How Well do you know Eczema Management? – Interactive Quiz

January 24, 2020

Image Source: DermNetNZ.org

Eczema Society of Canada – Guidance on Atopic Dermatitis

The Eczema Society of Canada has developed the Atopic Dermatitis:A Practical Guide to Management.  This is a highly practical document for primary care clinicians.  I thought I would check with a quick quiz to see how well you know AD Management.

All the current quizzes can be found at: CommPharm Quizzes

Check your Eczema Knowledge (16 True/False Questions)

1. Atopic dermatitis is a relapsing-remitting chronic disease with cyclical periods of relative remission and periods of flare

2. Patients with atopic dermatitis must continue applying the topical corticosteroid at least once daily to keep the condition under control.

3. If a patient has atopic dermatitis on the trunk or extremities, clinicians should start with a low-potency steroid.

4. Topical calcineurin inhibitors are considered second-line therapy for atopic dermatitis except they are commonly used for potentially sensitive areas to the adverse effects such as the eyelids.

5. Most important property when selecting a moisturizer is selecting a product with similar properties to petrolatum.

6. Patients with AD should be advised to add oils or emollients to the bath water to help moisturize the skin.

7. Phototherapy is safe in adults but not in children with atopic dermatitis.

8. Moisturizers have been show to prevent and reduce atopic dermatitis flares

9. Fear of topical corticosteroids and undertreatment are generally more of an issue than topical corticosteroids adverse effects.

10. Patients with atopic dermatitis should be encouraged to apply a moisturizer one to several times per day. This should include application immediately after bathing to improve skin hydration.

11. In patients with AD, the recommended bathing frequency is a maximum of twice weekly.

12. Second generation antihistamines can be considered for managing the itch and redness from atopic dermatitis.

13. The risk of adverse effects with topical steroids in atopic dermatitis is significant and these treatments should be thinly applied for the shortest period of time.

14. Crisaborole 2% ointment is indicated for mild to moderate atopic dermatitis in children ≥ 2 years of age.

15. Dupilumab has been shown to significantly improve atopic dermatitis severity and symptoms (e.g. pruritus and sleep).

16. Topical calcineurin inhibitors can be used as a preventive therapy, 2 to 3 times a week in areas of predictable flare.


 

Reference

Weinstein, Miriam, Kirk Barber, James Bergman, Aaron Drucker, Charles Lynde, Danielle Marcoux, Wingfield Rehmus, and Amanda Cressewell-Melville. “Atopic Dermatitis: A Practical Guide to Management.” Accessed January 20, 2020. https://eczemahelp.ca/wp-content/uploads/2019/02/ESC_AD_Practical-Guide-to-Management-for-HCP_2019.pdf.