Dermatology in a primary care setting.pptx

Dermatology in primary health care

1. Dermatology in a primary care setting Dr Shruthi R MBBS, MD, DNB, FAM Consultant Dermatologist Daya Hospital

2. Summary Intertrigo Dermatophytoses Urticaria SD Lice Eczema Psoriasis Drug rash Hairfall Acne

3. Intertrigo Intertrigo is a superficial inflammatory skin condition of the skin's flexural surfaces, prompted or irritated by warm temperatures, friction, moisture, maceration, and poor ventilation. Intertrigo's Latin translation- inter (between) and terere (to rub)

4. Candidal Intertrigo Oral fluconazole Topical azole antifungal Antihistamine AVOID steroid combinations

5. Dermatophytosis Topical azoles Tab TERBINAFINE 250 mg OD x 2 weeks Antihistamine AVOID steroid combinations

6. Urticaria Only antihistamine- can hike upto 4 times a day Steroids only in emergencies/not responding to above- only a short course

7. Seborrhoeic dermatitis Itchy scalp Ketoconazole shampoo

8. Pediculosis Capitis Permethrin 1 % lotion- apply on scalp for 10 minutes- wash off- comb out the nits Once a week- for a maximum of 3 weeks

9. Eczema Coconut oil before bath Mild soap- use less Liquid paraffin frequently Ceramides, butters

10. ??? Eczema or ringworm TCS- Hydrocortisone/ Desonide /Fluticasone- twice daily for 2 weeks, then at night only for next 2 weeks

11. Acute eczema Saline compress Antihistamine Antibiotic if infected Refer

12. Psoriasis Joint pain NASH Metabolic syndrome Refer

13. Drug rash Maculopapular rash Antihistamine Moisturiser CBC, LFT, RFT

14. DRESS Syndrome

15. SJS TEN- Stop drug and Refer to an inpatient dermatology facility immediately

16. Erythroderma Erythema and scaling involving more than 80 % of BSA Refer

17. Hairfall Telogen effluvium Multivitamin Reassurance Refer

18. Acne Wash face twice daily Avoid sugar and dairy in diet Treat dandruff if lesions more in periphery Refer

19. Thank you for patiently listening!!!