Eczema

Eczema: what is it? Inflammation of the epidermis ,[object Object],[object Object],[object Object],[object Object],[object Object]

What does it look like? ,[object Object],[object Object],[object Object],[object Object]

Secondary changes: infection ,[object Object],[object Object],[object Object]

Other secondary changes ,[object Object]

Lichenification ,[object Object]

Atopic Eczema: what is actually going on? ,[object Object],[object Object],[object Object],[object Object]

Dryness indicates loss of the normal waterproofing of the skin

Eczema: loss of waterproofing of the skin

Atopic Eczema ,[object Object],[object Object]

Atopic Eczema ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

The treatment of eczema ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Treatment of atopic eczema in childhood ,[object Object],[object Object],[object Object],[object Object],[object Object]

Dry skin in eczema ,[object Object],[object Object],[object Object],[object Object],[object Object]

Keypoint 1 ,[object Object],[object Object]

Emollients ,[object Object],[object Object],[object Object],[object Object]

Emollients ,[object Object],[object Object],[object Object]

Emollients ,[object Object],[object Object],[object Object],[object Object],[object Object]

Wet wraps/ Comfifast Suits ,[object Object],[object Object],[object Object],[object Object],[object Object]

Topical steroids ,[object Object],[object Object]

Topical steroids ,[object Object],[object Object],[object Object]

Advise the steroid ladder ,[object Object],[object Object],[object Object],[object Object],[object Object]

Amount of steroid to apply (in Finger Tip Units) by body site and age 5 3.5 4.5 2.5 2 6 to 10 y 3.5 3 3 2 1.5 3 to 5 y 3 2 2 1.5 1.5 1 to 2 y 1.5 1 1.5 1 1 3 to 6 m Post trunk Ant trunk Leg and foot Arm and hand Face and neck Age

Amount of steroid to prescribe per week (grams) by skin involved and age 60 90 170 Adult 55 85 135 16 y 45 65 120 12 y 35 50 90 8 y 20 35 60 4 y 15 20 45 1 y 15 20 35 6/12 Trunk Arms and legs Whole body Age

Infection ,[object Object],[object Object],[object Object],[object Object],[object Object]

When the infection has been treated ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Infected eczema ,[object Object],[object Object]

Eczema Herpeticum ,[object Object],[object Object],[object Object]

Referral ,[object Object],[object Object],[object Object]

Referral ,[object Object],[object Object]

Other interventions ,[object Object],[object Object],[object Object]

Atopic eczema in childhood: occupational advice ,[object Object],[object Object],[object Object]

Particular problems in general practice

Less than ideal prescribing of emollients: quantity ,[object Object],[object Object],[object Object],[object Object]

The prescription of aqueous cream for mod to severe eczema ,[object Object],[object Object]

Type of emollient is important ,[object Object],[object Object],[object Object],[object Object],[object Object]

Choice of emollient ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Alternative emollients ,[object Object],[object Object],[object Object],[object Object],[object Object]

Not enough Tubifast prescribed ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Inappropriate prescription of topical steroids ,[object Object],[object Object],[object Object],[object Object],[object Object]

Mild steroid induced “perioral dermatitis” ,[object Object],[object Object],[object Object]

Eczema

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Eczema