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afya Eczema

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20160425222334 Ben  
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Eczema
Endogenous
Atopic
Stasis - may start in legs but sympathetic rash elsewhere
Aestatic - elderly with dry skin
Seborrheic - beware in HIV
 
Exogenous
Irritant
Allergic - T cell mediated type4
Artefacto - beware in unusual sites
 
If asymmetrical - think Tinea
 
Face - only use Hydrocortisone else - tinea incognito, steroid rosacea
 
Rosacea - use antibiotics (eg lymecycline)  as anti-inflammatory as well as anti-infective
 
Koebnerisation - skin lesions appearing along lines of trauma
Psoriasis, LP, Viral warts, Vitiligo, EM, phytophotodermatitis
 
Vulvodynia - Imipramine