Lichen Planus Part -3

Part -3

Eczema clinical types

Acute eczema

• It causes Acute eczema• Erythematic • Edema• Papules• Vesiculation• Oozing• Crusting• Itching• Site of contact• Direct corrosive effect

Sub-acute eczema• Mild oedema• Mild erythema• Few vesicles• Papules• Minimal ozone• Crust• Moistness beneath the

crust• Itching

Chronic eczema

• Pigmentary change• Thickness• Increased skin

markings• Papulations• Severe itching

Eczema: Erythema, Edema, Papule, Vesicle, Oozing, Excoriation, Fissuring, Lichenification

How to treat?

• Corticosteroid :- topical and systemic

• Steroid spearing agent:-

What about >10% BSA and >10% BSA rule deciding topical/systemic in Eczema?

What is our observation?

• Topical is often inadequate- indurated lesions• Recurs soon, if the treatment is sopped before

subsidence of induration• Best way of maintenance is steroid

What about Emollients?

• If ichthyotic changes are present.

Beetle dermatitis

Should not be confused for Irritant dramatis

Eczemas

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