Question 1

A patient who has atopic dermatitis has recurrent secondary bacterial skin infections. What will the provider recommend to help prevent these infections?&#10;A) Bleach baths twice weekly&#10;B) Frequent bathing with soap and water&#10;C) Low-dose oral antibiotics&#10;D) Topical antibiotic ointments

Accepted Answer

Bleach baths twice weekly have been shown to reduce the risk of recurrent secondary bacterial skin infections in patients with atopic dermatitis. The dilute bleach solution decreases the amount of bacteria on the skin, reducing the risk of infection. Frequent bathing with soap and water may actually worsen atopic dermatitis by stripping the skin of natural oils. Low-dose oral antibiotics and topical antibiotic ointments may be used to treat an active infection, but they are not recommended as a preventative measure due to concerns of antibiotic resistance.

Question 2

A patient diagnosed with atopic dermatitis asks what can be done to minimize the recurrence of symptoms. What will the provider recommend?&#10;A) Calcineurin inhibitors&#10;B) Lubricants and emollients&#10;C) Oral diphenhydramine&#10;D) Prophylactic topical steroids

Accepted Answer

Lubricants and emollients can help minimize symptoms of atopic dermatitis by hydrating and protecting the skin. Calcineurin inhibitors can also be effective, but may increase the risk of skin infections and certain types of cancer. Oral diphenhydramine is not typically recommended for atopic dermatitis, as it does not address the underlying cause and can cause drowsiness. Prophylactic topical steroids may be helpful in some cases, but can have side effects with long-term use.

Question 3

Which is the primary symptom causing discomfort in patients with atopic dermatitis (AD)?&#10;A) Dryness&#10;B) Erythema&#10;C) Lichenification&#10;D) Pruritis

Accepted Answer

Pruritis, or itching, is the primary symptom causing discomfort in patients with atopic dermatitis. Dryness, erythema (redness), and lichenification (thickening and hardening of the skin) are also common symptoms, but they are often secondary to the intense itching.

Deck 46: Eczematous Dermatitis