Eczema. By:- Dr. Naif Al-Shahrani Salman bin Abdazziz University

Size: px
Start display at page:

Download "Eczema. By:- Dr. Naif Al-Shahrani Salman bin Abdazziz University"

Transcription

1 Eczema By:- Dr. Naif Al-Shahrani Salman bin Abdazziz University

2 Dermatitis= Eczema =Spongiosis

3 Eczema Atopic Seborrheic Contact Allergic Irritant Nummular Asteatotic Stasis Neurodermatitis/Lichen Simplex Chronicus

4 Atopic Dermatitis 10-20% of population Primary symptom: itch Location, location, location Associated with atopic background Periorbital pallor

5 Clinical Manifestations & Diagnosis Must have : An itchy skin eruption. Plus 3 or more of the following: 1.History of flexural involvement (including cheeks in children under 10) 2. A history of generalized dry skin in the past year 3. Personal history of atopy (or a family history in 1st degree relative if under 4) 4. visible flexural eczema(or involving cheeks/forehead and outer limbs in children under 4) 5. Onset under 2 years of age

6

7

8

9

10

11

12 Assessment of severity Clear normal skin no evidence of active atopic eczema Mild areas of dry skin, frequent itching +- small areas of redness Moderate - areas of dry skin, frequent itching, redness, +- excoriation and localised thickening. Severe widespread areas of dry skin, incessant itching, redness (+- excoriation, extensive skin thickening, bleeding, oozing, cracking.

13 Impact on quality of life None no impact on quality of life Mild little impact on everyday activities, sleep and psychosocial well being Moderate - Moderate impact on everyday activities, psychosocial well being, frequently disturbed sleep Severe severe limitation of everyday activities and psychosocial well being, loss of sleep every night

14 Management Education of patient or care providers Optimal skin care Identification and avoidance of specific and non-specific trigger factors Topical treatment Systemic treatment Regular medical supervision

15 Management General management of patients with atopic dermatitis Topical glucocorticoids Topical calcineurin inhibitors Phototherapy of atopic dermatitis Antihistamines in atopic dermatitis Systemic immunomodulation Topical and systemic antibiotic

16 Common Pitfalls Misdiagnosis Scabies (intensely pruritic, burrows/vesicles, others itch) Psoriasis (elbows/knees/inflammatory arthritis/nail changes) Fungus (central sparing, well marginated, scaly border)

17

18

19 Eczema Herpeticum Unwell patient Severe pain Typical umbilicated, coalescing papules Herpes simplex virus (usually type 1) Urgent hospital admission

20

21

22

23 Seborrheic Eczema

24 Distribution Seborrheic Dermatitis Face, scalp, axillae, upper chest Chronic condition Nonsteroidal Rx Disease associations -Parkinson's disease - HIV disease

25 Pathogenesis Temporary Increased numbers of Pityrosporum ovale coupled with Genetic tendency.

26 Treatment Targeted against both P.ovale and inflammation Chronic condition therefore need for repeated periods of treatment

27 Anti-Pityrosporum shampoo eg Selsun, Head & Shoulders, Nizoral (contact time) Combination anti-pityrosporum and antiinflammatory cream eg Cannesten HC, Daktacort, Nizoral

28 Nummular Dermatitis Coin shaped patches and plaques Secondary to xerosis cutis Primary symptom itch

29 Asteatotic Dermatitis Extreme case of xerosis Riverbed type cracking

30 Stasis Dermatitis Venous hypertension Complicated by ulceration

31 Neurodermatitis/Lichen Simplex Sever pruritus Habitual excoriating or rubbing Skin thicken Consider underlying disease Chronicus

32 Acute Irritant Contact Dermatitis Commonly seen in occupational accidents(80% of OCD) Irritant reaction reaches its peak quickly, within minutes to hours after exposure Symptoms include stinging, burning, and soreness Physical signs include erythema, edema, bullae, and possibly necrosis Lesions restricted to the area where the irritant or toxicant damaged the tissue Sharply demarcated borders and asymmetry points to an exogenous cause Most frequent irritants are acids and alkaline solutions

33

34 Acute Delayed Irritant Contact Dermatitis Delayed inflammatory response characteristic of certain irritants such as anthralin, benzalkonium chloride, and ethylene oxide Visible inflammation is not seen until 8 to 24 hours after exposure Symptoms are more frequently burning rather than pruritus This form of ICD is commonly seen during diagnostic patch testing

35 Pathogenesis of ICD Denaturation of epidermal keratins Disruption of the permeability barrier Damage to cell membranes Direct cytotoxic effects

36 Allergic Contact Dermatitis Type 4 Hypersensitivity Response ACD accounts for approximately 20% of all contact dermatitis Classically well demarcated/patterned Exposure can be infrequent (once a month) Patch testing is gold standard for diagnosis Severe reactions need systemic steroids

37 Pathogenesis of ACD ACD is a type IV hypersensitivity response Lesions appear in acute ACD within 24 to 96 hours of exposure Requires prior sensitization to the chemical in question Subsequent re-exposure of individual leads to allergen being presented to a primed T-cell leading to release of numerous cytokines and chemotactic factors leading to the clinical picture of eczema Once sensitized a low concentration of causative chemical elicits a response

38 Allergic contact dermatitis to leather shoes. Mercaptobenzothiazole (MBT) is the most common cause of allergic shoe dermatitis

39 Allergic Contact Dermatitis Poison Ivy/Oak/Sumac

40 Allergic Contact Dermatitis

41 Patch Testing Most common site is the upper back Patients should not have a sunburn in test area, and should not apply topical corticosteroids to the patch test sites for 7 days prior to test Systemic corticosteroids should be avoided for 1 month prior to testing Patches are applied to back and reinforced with tape, patient instructed to keep back dry and patches secured until second visit at 48 hours

42 Patch Testing When the patient returns in 48 hours the patches need to be inspected to ensure that the testing technique is adequate As patches are removed their sites of application should be marked in order to identify the locations of particular allergens

43 Patch Testing Patient again asked to keep back dry until second reading, done from 48 hours from removing the patch.

44 Treatment of ACD Involves identification of causative allergens Clear the dermatitis with topical, or if necessary systemic corticosteroids Complete and prolonged clearing can take up to 6 weeks or more, even when allergens are being avoided

45

My Algorithm. Questions to ask. Do you or your family have a history of?... Allergic rhinitis, Sensitive skin, Asthma Skin Cancer

My Algorithm. Questions to ask. Do you or your family have a history of?... Allergic rhinitis, Sensitive skin, Asthma Skin Cancer Tracey C. Vlahovic, DPM Associate Professor, Temple University School of Podiatric Medicine My Algorithm Inflammatory Skin Disorder on Feet Family hx, clinical exam, look at hands! Defined plaques: Psoriasis

More information

Eczema & Dermatitis Clinical features: Histopathological features: Classification:

Eczema & Dermatitis Clinical features: Histopathological features: Classification: Eczema & Dermatitis Eczema is an inflammatory reactive pattern of skin to many and different stimuli characterized by itching, redness, scaling and clustered papulovesicles. Eczema and dermatitis are synonymous

More information

Clinico Pathological Test SCPA605-Essential Pathology

Clinico Pathological Test SCPA605-Essential Pathology Clinico Pathological Test SCPA605-Essential Pathology Somphong Narkpinit, M.D. Department of Pathogbiology, Faculty of Science, Mahidol University e-mail : somphong.nar@mahidol.ac.th Pathogenesis of allergic

More information

Diagnosis and Management of Common and Infective Skin Diseases in Children at primary care level

Diagnosis and Management of Common and Infective Skin Diseases in Children at primary care level Diagnosis and Management of Common and Infective Skin Diseases in Children at primary care level Dr Ng Su Yuen Paediatrician and Paediatric Dermatologist Hospital Pulau Pinang Outline Common inflammatory

More information

Atopic Dermatitis Topics discussed

Atopic Dermatitis Topics discussed Dr.F.Shariati Atopic Dermatitis Topics discussed Diagnosis of eczema Incidence Aggravators History and assessment Treatments Clinical Cases Contact details and clinics Eczema = TERMINOLOGY Greek term To

More information

Clinical guideline Published: 12 December 2007 nice.org.uk/guidance/cg57

Clinical guideline Published: 12 December 2007 nice.org.uk/guidance/cg57 Atopic eczema in under 12s: diagnosis and management Clinical guideline Published: 12 December 2007 nice.org.uk/guidance/cg57 NICE 2018. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-ofrights).

More information

What is atopic dermatitis?

What is atopic dermatitis? What is atopic dermatitis? Complex inflammatory skin disorder intense pruritus cutaneous hyperreactivity immune dysregulation Chronic with exacerbations and remissions Affects all ages, but more common

More information

Dermatology elective for yr. 5. Natta Rajatanavin, MD. Div. of dermatology Dep. Of Medicine, Ramathibodi Hospital Mahidol University 23 rd Feb 2015

Dermatology elective for yr. 5. Natta Rajatanavin, MD. Div. of dermatology Dep. Of Medicine, Ramathibodi Hospital Mahidol University 23 rd Feb 2015 Dermatology elective for yr. 5 Natta Rajatanavin, MD. Div. of dermatology Dep. Of Medicine, Ramathibodi Hospital Mahidol University 23 rd Feb 2015 How to diagnosis and manage eczema and psoriasis. Objectives

More information

CHAPTER 1. Eczema Basics

CHAPTER 1. Eczema Basics CHAPTER 1 Eczema Basics Definition Eczema is an inflammatory skin condition, characterised by ichtyosis (dry skin), erythema (redness), excoriation (interruption of the skin), scratching lesions, lichenification

More information

Dermatitis (inflammatory skin condition) Nonallergic. dermatitis. Non-atopic eczema (non- IgE mediated)

Dermatitis (inflammatory skin condition) Nonallergic. dermatitis. Non-atopic eczema (non- IgE mediated) Atopic Eczema Dermatitis (inflammatory skin condition) Allergic dermatitis -eczema Nonallergic dermatitis Atopic eczema (IgE mediated) Non-atopic eczema (non- IgE mediated) Pathophysiology of Eczema Allergy

More information

What to do when patch testing is negative?

What to do when patch testing is negative? What to do when patch testing is negative? Christen M. Mowad MD Clinical Professor of Dermatology Geisinger Medical Center Danville, PA 17821 cmowad@geisinger.edu I have no disclosures. What to do when

More information

Commonly Coded Conditions in Dermatology

Commonly Coded Conditions in Dermatology Commonly Coded Conditions in Dermatology No part of this presentation may be reproduced or transmitted in any form or by any means (graphically, electronically, or mechanically, including photocopying,

More information

Clinical guideline Published: 12 December 2007 nice.org.uk/guidance/cg57

Clinical guideline Published: 12 December 2007 nice.org.uk/guidance/cg57 Atopic eczema in under 12s: diagnosis and management Clinical guideline Published: 12 December 2007 nice.org.uk/guidance/cg57 NICE 2007. All rights reserved. Contents Introduction... 4 Child-centred care...

More information

eczema the basics 2EE6E629CEA25112ABD0B8EB Eczema The Basics 1 / 6

eczema the basics 2EE6E629CEA25112ABD0B8EB Eczema The Basics 1 / 6 Eczema The Basics 1 / 6 2 / 6 3 / 6 Eczema The Basics Eczema is a group of conditions that cause inflammation of the skin. Typically, eczema causes skin to become itchy, red, and dry -- even cracked and

More information

Learning Circle: Jan 26, 2011 Childhood Eczema

Learning Circle: Jan 26, 2011 Childhood Eczema Learning Circle: Jan 26, 2011 Childhood Eczema Wingfield Rehmus, MD MPH BC Children s Hospital Clinical Assistant Professor, UBC Department of Paediatrics Associate Member, UBC Department of Dermatology

More information

Rashes in the elderly

Rashes in the elderly Clinical practice 29 Rashes in the elderly In this article we aim to highlight some of the commoner skin conditions one might expect to see in an elderly population, their typical features and treatments.

More information

Icd 10 code for venous stasis dermatitis

Icd 10 code for venous stasis dermatitis Icd 10 code for venous stasis dermatitis and venous ulcer of left lower extremity due Venous stasis edema with ulcer of left ankle ulcer of left ankle with inflammation, bone necrosis; Venous. Dermatitis

More information

Allergic versus Contact

Allergic versus Contact Allergic versus Contact Dermatitis Julie Sterbank, DO Assistant Clinical Professor Allergy/Immunology MetroHealth Medical Center/Case Western Reserve University Disclosure I have no financial disclosures

More information

2004 Health Press Ltd.

2004 Health Press Ltd. Eczema and Contact Dermatitis John Berth-Jones Consultant Dermatologist University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK Eunice Tan Specialist Registrar in Dermatology Norfolk and

More information

Index. derm.theclinics.com. Note: Page numbers of article titles are in boldface type.

Index. derm.theclinics.com. Note: Page numbers of article titles are in boldface type. Note: Page numbers of article titles are in boldface type. A ACD. See Allergic contact dermatitis. Acute and recurrent vesicular hand dermatitis, 337 353 Airborne contact dermatitis, 303 Allergen avoidance

More information

The skin is the largest organ of the human body. Functions: protection sensation maintain temperature vitamin synthesis

The skin is the largest organ of the human body. Functions: protection sensation maintain temperature vitamin synthesis Dermatology The skin is the largest organ of the human body. Functions: protection sensation maintain temperature vitamin synthesis The image to the left shows an image of skin cells and the proteins which

More information

Objectives. Terminology. Recognize common pediatric dermatologic conditions. Review treatment plans Identify skin manifestations of systemic disease

Objectives. Terminology. Recognize common pediatric dermatologic conditions. Review treatment plans Identify skin manifestations of systemic disease Pediatric Visual Dermatological Diagnosis Fernando Vega, M.D. Objectives Recognize common pediatric dermatologic conditions Expand differential diagnosis Review treatment plans Identify skin manifestations

More information

ATOPIC ECZEMA. What are the aims of this leaflet?

ATOPIC ECZEMA. What are the aims of this leaflet? ATOPIC ECZEMA What are the aims of this leaflet? This leaflet has been written to help you understand more about atopic eczema. It tells you what it is, what causes it, what can be done about it, and where

More information

Recommended management of eczema in older patients

Recommended management of eczema in older patients Recommended management of eczema in older patients Victoria Sherman MA, MRCP and Daniel Creamer BSc, MD, FRCP Our series Prescribing in older people gives practical advice for successful management of

More information

The role of the practice nurse in managing psoriasis in primary care

The role of the practice nurse in managing psoriasis in primary care The role of the practice nurse in managing psoriasis in primary care Item type Authors Publisher Journal Article Buckley, David Nursing in General Practice Nursing in general practice Downloaded 16-Sep-2016

More information

Assessing the Current Treatment of Atopic Dermatitis: Unmet Needs

Assessing the Current Treatment of Atopic Dermatitis: Unmet Needs Transcript Details This is a transcript of a continuing medical education (CME) activity accessible on the ReachMD network. Additional media formats for the activity and full activity details (including

More information

An Everyday Guide to Eczema

An Everyday Guide to Eczema An Everyday Guide to Eczema By Dr. Kristel Polder, Board-Certified Dermatologist Developed in Partnership with Who is affected by eczema? 32 million people in the US 1 in 5 children 1 in 12 adults *www.eczema.org

More information

PACKAGE LEAFLET: INFORMATION FOR THE USER. Flutarzole 0,05% w/w cream, Fluticasone propionate

PACKAGE LEAFLET: INFORMATION FOR THE USER. Flutarzole 0,05% w/w cream, Fluticasone propionate PACKAGE LEAFLET: INFORMATION FOR THE USER Flutarzole 0,05% w/w cream, Fluticasone propionate 1. IDENTIFICATION OF THE MEDICINAL PRODUCT 1.1. Trade name Flutarzole 1.2. Composition Active substance: Fluticasone

More information

FACTSHEET ADULT SEBORRHOEIC DERMATITIS. What is seborrhoeic dermatitis? Who gets and why? What does it look like?

FACTSHEET ADULT SEBORRHOEIC DERMATITIS. What is seborrhoeic dermatitis? Who gets and why? What does it look like? What is seborrhoeic dermatitis? Sebhorrhoeic dermatitis is a common scaly rash that often affects the face, scalp and chest but it can affect other areas. Dermatitis is another word for eczema. Seborrhoeic

More information

Dermatology GP Referral Guidelines

Dermatology GP Referral Guidelines Austin Health Dermatology Department holds 5 Clinic sessions to discuss and plan the treatment of with Dermatology conditions. Department of Health clinical urgency categories for specialist clinics Urgent:

More information

AUSTRALIAN PRODUCT INFORMATION RESOLVE PLUS 1.0 (MICONAZOLE NITRATE, HYDROCORTISONE) CREAM

AUSTRALIAN PRODUCT INFORMATION RESOLVE PLUS 1.0 (MICONAZOLE NITRATE, HYDROCORTISONE) CREAM AUSTRALIAN PRODUCT INFORMATION RESOLVE PLUS 1.0 (MICONAZOLE NITRATE, HYDROCORTISONE) CREAM 1 NAME OF THE MEDICINE Miconazole nitrate, Hydrocortisone. 2 QUALITATIVE AND QUANTITATIVE COMPOSITION Miconazole

More information

Paediatric Eczema. Dr Manjeet Joshi Consultant Dermatologist 16 th May 2012

Paediatric Eczema. Dr Manjeet Joshi Consultant Dermatologist 16 th May 2012 Paediatric Eczema Dr Manjeet Joshi Consultant Dermatologist 16 th May 2012 Classification of the principal forms of eczema EXOGENOUS ENDOGENOUS Irritant Allergic contact Photoallergic contact Eczematous

More information

Cutanous Manifestation of Lupus Erythematosus. Presented By: Dr. Naif S. Al Shahrani Salman Bin Abdaziz university

Cutanous Manifestation of Lupus Erythematosus. Presented By: Dr. Naif S. Al Shahrani Salman Bin Abdaziz university Cutanous Manifestation of Lupus Erythematosus Presented By: Dr. Naif S. Al Shahrani Salman Bin Abdaziz university A 50-year old lady, who is otherwise healthy, presented to the dermatology clinic with

More information

Topical Doxepin Prior Authorization with Quantity Limit Program Summary

Topical Doxepin Prior Authorization with Quantity Limit Program Summary Topical Doxepin Prior Authorization with Quantity Limit Program Summary FDA APPROVED INDICATIONS DOSAGE 1-3 Agent(s) Indication(s) Dosage & Administration Doxepin 5% cream Prudoxin (doxepin) cream 5% KS_PS_Topical_Doxepin_PAQL_ProgSum_AR1018

More information

Integumentary System

Integumentary System Integumentary System Integumentary System Skin, hair, and nails. Skin: Epidermis: outer layer. Dermis: also called corium, or true skin. Subcutaneous fascia: innermost layer. Integumentary Glands Sudoriferous:

More information

forniture parafarmaceutiche

forniture parafarmaceutiche User's Manual forniture parafarmaceutiche CONTENTS forniture parafarmaceutiche Dermatitis of the Scalp Seborrheic Dermatitis Treatments Atopshield Lotion The mechanism of action of Atopshield Lotion Indications

More information

COMMON SKIN CONDITIONS IN PRIMARY CARE. Ibrahim M. Zayneh, MD Dermatology Private Practice, Portsmouth, Ohio

COMMON SKIN CONDITIONS IN PRIMARY CARE. Ibrahim M. Zayneh, MD Dermatology Private Practice, Portsmouth, Ohio COMMON SKIN CONDITIONS IN PRIMARY CARE Ibrahim M. Zayneh, MD Dermatology Private Practice, Portsmouth, Ohio DISCLOSURE The Speaker and members of the planning committee do not have a conflict of interest

More information

Skin lesions & Abrasions

Skin lesions & Abrasions Skin lesions & Abrasions What Are Skin Lesions? A skin lesion is a part of the skin that has an abnormal growth or appearance compared to the skin around it Types of Skin Lesions Two types of skin lesions

More information

Common Superficial Fungal Infections

Common Superficial Fungal Infections How to recognise and treat Common Superficial Fungal Infections Dr Lilianne Scholtz (MBBCh) Types of superficial fungal infections Ringworm (Tinea) Candida (Thrush) Body Groin Feet Skin Nappy rash Vagina

More information

Childhood Eczema Flowchart

Childhood Eczema Flowchart Childhood Eczema Flowchart EXCLUSIONS -Over 15 years of age -Contact dermatitis -Seborrhoeic Eczema -Mild and Moderate Eczema Childhood Eczema Assess Eczema Severity RED FLAGS -Eczema Herpecitum -Severe

More information

DATA SHEET. Betamethasone dipropionate equivalent to betamethasone 0.5mg/g (0.05% w/w).

DATA SHEET. Betamethasone dipropionate equivalent to betamethasone 0.5mg/g (0.05% w/w). DATA SHEET 1. DIPROSONE DIPROSONE (0.05% w/w) cream DIPROSONE (0.05% w/w) ointment 2. QUALITATIVE AND QUANTITATIVE COMPOSITION Betamethasone dipropionate equivalent to betamethasone 0.5mg/g (0.05% w/w).

More information

UPDATES IN ATOPIC DERMATITIS

UPDATES IN ATOPIC DERMATITIS UPDATES IN ATOPIC DERMATITIS Amanda Hess, MMS, PA-C President-Elect, AAPA-AAI Arizona Asthma and Allergy Institute, Scottsdale, AZ LEARNING OBJECTIVES Discuss epidemiology, risk factors, and causes of

More information

What is Psoriasis? Common Areas Affected. Type Who Does it Affect Characteristics

What is Psoriasis? Common Areas Affected. Type Who Does it Affect Characteristics What is? is a term derived from the Greek word psōra which means itch and is a common, long lasting, inflammatory skin condition which affects 1-3% of the UK population and about 80 million people worldwide.

More information

The Itch That Rashes. Sarah D. Cipriano, MD, MPH, MS Resident, Dermatology University of Utah

The Itch That Rashes. Sarah D. Cipriano, MD, MPH, MS Resident, Dermatology University of Utah The Itch That Rashes Sarah D. Cipriano, MD, MPH, MS Resident, Dermatology University of Utah 1 Conflict of Interest No conflict of interest Will discuss off label use of medications 2 3 Most likely diagnosis?

More information

Dr Emmy Babor GPSI Dermatology

Dr Emmy Babor GPSI Dermatology Dr Emmy Babor GPSI Dermatology Wrinkles Sagging Thin skin (not all areas think about soles of feet) Loss of elasticity Pigmentary changes Dryness Loss of luminosity Baldness/ grey hair Increased nose

More information

(5). (1, 5) Table 1:Appearance and location of dandruff, psoriasis and seborrhoeic dermatitis

(5). (1, 5) Table 1:Appearance and location of dandruff, psoriasis and seborrhoeic dermatitis A-Dandruff(pityriasis capitis) 1-Dandruff is a chronic relapsing condition of the scalp which respond to treatment, but return when the treatment is stopped (1). Increased cell turnover rate (twice the

More information

Updates in Contact Dermatitis

Updates in Contact Dermatitis Updates in Contact Dermatitis Brian P. Peppers, DO, PhD 1/22/16 Osteopathic Adult & Pediatric Allergy and Immunology Fellowship University Hospitals Regional Hospitals/LECOMT Allergy and Immunology Associates

More information

Cholestatic jaundice Chronic kidney disease Iron deficiency +/-anaemia. Hepatoma Diabetes Leukaemia

Cholestatic jaundice Chronic kidney disease Iron deficiency +/-anaemia. Hepatoma Diabetes Leukaemia Pruritis Introduction Pruritis can cause discomfort, frustration, poor sleep, anxiety and depression. Itch may be localised or due to systemic disease. Pruritis in systemic disease is often worse at night.

More information

Thursday, 21 October :53 - Last Updated Thursday, 11 November :27

Thursday, 21 October :53 - Last Updated Thursday, 11 November :27 1 / 15 2 / 15 3 / 15 4 / 15 Pityriasis Alba Background Pityriasis alba is a nonspecific dermatitis of unknown etiology that causes erythematous scaly patches. These resolve and leave areas of hypopigmentation

More information

Treatments used Topical including cleansers and moisturizer Oral medications:

Treatments used Topical including cleansers and moisturizer Oral medications: Discipline: Dermatology Extended Topic: Acne & Rosacea : Onset: Location: Face Chest Back Menses if female: Regular Irregular PCOS Treatments used Topical including cleansers and moisturizer Oral medications:

More information

Vulval dermatoses. Dr Fiona Lewis, Consultant Dermatologist St John s Institute of Dermatology, London & Heatherwood & Wexham Park Hospital, Slough

Vulval dermatoses. Dr Fiona Lewis, Consultant Dermatologist St John s Institute of Dermatology, London & Heatherwood & Wexham Park Hospital, Slough Vulval dermatoses Dr Fiona Lewis, Consultant Dermatologist St John s Institute of Dermatology, London & Heatherwood & Wexham Park Hospital, Slough Pigmentation Vulvodynia Ulcers Genetic Pruritus VULVAL

More information

RELEVANT DISCLOSURES ATOPIC DERMATITIS / ECZEMA MANAGING ECZEMA IN INFANTS AND CHILDREN

RELEVANT DISCLOSURES ATOPIC DERMATITIS / ECZEMA MANAGING ECZEMA IN INFANTS AND CHILDREN RELEVANT DISCLOSURES MANAGING ECZEMA IN INFANTS AND CHILDREN Advisory board member - MEDA (Elidel), Speaking honoraria Bayer (Advantan) Advisory board, consultant, speaker: Pfizer, Abbvie, Janssen, Elli

More information

Novel Insights in Atopic Dermatitis: Pathways, Biomarkers, and Phenotypes for a Targeted Approach Transcript

Novel Insights in Atopic Dermatitis: Pathways, Biomarkers, and Phenotypes for a Targeted Approach Transcript Novel Insights in Atopic Dermatitis: Pathways, Biomarkers, and Phenotypes for a Targeted Approach Transcript Title Slide Welcome to the CME-certified program: Novel Insights in Atopic Dermatitis; Pathways,

More information

GROUP 15 TOPICAL PREPARATIONS

GROUP 15 TOPICAL PREPARATIONS - 105 - GROUP 15 15.1 DERMATOLOGICAL PREPARATIONS 15.1.1 TOPICAL ANTIFUNGALS CLOTRIMAZOLE Indication: Treatment of susceptible fungal infections, dermatophytoses, superficial mycoses, and cutaneous candidiasis

More information

Speaker and paid consultant for Galderma, Novartis and Jansen. No other potential conflicts to disclose. Review of Relevant Physiology

Speaker and paid consultant for Galderma, Novartis and Jansen. No other potential conflicts to disclose. Review of Relevant Physiology Speaker and paid consultant for Galderma, Novartis and Jansen No other potential conflicts to disclose Review of Relevant Physiology Discussion of Common Problems Treatment Options Counselling Knowing

More information

Facial Rash. Facial Rash 10/14/2013. Ten Look Alike Rashes Michelle DiBaise, MPAS, PA-C, DFAAPA Associate Clinical Professor NAU PA Program

Facial Rash. Facial Rash 10/14/2013. Ten Look Alike Rashes Michelle DiBaise, MPAS, PA-C, DFAAPA Associate Clinical Professor NAU PA Program Ten Look Alike Rashes Michelle DiBaise, MPAS, PA-C, DFAAPA Associate Clinical Professor NAU PA Program Facial Rash Facial Rash Case 1 28 year female Progressive development of erythematous facial lesions

More information

Skin Deep: Or is It? Practical Pearls from a Pediatric Dermatologist

Skin Deep: Or is It? Practical Pearls from a Pediatric Dermatologist Skin Deep: Or is It? Practical Pearls from a Pediatric Dermatologist I have no conflicts of interest 6 yo boy referred for AD. On topical HC and food elimination diet s/p topical triamcinolone to body

More information

LRI Children s Hospital

LRI Children s Hospital Atopic Eczema Care LRI Children s Hospital Staff relevant to: Clinical staff working within the UHL Children s Hospital. Team approval date: May 2017 Version: V 4 Revision due: May 2020 Written by: K.

More information

Case Studies From econsults Lessons Learned

Case Studies From econsults Lessons Learned Case Studies From econsults Lessons Learned Karolyn (Kari) Wanat, MD Department of Dermatology and Pathology University of Iowa karolyn-wanat@uiowa.edu econsults Health care innovation award for controlled

More information

ECZEMA SOCIETY OF CANADA ATOPIC DERMATITIS: PATIENT INSIGHTS REPORT MILD-TO-MODERATE DISEASE

ECZEMA SOCIETY OF CANADA ATOPIC DERMATITIS: PATIENT INSIGHTS REPORT MILD-TO-MODERATE DISEASE ECZEMA SOCIETY OF CANADA ATOPIC DERMATITIS: PATIENT INSIGHTS REPORT MILD-TO-MODERATE DISEASE 1 OVERVIEW OF SURVEY RESULTS INTRODUCTION PATIENT INSIGHTS BY THE NUMBERS: Adult Atopic Dermatitis (AD) In the

More information

Phototherapy and Photochemotherapy Treatment (Ultraviolet A [PUVA] and B [UBV])

Phototherapy and Photochemotherapy Treatment (Ultraviolet A [PUVA] and B [UBV]) Origination: 09/27/07 Revised: 08/2/17 Annual Review: 11/2/17 Purpose: To provide Phototherapy and Photochemotherapy Treatment (PUVA and UBV) guidelines for the Medical Department staff to reference when

More information

Emergency Dermatology. Emergency Dermatology

Emergency Dermatology. Emergency Dermatology Emergency Dermatology These are rapidly progressive skin conditions and some are potentially lifethreatening. Early recognition is important to implement prompt supportive care and therapy. Some are drug

More information

Suzan Schneeweiss MD, MEd, FRCPC

Suzan Schneeweiss MD, MEd, FRCPC Suzan Schneeweiss MD, MEd, FRCPC I have nothing to disclose 1. Discuss common pitfalls in the diagnosis and management of common paediatric rashes in the ED 2. Identify dermatologic conditions requiring

More information

People with eye allergies typically have symptoms that include: Eye Anatomy: What Do Eye Allergies Actually Effect?

People with eye allergies typically have symptoms that include: Eye Anatomy: What Do Eye Allergies Actually Effect? Eye Allergies Eye Allergies People with eye allergies typically have symptoms that include: Itchy watery eyes Eyelid problems Dark circles around eyes Dry eyes Reactions to Contacts Let us help allow you

More information

Prescribing Information

Prescribing Information Prescribing Information Pr DERMOVATE Cream (clobetasol propionate cream, USP) Pr DERMOVATE Ointment (clobetasol propionate ointment, USP) Topical corticosteroid TaroPharma Preparation Date: A Division

More information

Share your photos and diagnoses with us!

Share your photos and diagnoses with us! Illustrated quizzes on problems seen in everyday practice Case 1 A 23-year-old man presented with an itchy rash over the posterior part of his neck. 2. What is the cause? 3. What is the treatment? 1. Folliculitis.

More information

Photo Diagnosis. An illustrated quiz on problems seen in everyday practice ANSWERS ON PAGE 52. Provided by Dr. Benjamin Barankin, Edmonton, Alberta.

Photo Diagnosis. An illustrated quiz on problems seen in everyday practice ANSWERS ON PAGE 52. Provided by Dr. Benjamin Barankin, Edmonton, Alberta. An illustrated quiz on problems seen in everyday practice Case 1 A 67-year-old man had surgery on the chest two years ago after significant weight loss and night sweats. 2. What factors can increase the

More information

OCCUPATIONAL DERMATOSES

OCCUPATIONAL DERMATOSES OCCUPATIONAL DERMATOSES Part II Liz Clark, D.O., MPH & TM, FAOCOPM Learning Objectives: To better understand the epidemiology and economic impact of Occupational Dermatoses To review medical definitions

More information

PROTECT YOURSELF FROM TYPE I ALLERGIES.

PROTECT YOURSELF FROM TYPE I ALLERGIES. PROTECT YOURSELF FROM TYPE I ALLERGIES. 1 PROTECT YOURSELF FROM TYPE I ALLERGIES. Occasionally wearing glove products can cause issues with the health of our skin. This predominantly manifests itself in

More information

Identifying and managing dermatologic toxicities associated with EGFR-inhibitor therapy. An educational resource for healthcare professionals

Identifying and managing dermatologic toxicities associated with EGFR-inhibitor therapy. An educational resource for healthcare professionals Identifying and managing dermatologic toxicities associated with EGFR-inhibitor therapy An educational resource for healthcare professionals What to expect from EGFR-inhibitor therapy The goal of EGFR-inhibitor

More information

DIPROSONE OV Cream and Ointment do not contain preservatives, parabens or lanolin.

DIPROSONE OV Cream and Ointment do not contain preservatives, parabens or lanolin. PRODUCT INFORMATION DIPROSONE OV (OPTIMISED VEHICLE) CREAM AND OINTMENT NAME OF THE MEDICINE DIPROSONE OV Cream and Ointment (Betamethasone dipropionate) Chemistry Abstracts Service (CAS) registry number:

More information

Psoriasis. What is Psoriasis? What causes psoriasis? Medical Topics Psoriasis

Psoriasis. What is Psoriasis? What causes psoriasis? Medical Topics Psoriasis 1 Psoriasis What is Psoriasis? Psoriasis is a long standing inflammatory non-contagious skin disease which waxes and wanes with triggering factors. There is a genetic predisposition in psoriasis. Internationally,

More information

OCCUPATIONAL DERMATOSES

OCCUPATIONAL DERMATOSES OCCUPATIONAL DERMATOSES OCCUPATIONAL MEDICINE Liz Clark, D.O., MPH & TM, FAOCOPM, FAIMA Learning Objectives: To better understand the epidemiology and economic impact of Occupational Dermatoses To review

More information

0BCore Safety Profile. Pharmaceutical form(s)/strength: Cream 1% DK/H/PSUR/0009/005 Date of FAR:

0BCore Safety Profile. Pharmaceutical form(s)/strength: Cream 1% DK/H/PSUR/0009/005 Date of FAR: 0BCore Safety Profile Active substance: Pimecrolimus Pharmaceutical form(s)/strength: Cream 1% P-RMS: DK/H/PSUR/0009/005 Date of FAR: 06.06.2013 4.3 Contraindications Hypersensitivity to pimecrolimus,

More information

A Beginners Guide to Red Scaly Spots (Papulosquamous Disorders)

A Beginners Guide to Red Scaly Spots (Papulosquamous Disorders) A Beginners Guide to Red Scaly Spots (Papulosquamous Disorders) Ian D.R. Landells, MD, FRCPC Clinical Associate Professor Memorial University of Newfoundland Medical Director Dermatology Nexus Clinical

More information

Paediatric Food Allergy. Introduction to the Causes and Management

Paediatric Food Allergy. Introduction to the Causes and Management Paediatric Food Allergy Introduction to the Causes and Management Allergic Reactions in Children Prevalence of atopic disorders in urbanized societies has increased significantly over the past several

More information

Disorders of the vulva

Disorders of the vulva Vulval lesions Disorders of the vulva Terminology standardised by the International Society for the Study of Vulvovaginal Disease(ISSVD) Classification 1.Nonneoplastic epithelial disorders of vulva Lichen

More information

Follow this and additional works at: Part of the Medicine and Health Sciences Commons

Follow this and additional works at:   Part of the Medicine and Health Sciences Commons Philadelphia College of Osteopathic Medicine DigitalCommons@PCOM PCOM Physician Assistant Studies Student Scholarship Student Dissertations, Theses and Papers 2018 Does coconut oil aid in improving the

More information

Chapter 8 Skin Disorders and Diseases

Chapter 8 Skin Disorders and Diseases Chapter 8 Skin Disorders and Diseases Attitude is more important than the past, than education, than money, than circumstances, than what people do or say. It is more important than appearance, giftedness,

More information

9/9/17. Disclosures" Dermatology in Primary Care: Recognition and treatment of common disorders of the skin" A preview" Classic skin infections"

9/9/17. Disclosures Dermatology in Primary Care: Recognition and treatment of common disorders of the skin A preview Classic skin infections Disclosures Dermatology in Primary Care: Recognition and treatment of common disorders of the skin I have no conflicts of interest to disclose. I may discuss off-label use of treatments for cutaneous disease.

More information

Management of eczema in infants and children Assoc Prof David Orchard Director, Department of Dermatology Royal Children s Hospital

Management of eczema in infants and children Assoc Prof David Orchard Director, Department of Dermatology Royal Children s Hospital Atopic dermatitis definition Management of eczema in infants and children Assoc Prof David Orchard Director, Department of Dermatology Royal Children s Hospital Atopic dermatitis is long lasting (chronic)

More information

Skin Findings that Mimic Abuse

Skin Findings that Mimic Abuse Conditions that Mimic Child Abuse Kathy Saunders, DNP-BC, FNP/PNP Skin Findings that Mimic Abuse Myths and Truths Myth You can accurately date a bruise based on its color 1 Truth As a bruise heals it may

More information

PRODUCT INFORMATION ELEUPHRAT CREAM, OINTMENT AND LOTION. Betamethasone dipropionate equivalent to betamethasone 0.5 mg/g (0.

PRODUCT INFORMATION ELEUPHRAT CREAM, OINTMENT AND LOTION. Betamethasone dipropionate equivalent to betamethasone 0.5 mg/g (0. PRODUCT INFORMATION ELEUPHRAT CREAM, OINTMENT AND LOTION NAME OF THE MEDICINE Betamethasone dipropionate equivalent to betamethasone 0.5 mg/g (0.05% w/w) Chemical Structure: Betamethasone dipropionate

More information

Common Skin Diseases. MdAhadAli Khan Department of Pharmacy SUB

Common Skin Diseases. MdAhadAli Khan Department of Pharmacy SUB Common Skin Diseases MdAhadAli Khan Department of Pharmacy SUB Intact: Skin is unbroken Contusion: Injury in which skin is unbroken Excoriation: Removal of an area of the skin Abrasion: Spot rubbed bare

More information

ATOPIC DERMATITIS IN CHILDREN. Simple choice questions

ATOPIC DERMATITIS IN CHILDREN. Simple choice questions ATOPIC DERMATITIS IN CHILDREN Simple choice questions 1. Which is the principal cause of atopic dermatitisdevelopment in little age children? A. Psychoemotional factors. B. Habitual antigens. C. Food allergy.

More information

If looking for a book Psoriasis Cure: Treatments, Natural Remedies and Best Home Managements (Skin Disease, Skin Problems, Skin Diseases and

If looking for a book Psoriasis Cure: Treatments, Natural Remedies and Best Home Managements (Skin Disease, Skin Problems, Skin Diseases and Psoriasis Cure: Treatments, Natural Remedies And Best Home Managements (Skin Disease, Skin Problems, Skin Diseases And Disorders Book 1) By Jeff Kennedy READ ONLINE If looking for a book Psoriasis Cure:

More information

Common Skin Diseases. Md Ahad Ali Khan Department of Pharmacy SUB

Common Skin Diseases. Md Ahad Ali Khan Department of Pharmacy SUB Common Skin Diseases Md Ahad Ali Khan Department of Pharmacy SUB Intact: Skin is unbroken Contusion: Injury in which skin is unbroken Excoriation: Removal of an area of the skin Abrasion: Spot rubbed bare

More information

Contact Dermatitis Challenges for the General Dermatologist. Susan Nedorost, MD

Contact Dermatitis Challenges for the General Dermatologist. Susan Nedorost, MD Contact Dermatitis Challenges for the General Dermatologist Susan Nedorost, MD Contact Dermatitis: Challenges for the General Dermatologist Disclosure Statement I, Susan Nedorost, MD, do not have any relevant

More information

1. Erythema. 2. Edema/papulation. 3. Excoriation 4. Lichenification

1. Erythema. 2. Edema/papulation. 3. Excoriation 4. Lichenification How to Use EASI The EASI scoring system uses a defined process to grade the severity of the signs of eczema and the extent affected: 1. Select a body region Four body regions are considered separately:

More information

Managing and Minimizing Flare-ups in Atopic Dermatitis

Managing and Minimizing Flare-ups in Atopic Dermatitis Managing and Minimizing Flare-ups in Atopic Dermatitis Importance of the skin barrier & how commonly used drugs are impacting it Dr. Benjamin Barankin, MD FRCPC Medical Director & Founder of Toronto Dermatology

More information

Angioedema. Dermatographism. Fernando Vega, M.D. 1. Fernando Vega, M.D. Seattle Healing Arts

Angioedema. Dermatographism. Fernando Vega, M.D. 1. Fernando Vega, M.D. Seattle Healing Arts Common Dermatological Dilemmas Itchy Wheals Fernando Vega, M.D. Seattle Healing Arts Itchy Wheals When is it Urticaria? When is it angioedema? When is it allergic? When is it non-allergic? Wheals, superficial

More information

العقيدي الجرب = scabies Nodular

العقيدي الجرب = scabies Nodular 1 / 9 SCABIES Epidemiology Scabies is a human skin infestation caused by the penetration of the obligate human parasitic mite Sarcoptes scabiei var. hominis into the epidermis. The scabies mite is an arthropod

More information

Eczema. Most kids get itchy rashes at one time or another. But eczema can be a nuisance that may prompt scratching that makes the problem worse.

Eczema. Most kids get itchy rashes at one time or another. But eczema can be a nuisance that may prompt scratching that makes the problem worse. KidsHealth.org The most-visited site devoted to children's health and development Eczema Most kids get itchy rashes at one time or another. But eczema can be a nuisance that may prompt scratching that

More information

An Approach to Common and not so Common Rashes in the Office FMF 2014 Christie Freeman MD, CCFP, DipPDerm, MSc

An Approach to Common and not so Common Rashes in the Office FMF 2014 Christie Freeman MD, CCFP, DipPDerm, MSc An Approach to Common and not so Common Rashes in the Office FMF 2014 Christie Freeman MD, CCFP, DipPDerm, MSc 1 Common Rashes Tinea Corporis: Annular- this is not the only criteria Advancing erythematous

More information

Novan Announces Promising Clinical Results with SB414

Novan Announces Promising Clinical Results with SB414 Novan Announces Promising Clinical Results with SB414 In the recently completed Phase 1b trial for atopic dermatitis, clinical efficacy measures were highly correlated with critical and disease-relevant

More information

Psoriasis: Causes, Symptoms, And Treatment

Psoriasis: Causes, Symptoms, And Treatment Psoriasis: Causes, Symptoms, And Treatment We all know that a healthy immune system is good. But, do you know that an overactive immune system can cause certain conditions like Psoriasis? Read on to find

More information

Atopic dermatitis Usually starts t in early infancy Xerosis (dry skin) Pruritus Eczematous lesions

Atopic dermatitis Usually starts t in early infancy Xerosis (dry skin) Pruritus Eczematous lesions An Update on Eczema & Common Skin Infections in Children Nelly Rubeiz, MD Dept. of Dermatology American University of Beirut Atopic dermatitis Usually starts t in early infancy Xerosis (dry skin) Pruritus

More information

50 microgram/g Calcipotriol and 500 microgram/g betamethasone (as dipropionate).

50 microgram/g Calcipotriol and 500 microgram/g betamethasone (as dipropionate). DUPISOR Composition Gel 50 microgram/g Calcipotriol and 500 microgram/g betamethasone (as dipropionate). Action Calcipotriol is a non-steroidal antipsoriatic agent, derived from vitamin D. Calcipotriol

More information

Learning Objectives. History 8/1/2016. An Approach to Pediatric Rashes

Learning Objectives. History 8/1/2016. An Approach to Pediatric Rashes An Approach to Pediatric Rashes Neethi Patel, D.O. Learning Objectives 1.To identify common features of rashes seen in the pediatric population as well as pathognomonic features of certain pathologies

More information

Nasolacrimal Duct Blockage

Nasolacrimal Duct Blockage The eyelids play a key role in protecting the eyes. They help spread moisture (tears) over the surface of the eyes when they close (for example, while blinking); thus, they help prevent the eyes from becoming

More information