Location Signs 2 months Chest face Red raised vesicles dry skin oozing 2 years

Location signs 2 months chest face red raised

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Location Signs 2 months Chest, face Red, raised vesicles; dry skin; oozing 2 years Scalp, neck and extensor surface of extremities Less acute lesions; edema; erythema 2 – 4 years Neck, wrist, elbow, knee Dry, thickened plaques; hyperpigmentation 12 – 20 years Flexors, hands Dry, thickened plaques; hyperpigmentation Diagnosis of AD Itchy skin condition + 3 or more of the following: Onset at <2 yo History of skin crease involvement Cheeks, neck, eyes, ankles Personal history of other atopic disease History of generally dry skin Visible flexural dermatitis Elbows Behind knees
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9/30/2016 5 Atopic Dermatitis Pathophysiology Intense itch-scratch cycle 3 types of skin lesions Acute: pruritic, erythematous papules and vesicles Subacute: thick, pale, scaly, excoriated plaques Chronic: thickened plaques, accentuated skin markings and fibrotic papules Exacerbating Factors Soaps Detergents Chemicals Temperature changes Dust Pollen Foods Emotional changes Complications Secondary Cutaneous infections Staphylococcus aureus Streptococci Seek Medical Attention if Pustules Vesicles Crusting Herpes Simples Atopic Dermatitis Treatment Goals of Therapy 1. Maintain skin hydration 2. Relieve or minimize symptoms of itching and weeping 3. Avoid or minimize factors that trigger or aggravate the disorder Generalized AD Treatment Approach Skin hydration Trigger avoidance As with allergy management Inflammatory relief Antipruritic relief Weeping vesicles relief AD Treatment – Skin Hydration Acute/Subacute AD Bathe every other day Bathe 3-5 minutes Pat dry after bathing Soap choice Apply moisturizers within 3 minutes Control Weeping Chronic AD Same as Acute/Subacute AD Ointments preferred for long term control
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9/30/2016 6 Inflammatory Relief Topical Corticosteroids Hydrocortisone 0.5-1% MOA Likely suppresses cytokines associated with inflammation and itching How to apply Sparingly to affected
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  • Fall '15
  • Cutaneous conditions, dry skin, Local anesthetic, Atopic dermatitis

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