1. Kate Blake Lead Nurse Dermatology
Eczema
Kate Blake
Lead Nurse Dermatology

2. What is eczema?
An inflammatory condition affecting the upper layers of the skin. Can cause itching, blisters, erythema, swelling, oozing, scabbing, scaling. (K. A. G Lane (ed), 2000)

3. Prevalence
Estimated 20% of all patients with a skin condition, seeking advice
(Hunter et al 1995)

4. Acute Eczema What are the signs?: heat erythema swelling
pain, often in the form of itch
(Stevens et al 1989)

5. Subacute Eczema Erythema but less blister formation than acute eczema
Less thickening of the epidermis than chronic eczema
Shows features of both acute eczema & chronic
(Stevens et al 1989)

6. Chronic Eczema Thickening of the skin and scaling
Increased pigmentation possible.
Fissures (cracks) possible
End stage of long-standing, unresolved, acute or sub-acute eczema.
(Stevens et al 1989)

7. 1. Chronic 2. Sub acute 3. acute

8. Left: Eczema herpeticum Right: Secondary infection

9. Treatments Avoid Triggers Emollients Topical steroids
Occlusive bandages
Wet wraps
Antihistamines
UVL
Systemics
Secondary Care

10. Interactive Time

11. Questions