Rx Note

Introduction Atopic dermatitis (eczema) is a chronic, pruritic, inflammatory skin disease that occurs most frequently in children but also affects many adults. The lifetime prevalence of atopic eczema is 20%; begins in 90% between 3 months and 5 years of age. It persists into adult life in at least one quarter of cases. Clinical features of atopic dermatitis include Skin dryness Erythema Oozing and crusting Lichenification Affected individuals often have a family history of asthma , hay fever and/or type 1 food allergy (anaphylactoid reactions). Management Identify and, if possible, avoid possible triggers including Irritants, e.g. abrasive clothing, soaps/detergents (including bubble bath), raised temperatures, sweating, heavily chlorinated pools or spas Allergens, e.g. preservatives, fragrances, lanolin, nickel, aeroallergens (e.g. house dust mites, animal dander), foods (only avoid if confirmed by testing) The goals of treatment are to reduce symptoms (pruritus and dermatitis ),...

Introduction Dermatitis is characterized by sore, red, itching skin. In primary care, the two most common forms of dermatitis are irritant and allergic dermatitis . NOTE: Weaker allergens may require multiple exposures over several years to trigger an allergy. Management Most cases of mild-to-moderate atopic eczema , irritant and allergic dermatitis should respond to skin care and treatment with OTC products. Emollients are the key to managing eczema. These preparations should be thought of as indefinite treatment and to be used as often as needed to keep the skin hydrated and moist. To avoid the drying effects of soap, a soap substitute should be used. Topical corticosteroids Patient should be instructed to use a fingertip unit . Topical corticosteroids should be applied liberally, not sparingly, to areas of inflamed skin until the skin is completely clear. Patients and parents should be reassured that the benefits outweigh the harms and they should not be afraid to use them. Antih...