Term
What can be used to treat Tinea infections? |
|
Definition
gentian violet (used before modern topical antifungals) hygeine topical antifungals (clotrimazole, miconazole, terbenafine, tolnaftate) |
|
|
Term
Brand: Lotrimin AF
generic/indication |
|
Definition
clotrimazole tinea infection |
|
|
Term
brand: micatin
generic/indication |
|
Definition
miconazole tinea infection |
|
|
Term
brand: lamisil
generic/indication |
|
Definition
terbenafine tinea infections |
|
|
Term
brand: tinactin
generic/indication |
|
Definition
tolnaftate tinea infections |
|
|
Term
how long/frequnecy should topical antifungals be used? |
|
Definition
apply at least BID for 2-4 weeks |
|
|
Term
What are tinea infections? |
|
Definition
foot fungi/jock itch (associated with moist footwear) |
|
|
Term
What is seborrhic dermatitis? |
|
Definition
-fungal like condition -around the hairline, scalp, nose, neck, ears, back -itching involved -erythema with greasy yellow scaling -scaly areas -increased sebaceous gland activity |
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|
Term
How can babies get seborrhic dermatitis? |
|
Definition
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|
Term
How do you treat seborrhic dermatitis in infants from cradle cap? |
|
Definition
Baby oil to soften baby shampoo no drug treatment usually required can use a comb to get rid of the scales |
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|
Term
What are treatment options with seborrhic dermatitis? |
|
Definition
medication shampoo topical corticosteroids |
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|
Term
examples of medicated shampoos used for seborrhic dermatitis |
|
Definition
coal tar, pyrithione zinc, sulfur, selenium, salicylic acid, ketoconazole (keratolytics and cytostatic agents) |
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|
Term
Can you use medicated shampoos for seborrhic dermatitis on the face? |
|
Definition
yes, but these will sting the eyes more than regular shampoos. |
|
|
Term
How often/where should medicated shampoos for seborrhic dermatitis be used? |
|
Definition
2-3 times per week on scalp and hair line (also face if needed)
use OTC first then Rx if needed (Rx is 2xs stronger than OTC for ketoconzole/selenium) |
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|
Term
What is the purpose of the medicated shampoo for seborrhic dermatitis? |
|
Definition
removes scales reduces cell turnover |
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|
Term
What strength of topical corticosteroids should be used for seborrhic dermatitis and what is the purpose? How often should they be used? |
|
Definition
low strength. it will reduce inflammation and itching ideal for lesions on face and ears Use BID then PRN not used for a chronic basis on the face |
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|
Term
Who is at risk for topical fungal infections? |
|
Definition
infants elderly immunosuppressed incontinent; increase frequency of BM obese warm and humid climates |
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|
Term
What are the treatment options for diaper rashes? |
|
Definition
remove irritant (aka freq diaper changes) air dry keep clean (mild soap and water) antifungal agents apply protectants |
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|
Term
Examples of protectants for diaper rashes |
|
Definition
zinc oxide destin aveeno A&D ointment butt paste (can be applied over anti-fungal if needed) |
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|
Term
How long should be the treatment for fungi? |
|
Definition
treatment often 4 weeks or longer (slow to grow, slow to go) |
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|
Term
What do pharmacist have to know when managing dermatologic patients? |
|
Definition
knowledge of ... vechiles and bases, commonly used terminology, drug-induced skin conditions
Be able to ID common dermatologic lesions and rashes
know advantages and disadvantages of dermatologic products
advise pts on the the proper use of dermatolgoic products |
|
|
Term
When should refer to a MD? |
|
Definition
multiple or extensive burns human or animal bites multiple or extensive cuts, bruises, or abrasions rahs that is extensive, weeping, or infected tumors or growths yellow skin deep infection (cellulitis) large blisters of unknown origin |
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|
Term
What are the basic vehicles for derm products? |
|
Definition
ointment cream lotion gel solution/spray |
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|
Term
|
Definition
semisolid preparations intended for external application to skin and mucous membranes
there are four classes |
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|
Term
Which vehicle is best for delivering a drug? |
|
Definition
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|
Term
What are the four classes of ointments? |
|
Definition
hydrocarbon absorption water-removable water-soluble |
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|
Term
|
Definition
ointment bases of the water-removable class
consisting of oil-in-water emulsions or aqueous microcrystalline dispersion of long fatty acids or alcohols |
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|
Term
Why is a cream better than an ointment? |
|
Definition
water washable and more cosmetically and aesthetically acceptable than ointments |
|
|
Term
|
Definition
A watered-down cream they feel less greasy and easier to apply. |
|
|
Term
|
Definition
Used if want to dry out the area. semisolid systems consisting of either suspensions made up of small inorganic particles or large organic molecules interpenetrated by a liquid. |
|
|
Term
|
Definition
softens the skin soothes irriation in skin or mucous membranes |
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|
Term
What is a protective? (give an example) |
|
Definition
protects injured or exposed skin surfaces from harmful or annoying stimuli (zinc oxide, sunscreen, diaper ointment, A&D ointment) |
|
|
Term
|
Definition
promotes retention of water in the skin and forms a hydrophobic barrier that prevents moisture in the skin from evaporating |
|
|
Term
|
Definition
causes water to be retained bc of its hygroscopic properties. (when added to ointment it helps the water to be maintain) |
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|
Term
What are the properties of ointment? |
|
Definition
emollient protective occulsive humectant |
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|
Term
What are the uses of ointments? |
|
Definition
protect skin or mucous membrane permit rejuvenation of the tissue provide hydration of the skin provide a vehicle for applying medication |
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|
Term
examples of drugs for ointments |
|
Definition
antibiotics antifungals corticosteroids retinoids nitroglycerin analgesicsa |
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|
Term
The nature of the incorporated medication must have... |
|
Definition
bioavialiabity stability compatibility |
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|
Term
What is the advantage of an ointment? |
|
Definition
hydrates removes scales greatest bioavailibity |
|
|
Term
what is the disadvantage of an ointment? |
|
Definition
greasy (hard to have compliance when used with hair) |
|
|
Term
What is the preferred area of use for an ointment? |
|
Definition
smooth skin with short or sparse hair |
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|
Term
What is the advantage of using a cream? |
|
Definition
good cosmetic appearance high patient acceptance |
|
|
Term
what is the disadvantage of using a cream? |
|
Definition
not as hydrating as ointments |
|
|
Term
What is the preferred area of use for creams? |
|
Definition
smooth or hair-bearing skin intertriginous areas (ie. groin, armpit) |
|
|
Term
What is the advantage of using a gel? |
|
Definition
non-greasy easy to apply to hairy areas high patient acceptance |
|
|
Term
What is the disadvantages of using a gel? |
|
Definition
|
|
Term
What is the preferred area of use for a gel/lotion/solution/foam? |
|
Definition
|
|
Term
How often should a lotion by applied? |
|
Definition
3-4 hours (has a lower bioavailibility) |
|
|
Term
What is the advantage of using a lotion/solution/spray? |
|
Definition
easy to apply to hairy areas, scalp, high patient acceptance |
|
|
Term
What is the disadvantage of using a lotion/solution/spray? |
|
Definition
drying lower bioavailability (therapeutic event is compromised) |
|
|
Term
What is the preferred area of use for lotion/solution/spray? |
|
Definition
intertriginois and hair-bearing skin, face |
|
|
Term
examples of oleaginous base |
|
Definition
white petrolatum vaseline plastibase |
|
|
Term
examples of absorption bases |
|
Definition
|
|
Term
Characteristics of an oleaginous base |
|
Definition
absorbs no water not water washable (soap is required) |
|
|
Term
characteristics of an absorption base |
|
Definition
can absorb several times its weight of water not water washable |
|
|
Term
examples of water-in-oil emulsion bases |
|
Definition
|
|
Term
characteristics of water-in-oil emulsion bases |
|
Definition
absorbs less water than absorption bases not water washable |
|
|
Term
examples of oil-in-water emulsion bases |
|
Definition
hydrophilic ointment dermabase hydrocerin unibase cetaphil lotion vanicream |
|
|
Term
characteristics of oil-in-water emulsion bases |
|
Definition
water washable add water = lotion |
|
|
Term
examples of water soluble base |
|
Definition
polyethylene glycol ointment |
|
|
Term
characteristics of water soluble base |
|
Definition
water washable minimal therapeutic effect used primary to deliver drugs |
|
|
Term
|
Definition
methylcellulose gel liqua-gel carbomer gel polxamer gel |
|
|
Term
|
Definition
water washable accepts water has a polymer associated with it |
|
|
Term
what are the two major types of skin lesions? |
|
Definition
|
|
Term
What are the primary lesions? |
|
Definition
flat, nonpalpable changes in skin color elevation formed from a fluid in a cavity elevated, palpable solid masses |
|
|
Term
What type of primary lesions are flat,nonpalpable changes in skin color |
|
Definition
|
|
Term
what types of skin lesions are elevation formed by a fluid in a cavity |
|
Definition
|
|
Term
what type of skin lesions are elevated, palpable solid masses |
|
Definition
papule plaque nodule tumor wheal |
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|
Term
What is the difference with a papule, vesicle, and pustule |
|
Definition
papule is raised vesicle is raised with fluid pustule is raised with pus |
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|
Term
What are the types of secondary lesions? |
|
Definition
material on skin surface loss of skin surface vascular lesions |
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|
Term
examples of drug induced disease |
|
Definition
|
|
Term
how do you treat drug rxns? |
|
Definition
1) stop the drug (until have been evaluated) 2) systemic antihistames 3) systemic or topical corticosteroids 4) soothing baths or soaks (helps locally) |
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|
Term
types of drug-induced skin disorders |
|
Definition
1) hypersensitivity/allergic rxn 2) photosensitivity (increase chance of development of a sunburn 3) toxic rxns 4) drug-induced disease |
|
|
Term
|
Definition
erythema multiforme stevens johnson syndrome (SJS) toxic epidermal necrolysis |
|
|
Term
how do you treat photosensitivity? |
|
Definition
1) prevention with suncreens/clothing 2) systemic analgesics (for pain - best used is NSAIDS or aspirin) 3) systemic antihistamines for itching 4) prevent infection 5) moisturizers 6) cooling creams and gels (initially bc after 1st day probably will not help) |
|
|
Term
what is toxic epidermal necrolysis? |
|
Definition
drug rxns and attacks mucous membrane areas, this leads to infections (they die of the infection not TEN) |
|
|
Term
What is the basic characteristics of Stevens Johnson syndrome? |
|
Definition
severe breakdown of the skin typically start with red large areas |
|
|
Term
drugs that are associated with SJS/TEN |
|
Definition
antibiotics: penicillins, fluoroquinolones, sulfonamides, cephalosporins
anticonvulsants allopurinal NSAIDS can occur with any drug |
|
|
Term
|
Definition
usually occurs within the first 1-4 weeks of treatment prodromal NVD, myalgias, sore throat, arthralgias (flu-like symptoms plus rash) involement of mucous membranes widespread blisters and lesions full thickness epidermal detachment (risk of infection occurs bc of this) |
|
|
Term
|
Definition
IV fluids/nutrition pain control eye care nasal saline oral hygiene and anesthetics topical antiseptics wound care STOP OFFENDING AGENT |
|
|
Term
common race associated with drug-induced lupus |
|
Definition
butterfly rash (on the face) |
|
|
Term
what drugs are associated with drug-induced lupus? |
|
Definition
phenytoin hydralazine isoniazid procainamide |
|
|
Term
true or false: lupus will generally go away when remove drug |
|
Definition
|
|
Term
what are some of the drugs associated with drug induced acne? |
|
Definition
BC, testosterone, corticosteroids, (increased androgen in the system) |
|
|
Term
example questions to ask a patient to evaluate them |
|
Definition
anything new? ie food, soap painful? where is it? how long? have you had it before? where do you work? when did it start? is it getting worse? is it local/systemic? |
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|
Term
what can you treat acne with? |
|
Definition
topical and systemic antibiotics topical and systemic comedolytics |
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|
Term
true or false: pharmacist should recommend a dermatologist for all forms of acne |
|
Definition
false: refer all but those with mild forms |
|
|
Term
|
Definition
|
|
Term
what do you treat for tinea pedis |
|
Definition
topical antifungals and use for a while (slow to grow, slow to go) |
|
|
Term
how is tinea pedis spread? |
|
Definition
pools/showers moist environments that promote growth dermatophyte infections |
|
|
Term
|
Definition
|
|
Term
how can you get tinea corporis |
|
Definition
commonly transmitted in day care hot/humid environments promote growth |
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|
Term
characteristics of tinea corporis |
|
Definition
located on body in areas where air flow is limited worms are not involved no itching small, circular, red scaly areas its a fungi |
|
|
Term
true or false: can use the same treatment for tinea corporis, tinea pedis, and candida infections |
|
Definition
true bc they are all fungal infections |
|
|
Term
what can you use to treat tinea corporis |
|
Definition
|
|
Term
what is topical candida infection? |
|
Definition
its fungal. common in moist areas in humid conditions. (where no air flow) |
|
|
Term
what can you treat candida with? |
|
Definition
topical antifungal dry the affected area |
|
|
Term
What is contact dermatitis? |
|
Definition
delayed hypersentivity rxn localized eruption in area exposed to irritant or allergen pruritis (aka itch) |
|
|
Term
How can you treat contact dermatitis? |
|
Definition
remove allergen topical corticosteroids oral antihistamines -use OTC if localized, Rx needed if systemic |
|
|
Term
|
Definition
its immune related disorder with red and silver plaque lesions |
|
|
Term
what can you use to treat psoriasis |
|
Definition
emollients topical corticosteroids and immunosupressants systemic immunosuppressants phototherapy |
|
|
Term
|
Definition
redness of the skin; adult acne |
|
|
Term
what can you use to treat rocacea |
|
Definition
avoid triggers (sun is usually one) topical and oral antibiotics topical retinoids laser treatment |
|
|
Term
what is atopic dermatitis |
|
Definition
eczema: common in pts with other allergies dry skins with raised patches/lesions |
|
|
Term
what can you use to treat atopic dermatitis? |
|
Definition
topical emollients topical corticosteroids oral antihistamines for itching
-if very localized can use OTC |
|
|
Term
|
Definition
infection in the skin (located near break in skin) red, warm, swollen |
|
|
Term
How do you treat cellulitis? |
|
Definition
oral antibiotics IV antibiotics in severe cases must see PCP |
|
|
Term
Which people are more likely to get cellulitis? |
|
Definition
obese diabetes compromised circulation |
|
|
Term
|
Definition
topical STAPH skin infection most common in children direct spread (from touching) |
|
|
Term
How do you treat impetigo? |
|
Definition
topical or oral antibiotics refer to PCP |
|
|
Term
|
Definition
permethrin 1% malathion (ovide) oral invermectin (strmectol) see PCP |
|
|
Term
characteristics of head lice |
|
Definition
chidlren 3-12 yo scalp redness and scaling pruritus (itch) |
|
|
Term
|
Definition
sarcoptes scabiei infestation raised lines caused by mites burrowing under skin exterme pruritus (itch) can be spread easily primarily in children and adolescents (LTCF) (not good hygiene) they have little lesions with itching |
|
|
Term
|
Definition
permethrin 5% crotamiton (Eurax Cream) oral ivermectin (stromectol) -treatment like head lice |
|
|
Term
|
Definition
shingles!!! viral infection among the nerve tract |
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|
Term
characteristics of herpes zoster |
|
Definition
adults > 40 yo triggered by stress, old age, immunosuprresion extreme pain along dermatome tender red papules - progress to scabs- usually one side of body can spread to small infants or pts with immunosuppressant therapy even after lesions the pain still among nerve tract |
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|
Term
treatment of herpes zoster |
|
Definition
antivirals - oral valacyclovir and famciclovir manage acute pain and posterpetic neuralgia today there is a vaccine can use lidoderm patches to protect and numb |
|
|
Term
|
Definition
basal cell carcinoma (most common) squamous cell carcinoma (sun-exposed) melanoma (most deadly)- dark lesion |
|
|
Term
|
Definition
removal of lesion chemotherapy radiation |
|
|
Term
what is activic carontosis |
|
Definition
|
|
Term
|
Definition
dry skin - fissures, itching, cracking |
|
|
Term
characteristics of xerosis |
|
Definition
-fall and winter - dryer climates, tanning, bath excessively, older -feet, lower legs -hands, elbows, face -rough, dry, scales, cracks -itching is common -wont bother until it starts flaking |
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|
Term
who is at risk for xerosis |
|
Definition
elderly frequent bathing very warm, dry enviroments -because of decreased sweat and sebaceous glands |
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|
Term
|
Definition
-emollients - first line for itching and restores barrier and skin function -agents for itching -alter bathing habits |
|
|
Term
|
Definition
-tub bath or shower no more than 3 times per week -tepid water (3-5 degrees above body temperature bc hot water water promotes dry skin) -bathe for 3-5 minutes -apply copious amounts of emollients within 3 minutes -apply emollients at least 3 times a week
-pat dry because irritate if rub |
|
|
Term
|
Definition
vaseline nivea keri lubriderm AmLactin eucerin |
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|
Term
|
Definition
|
|
Term
characteristics of acute dermatitis |
|
Definition
red patches or plaques pebbly surface or blisters (vesicles) itching is common |
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|
Term
how do can tell if its acute contact dermatitis |
|
Definition
look at pattern look at part of body involved main symptom is itching irritant- non-immunological response to frequent contact with everyday substances rxn in a few hrs more common than allergic -there are two types: allergic and irritant -if systematic then its NOT acute contact dermatitis |
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|
Term
characteristics of subacute dermatitis |
|
Definition
dry, less red, crusting, oozing, mild thickening. dry lesions |
|
|
Term
characteristics of chronic dermatitis |
|
Definition
-epidermal thickening -exaggeration skin markings aka lichenification -scaling -less itching (some itching occurs) -looks like leather bc of very prominent lines |
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|
Term
two ways to get poison ivy |
|
Definition
-direct- broken exposure; resin 2 weeks active -indirect - clothing, dog, smoke; does not spread from lesions -most common Acute Contact Dermatitis |
|
|
Term
how to prevent poison ivy |
|
Definition
ivy-block: it will be a barrier (protectant) and must reapply every 4 hrs -petrolatum can work as ivy-block -eliminate all sources of exposure -wash skin and nails within 10 mins (and clothing) -topical therapy is fine if <10% of BSA -1st want to dry the skin -remove source, soaks, calamine lotion (dries), topical and oral antihistamines and corticosteroids |
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|
Term
characteristics of poison ivy |
|
Definition
-dermatitis occurs 24 to 48 hrs after exposure -pruritis is intense: as a result can get 2ndary infections. use cool water to help |
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|
Term
general treatment principles |
|
Definition
if its wet, dry it if its dry, wet it |
|
|
Term
|
Definition
inflammatory/excitation of C-nerve fibers leads to scratching leads to itching and repeat |
|
|
Term
how to stop scratch itch cycle |
|
Definition
-keep finger nails short or wear gloves -keep in mind the patients lifestyle, so each pt is diff |
|
|
Term
treatment of acute dermatitis |
|
Definition
soaks topical corticosteroids water |
|
|
Term
types of soaks and how to use |
|
Definition
domeboro (5% aluminum acetate) - packets in cool water acetic acid: 60 mL vinegar in 1 qt warm water saline: 1 tsp salt in 2 cups of water
apply linen or cheesecloth for 30 mins bid-qid remove when dry |
|
|
Term
|
Definition
for oozing, weeping, crusting lesions wet dressings useful for drying acutely inflammed, wet areas |
|
|
Term
choice of agent based upon... |
|
Definition
location of lesion type of lesion severity of lesion/degree of inflammation degree of skin penetration desired |
|
|
Term
side effects of topical corticosteroids |
|
Definition
-thinning of skin -dilated blood vessels -bruising -skin color changes -risk of HPA (hypo potency agents) suppression with long-term use of high-potency agents =development of tolerance (tachyphylaxis) aka effects wear off |
|
|
Term
how are topical corticosteroids classified |
|
Definition
high mid low now days using grades I (most potent) to VII (least potent)
potency relates to anti-inflammatory activity and vasocontrictive potency |
|
|
Term
absorption of topical corticosteroids how to improve |
|
Definition
-only 1% is absorbed when applied to NORMAL INTACT skin -if skin is BROKEN down then more is absorbed -to improve use: plastic wrap + t-shirt/bandage because increases penetration -leave on for 6 hrs (8 at most) |
|
|
Term
freq and duration of topical corticosteroids |
|
Definition
bid to qid for 3 to 14 days
choice of vehicle depends on type of dermatitis |
|
|
Term
purpose of corticosteroids |
|
Definition
anti-inflammatory anti-pruitic suppress immune response |
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|
Term
low potency topical corticosteroids examples, uses |
|
Definition
-grade 5-7 -examples: hydrocortisone; hytone; cortaid; desonide; actovate -use on face, groin, genitals, axilla -mild anti-inflammatory effect -safest for long-term use -may not be strong enough to get rid of condition |
|
|
Term
mid-potency topical corticosteroids examples and uses |
|
Definition
-grades 3-5 -examples: valisone, diprosone, kenalog, cordran -used on most skin surfaces -moderate anti-inflammatory effect -safer for longer usage than high potency |
|
|
Term
high/very high topical corticosteroids examples and uses |
|
Definition
-grades 1-2 -examples: lidex, ultravate, topicort, psorcon, temovate -NEVER use on face or intratrigenous areas -used for very severe lesions and on thicken skin when maximum penetration is needed (aka psoriasis) avoid using super-potent agents for >2 weeks -limit to no more than 50 grams a week |
|
|
Term
What are topical calcineurin inhibitors? |
|
Definition
MOA: blocks pro-inflammatory cytokine genes can be used in any area like a mid-potency no risk of atrophy few side effect very costly now considered a 2nd line treatment intermittent use only risk of problems when used for a long time risk of resp infect in <2 yo |
|
|
Term
True or False: dose pack should be avoided when administrating systemic corticosteroids |
|
Definition
TRUE because the treatment is not long enough |
|
|
Term
What is the dose/frequency/duration used for system corticosteroids |
|
Definition
start at predinisone 40-60 mg per day; taper every 3 days. use for 10-14 days |
|
|
Term
What can be used to treat systemically for acute dermatitis? |
|
Definition
corticosteroids non-sedating antihistamines sedating antihistamines |
|
|
Term
examples of non-sedating antihistamines |
|
Definition
loratadine (Clartin) desioratadine (clarinex) fexofenadine (allergra)
*these will not help with severe itching* |
|
|
Term
examples of sedating antihistamines |
|
Definition
diphenydramine (benadryl) certizine (zrytec) hydroxyzine (atarax) doxepin
*especially useful at night* |
|
|
Term
what is the allergic traid |
|
Definition
asthma, allergic rhinitis, eczema
people with eczema will 2/3 will have asthma or allergic rhinitis. |
|
|
Term
examples of triggers of atopic dermatitis |
|
Definition
allergens chemicals bathing detergents smoke dust infections |
|
|
Term
common locations of atopic dermatitis (subacute) |
|
Definition
folds of elbows and knees face commonly involved in children adults have more widespread involvement |
|
|
Term
characteristics of subacute dermatitis |
|
Definition
-red scaling, fissured, patches, or plaques -slight to moderate pruritis, pain, stinging, or burning |
|
|
Term
characteristics of atopic dermatitis |
|
Definition
pruritis red papules or plaques scaling excoriations (when get worse) overall dryness of skin redness and inflammation located on face and folds |
|
|
Term
another name for atopic dermatitis |
|
Definition
|
|
Term
how to treat atopic dermatitis |
|
Definition
-emollients + education -topical corticosteroid -topical calcineruin inhibitor -antihistamines at bedtime -use systemic when topical fails -avoid chronic treatment if possbile -cont. to use emollients even after corticosteroid is gone |
|
|
Term
want to avoid scratching with atopic dermatitis because... |
|
Definition
-prone to infections -usually staph aureus -treatment with antibiotics |
|
|
Term
treatment of stasis dermatitis |
|
Definition
topical corticosteroids: for itching emollients: for all pts oral antihistamines oral antibiotics for local infections -use cephalexin 250 mg - 500 mg TID -bandage any weeping lesions until healed |
|
|
Term
|
Definition
elevate feet and legs support stockings compression bandages |
|
|
Term
treatment of chronic dermatitis |
|
Definition
same as subacute use emollients daily or more avoid long-term corticosteroids UV light |
|
|
Term
characteristics of chronic dermatitis |
|
Definition
well demarcated, lichenified, thickened plaques excoriations, fissures, scaling itching predominates (minor irritations or trauma worsens itching) |
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Term
characteristics of stasis dermatitis |
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Definition
patients > 50 yo poor circulation most common around ankles and uplegs aching, swelling, discomfort discoloration can occur red, scaly, crusted plaques swelling edema 2ndary infection and ulcers common hyperpigmentation - retention of Fe++ in skin because circulation is compromised and capillaries leaks releasing iron deposit |
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Term
Types of 2ndary lesions that have a loss of skin surface |
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Definition
excoriation, fissure, ulcer, erosion |
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Term
type of 2ndary skin lesion that have material on skin surface |
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Definition
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Term
type of 2ndary skin lesion that are vascular |
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Definition
petechias, ecctymiosis, cherry angioma, telangiectasia |
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