BIOL 4010 Lecture Notes - Lecture 21: Itch, Purpura, Isotretinoin
Document Summary
Evaporates well, good for large areas, hairy areas. Alcohol base can sting/irritate open areas of eczema. Excellent penetration, offers emollient effect, little or no. Acute management algorithm: use wet compress, avoid ointments and powders, add hc 0. 5% in drying vehicle base (lotion or o/w cream) for 1-2 weeks, add oral antihistamine as night time sedation for 1-2 weeks, refer. If ineffective: substitute emollient with hydrating agent, complex 15, uremol, refer to physician. Petrolatum jelly and treatment of minimal irritation and itch. Epiceram replenishment of physiologic lipids reduction of symptoms. For use in face and folds viral lesions. Use steroid sparers (emollient, hydrator) to prevent tolerance. Reduces inflammation and pruritis clobetasone, hc valerate atrophy. Rebound flaring upon discontinuation bacterial, parasitic and viral lesions. First line of therapy for use on palms and. Second line if first line is inadvisable due to potential risk or unresponsive. For use in patients with extensive dermatitis or those who do not respond/tolerate topical therapy.