Podcast
Questions and Answers
What topical therapy is not mentioned in the content for atopic dermatitis?
What topical therapy is not mentioned in the content for atopic dermatitis?
What would you recommend for IG, a 24-year-old female with a past medical history of asthma and seasonal allergies, who has dry, itchy skin on the back of her knees?
What would you recommend for IG, a 24-year-old female with a past medical history of asthma and seasonal allergies, who has dry, itchy skin on the back of her knees?
What would be a good alternative to corticosteroids for IG?
What would be a good alternative to corticosteroids for IG?
How long would a 60-gram tube of cream last if applied BID, covering an area of ~2 hand-prints behind each knee?
How long would a 60-gram tube of cream last if applied BID, covering an area of ~2 hand-prints behind each knee?
Signup and view all the answers
What is NOT a systemic therapy option for atopic dermatitis?
What is NOT a systemic therapy option for atopic dermatitis?
Signup and view all the answers
What would you recommend if IG had a past medical history of HIV?
What would you recommend if IG had a past medical history of HIV?
Signup and view all the answers
What could be added to help IG sleep at night?
What could be added to help IG sleep at night?
Signup and view all the answers
What is an alternative to topical corticosteroids?
What is an alternative to topical corticosteroids?
Signup and view all the answers
What would you recommend for IG if she preferred a non-steroid option?
What would you recommend for IG if she preferred a non-steroid option?
Signup and view all the answers
What is NOT a comprehensive treatment option for atopic dermatitis?
What is NOT a comprehensive treatment option for atopic dermatitis?
Signup and view all the answers
Study Notes
Atopic Dermatitis (AD) Treatment
- Appropriate care candidate: Yes, if < 2 years old, involvement of large area of body (>5% BSA), and presence of triggers
- Effective therapy: Eliminate triggers, skin hydration, and appropriate pharmacotherapy
Goals of Treatment
- Relieve itch and rash
- Prevent flare-ups
- Improve quality of life
Non-Pharmacologic Interventions
- Avoid triggers (e.g., clothing, detergents, fabric softeners)
- Bathe with non-soap cleansers, lukewarm water, and apply moisturizer immediately after
- Wear cotton clothing, use mild detergent, and avoid alcohol-containing products
- Keep fingernails short and avoid scratching
Emollients and Moisturizers
- Lotions, creams, and ointments containing water, mineral oil, petrolatum, lanolin, or ceramide
- Apply topically, TID-QID, maybe more often if on hands
- Maximize hydration by applying immediately after bathing while skin is still damp
Topical Corticosteroids
- Hydrocortisone: suppresses cytokines associated with inflammation and itchiness
- Strengths available OTC: 0.5% and 1%
- Administration: Apply sparingly to affected area, BID (up to 4 times daily), for 7 days (self-care use)
- Local side effects are uncommon due to low potency
Systemic Therapy
- Apremilast (Otezla): limited role for AD
- Systemic corticosteroids, cyclosporine, interferon, azathioprine, methotrexate, mycophenolate mofetil, and nemolizumab
Case Study
- IG, a 24-year-old female with AD, asthma, and seasonal allergies
- Recommended OTC: Urea topical lotion
- Recommended Rx: Aclometasone ointment or Crisaborole ointment
- How to apply: Apply topically, BID, to affected area
- Treatment expectations: Relieve itch and rash, improve quality of life
- Key counseling points: Avoid triggers, use moisturizer, and avoid scratching
Fingertip Method
- Use to determine the days' supply of a prescription for a cream or an ointment
- Example: If the affected area is ~2 hand-prints behind each knee, and applied BID, a 60-gram tube will last approximately 10-14 days
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Related Documents
Description
This quiz assesses knowledge on the appropriate care and management of burn patients, including the involvement of large areas of the body and effective therapy. It covers the classification of burns, treatment options, and more.
