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.(hypopigmentat ion)

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 chapped especially on kids who like to lick Another common condition.

21. 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. 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 Gentle cleansing Avoid harsh soap, use products with perfume-free, and dye-free Avoid harsh soap, use products with perfume-free, and dye-free Good moisturizer Good moisturizer Enough Fluid intake, Enough Fluid intake, Nutrition, balanced Nutrition, balanced Emotion, stable Emotion, stable

26. Products such as… Non soap cleansing---dove, cetaphil, oil of oly, aveeno. Non soap cleansing---dove, cetaphil, oil of oly, aveeno. Moisturizer---- cetaphil cream, eucerin (plus) cream, DML cream, petroleum jelly, aquaphor ointment Moisturizer---- cetaphil cream, eucerin (plus) cream, DML cream, petroleum jelly, aquaphor ointment Clothing—cotton material, soft Clothing—cotton material, soft Laundry---cheer, all, dawny 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 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 Usage: anti-inflammation Benefit: decrease itch, and redness Benefit: decrease itch, and redness Side effects: atrophy, discoloration, and thinning skin. And rebound. Side effects: atrophy, discoloration, and thinning skin. And rebound. Examples: over the counter hydrocortisone 1%, 0.5% Examples: over the counter hydrocortisone 1%, 0.5% Prescriptions needed for stronger strength. Prescriptions needed for stronger strength. Use as needed only, max 2 weeks in a raw. Use as needed only, max 2 weeks in a raw.

31. antihistamine Use: decrease itch Benefits: decrease itch Benefits: decrease itch Side effects: drowsiness, sleepy, “drugy”, dry mouth. Such as benadray, atarax Side effects: drowsiness, sleepy, “drugy”, dry mouth. Such as benadray, atarax May try non drowsy ones, such as claritin (Loratadine), or allegra 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.aaa.org www.livingwithitch.org www.fda.gov (food and drug administration)www.fda.gov www.cdc.gov (centers for disease and control and prevention)www.cdc.gov

33. Question?

34. Thank you