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ECZEMA

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Buttock area was spared because of wrapped with diaper and unable to scratch. ... Chronic scratching, skin becomes thickening and scaly. ... – PowerPoint PPT presentation

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Title: ECZEMA


1
ECZEMA
2
What is Eczema?
  • Long lasting, and recurring Skin condition
  • Itching, scratching, drying skin,
  • Red, scales, excoriated. Sometime may blistering
    and weeping.

3
  • Eczema happen in all ages. Almost always begins
    in childhood, usually during infancy.
  • May fade in childhood, or continue to life long.
  • Affect men and women and all races equally.

4
Eczema is not contagious.It is genetically
determined.It is an excessive reaction by the
immune system.
5
Common places for infants
6
Cheeks, and ears, dry, red and cracks.
7
Cheeks red and dry
8
  • Sometime eczema may associate with hayfever, and
    asthma.

9
Common places for children
  • Backs of knees, and ankles.

10
Common places for children insides of elbows.
  • elbows

11
  • Buttock area was spared because of wrapped with
    diaper and unable to scratch.

12
Side effects from chronic use of cortisone
13
Chronic scratching, skin becomes thickening and
scaly.
14
  • Chronic scratching induced white scar
    areas.(hypopigmentation)

15
  • Palm with small blistering lesions.

16
  • Ears are another common places to be affected.

17
Sometimes with round red dry scaly lesions.
18
Around lips, dry and chappedespecially on kids
who like to lick
  • Another common condition.

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  • Both arms red, dry and scaly.

22
Pityriasis alba
  • Eczema appears with dry white spots on face.
  • Not ringworm.
  • White spots will disappear after regular
    moisturizing.

23
  • There is no cure for eczema, but with proper
    care, eczema can be under good control.

24
Triggering or worsening factors
  • Dry skin
  • Irritants (rubbing, fumes, chemicals)
  • Allergens (pollen, dust mites, animal dander, or
    molds.)
  • Emotional stress
  • Heat and sweating
  • infection

25
Home care
  • Gentle cleansing
  • Avoid harsh soap, use products with perfume-free,
    and dye-free
  • Good moisturizer
  • Enough Fluid intake,
  • Nutrition, balanced
  • Emotion, stable

26
Products such as
  • Non soap cleansing---dove, cetaphil, oil of oly,
    aveeno.
  • Moisturizer---- cetaphil cream, eucerin (plus)
    cream, DML cream, petroleum jelly, aquaphor
    ointment
  • Clothingcotton material, soft
  • Laundry---cheer, all, dawny

27
What you can do?
  • Pay attention to possible food or environmental
    allergies, or irritants. May refer for allergy
    clinic for evaluation.
  • Good skin care and moisturizing is the key.

28
Pay attention to aggravating factors
  • Eg. Environment, food, clothing, products.
  • Stop all the irritant right away
  • Call your doctor to evaluate

29
Use of medication
  • over the counter, such as
  • Aveeno anti-itch cream, Eucerin
  • Aveeno oat meal bath
  • All the products needed to be tested before
    apply to a larger area.

30
steroid
  • Usage anti-inflammation
  • Benefit decrease itch, and redness
  • Side effects atrophy, discoloration, and
    thinning skin. And rebound.
  • Examples over the counter hydrocortisone 1,
    0.5
  • Prescriptions needed for stronger strength.
  • Use as needed only, max 2 weeks in a raw.

31
antihistamine
  • Use decrease itch
  • Benefits decrease itch
  • Side effects drowsiness, sleepy, drugy, dry
    mouth. Such as benadray, atarax
  • May try non drowsy ones, such as claritin
    (Loratadine), or allegra

32
Eczema resources
  • www.nationaleczema.org
  • www.aaa.org (american academy of dermatology)
  • www.livingwithitch.org
  • www.fda.gov (food and drug administration)
  • www.cdc.gov (centers for disease and control and
    prevention)

33
Question?

34
  • Thank you
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