ECZEMA

Question 1

what is the diagnostic criteria in children?

Answer 1

williams diagnostic criteria:
itchy skin and at least 3 of:
1. onset before two years
2. past skin crease involvement
3. history of generally dry skin
4. personal history/FH of atopy (if under 4 can be on cheeks or forehead)
5. flexural dermatitis

Question 2

what are symptoms of eczema?

Answer 2

pruritis
weeping, red scratches
lichenification

Question 3

what is the management of eczema?

Answer 3

conservative:

• cut nails
• cotton clothes
• avoid irritants

EMOLIENTS
- liberally at least twice a day

topical steroids for flare up

Question 4

what is the order order of strength for topical steroids?

Answer 4

hydrocortisone
clobetosone
betamethasone
fludroxycortide

Question 5

what nails can they get?

Answer 5

nail pitting

nail ridging.

Question 6

what causes eczema?

Answer 6

epidermal barrier impairment

filaggrin gene impairment