Herpes, Impetigo And Eczema

1) Bullous (Neonate)

2) Non - bullous

3) Erythema

4) SSSS

1) Cleaniness is important in all circumstances

2) Lesion is shocked in warm water, saline or soap solution to remove crusts

3) Systemic antibiotics such as penicillin

4) Antihistamine may be used to prevent the patient from scratching tile lesions

1) Mild to severe itch or pain

2) Typical rash appear in 2 to 3 days

3) Trigeminal never involvement may include the lesion of the eye and mouth

4) Periorbital involvement may lead edema of the eyelids

5) Facial nerve involvement may cause Ramsay hunt syndrome

6) Additional symptom may include fever, chills, headache, lymphnode swelling, joint pain, hearing loss, abdominal pain etc.

1) Mild attacks – rest + analgesics

2) Arrest pain – asprine + paractamol

3) Antiviral – acyclovir + interferons

4) Topical Therapy

5) Physical Therapy

(1) Acute eczema

[1] Starts as itching erythema which shortly develops intra-epidermal edema

[2] Leads to grouped Vesicles progresses to seeping and crusted (main condition)

(2) Subacute eczema

[1] Has erythema, vesicles, papules crusted & scaling

[2] Sometimes weeping can occur, but poor

(3) Chronic Eczema – later leads to Lichenification (thickening) of skin.

[1] Varieties of eczema may be produced – atopic or nummular eczema, pompholyx

(1) No specific therapy – but can help difficult cases

(2) Local treatment

[1] Acute or moist forms – Calamine lotion or steroid lotion/spray

1) Useful if prevent over-drying which Produces fissures.

2) If fissures – resolve by creams.

3) Emulsifying baths also useful

[2] Chronic or dry forms – apply steroid cream. If fails, can use 2% Zinc Ointment

(3) Systemic treatment – referred for treatment of CD