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3 eczema
3 eczema
3 eczema
3 eczema
3 eczema
3 eczema
3 eczema
3 eczema
3 eczema
3 eczema
3 eczema
3 eczema
3 eczema
3 eczema
3 eczema
3 eczema
3 eczema
3 eczema
3 eczema
3 eczema
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Transcript

  • 1. INTERNAL MEDICINE
  • 2. Eczema
    Def:
    The meaning of the word “eczema” can cause confusion. Many people use this word to refer to a common skin condition called atopic dermatitis. When this is the meaning, the words “eczema/atopic dermatitis” may be used. The word “eczema” also has a more general meaning. Eczema can mean a family of skin conditions that causes the skin to become swollen, irritated, and itchy.
  • 3. Eczema
    Clinical classification:
    Acute eczema
    Sub-acute eczema
    Chronic eczema
  • 4. Eczema
    Causes:
    The exact cause of eczema is unknown, but it's thought to be linked to an overactive response by the body's immune system to unknown triggers.
    In addition, eczema is commonly found in families with a history of other allergies or asthma.
    Some people may suffer "flare-ups" of the itchy rash in response to certain substances or conditions. For some, coming into contact with rough or coarse materials may cause the skin to become itchy.
  • 5. Eczema
    Causes:
    For others, feeling too hot or too cold, exposure to certain household products like soap or detergent, or coming into contact with animal dander may cause an outbreak. Upper respiratory infections or colds may also be triggers. Stress may cause the condition to worsen.
    Although there is no cure, most people can effectively manage their disease with medical treatment and by avoiding irritants. The condition is not contagious and can't be spread from person to person.
  • 6. Eczema
    Pathogenesis:
    In the acute stage oedema of the epidermis progresses to intra-epidermal vesicles.
    In chronic stage more thickening of epidermis is accompanied by a variable degree of vasodilatation and T-helper lymphocytic infiltration in the upper dermis.
  • 7. Eczema
    Clinical feature:
    Itchy rash
    Vesicles or bullae may appear in the acute stage if inflammation is intense
    In subacute eczema the skin may be erythematous, dry and flaky, odematousanddcustered.
    Chronic persistent eczema by thickened.
  • 8. Eczema
    Investigation:
    Patch tests
    IgE antibody test
    Prick tests
    Swab for C/S
  • 9. Eczema
    Management:
    A)General measures for all types of eczema
    Explanation, reassurance and encouragement
    Avoidance of contact with irritants
    Use of tropical steroids -1% hydrocortisone applied twice daily
  • 10. Eczema
    Management:
    B)Specifics measures
    Irritant contact eczema- use of barrier cream and protective clothing
    Allergic contact eczema- avoidance of the culprit allergens
    C)Atopic eczema-
    -avoidance of allergens
    -regular use of emollients
    Systemic antibiotics
  • 11. Eczema
    Management:
    D)Seborrhoeic eczema- local antiseptic, steroid and antifungal steroid
    E)Gravitional eczema- local steroids, elimination of edema by graded compression bandage.

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