascious gland and tiny vellus
Acne vulgaris
Inreased production of sebum and androgen
Acne vulgaris
Comedones, non inflammatory lesions, may be open or claosed in
Acne vulgaris
Precaution in females taking isotretinoin (accutane)
Need 2 negative pregancy tests prior to monthly and 1 month after treatment. Also need to use 2 forms of ctraceptives due to tertogenicity and adverse effects
Use of noncomedogenics
Used as an alternative cosmetics and moisturizers in acne
Don't PICK or Squeeze!
Acne teaching
Tretinoin precaution
Used for acne, and should be applied at night due to inhibition when exposed to ultraviolet light.
When using topical and oral medications that cause photsensitivty in acne, it is important to use
Sunscreen with SPF of 15
Topicals used in acne may cause
erythema, peeling and itching
Auto immune disease causing hair loss on scalp and body