Eczema Series

What Is Eczema?

What Is Eczema?

What Is Eczema?

Eczema Series

  • 0.75 credits
  • Free
  • ANCC, AMA
Supported by independent educational grants from Sanofi Genzyme and Regeneron Pharmaceuticals, Pfizer, and Incyte.
Authors:
Kristin Blake, MOM, LAcVivian Shi, MD
Editors:
Raja Sivamani, MD MS AP
Summary

What Is Atopic Dermatitis?

One of the earliest and most used diagnostic criteria for AD is the Hanifin and Rjaka criteria:[16]

Major criteria (must have 3)

  1. Pruritus
  2. Dermatitis affecting flexural surfaces in adults or face and extensor surfaces in infants
  3. Chronic or relapsing dermatitis
  4. Personal or family history of skin or respiratory allergy

Minor criteria (must have 3)

  1. Facial features: pallor, erythema, hypopigmented patches, infraorbital darkening, cheilitis, infraorbital fold (Dennie Morgan lines), recurrent conjunctivitis, anterior neck folds
  2. Triggers: emotional, environmental, food, skin irritants
  3. Complications: susceptibility to skin infections, impaired cell-mediated immunity, predisposition to keratoconus and anterior subscapular cataracts, immediate skin reactivity
  4. Others: early age of onset, dry skin, ichthyosis, hyperlinear palms, keratosis pilaris, hand and foot dermatitis, nipple eczema, white dermatographism, perifollicular accentuation

Additional grading criteria for AD clinical severity and symptom severity include

  • SCORAD (Scoring atopic dermatitis)[17]
  • EASI (Eczema area and severity index)[18]
  • PO-SCORAD (Patient-oriented SCORAD)[19]
  • POEM (Patient-oriented eczema measure)[20]
  • Itch Severity Scale[21]

 

In 2004, the American Academy of Dermatology came out with their own consensus guidelines for the diagnosis of AD.[22] These guidelines are overall comparable.

 

About this course

General
Skill level: All levels
Estimated time to complete activity: 45 min
Release date: March 19, 2018
Expiration date: December 11, 2020
Languages
English
Accreditations
American Nurses Credentialing Center(ANCC), American Medical Association(AMA)
Description


This activity is part of a 16-course series designed to equip licensed practitioners from medical, nursing, and related disciplines with a multidisciplinary approach to managing patients with atopic dermatitis, also known as eczema. 

1. What Is Eczema and Who Gets It?

Recent data suggests more children and adults are diagnosed with atopic dermatitis (AD). This activity will discuss the definition and diagnostic criteria of AD, along with the epidemiology of AD among children and adults in the United States.

Educational Objectives

After completing this activity, participants will be able to:

  • Define basic terms in AD such as atopy, itch, and skin barrier
  • Review skin anatomy as it pertains to AD
  • Summarize the current evidence of the data available for the epidemiology of AD
Name Reported Financial Disclosure
Reviewer: Hadar Lev-Tov, MD LearnHealth founder and shareholder
Planner: Venita Sivamani LearnHealth founder and shareholder

Faculty/Speaker Disclosure(s)

All planning committee members, reviewers, planners, and faculty identified conflicts of interest pertaining to this activity were resolved prior to the activity.

COI Resolution: Ensure a balanced discussion of research and practice. Avoid trade names, company names, and logos. Medical advice will not be provided.

Name Reported Financial Disclosure
Vivian Shi, MD

 Consultant: Menlo Therapeutics, The National Eczema Association, Novartis

Speaker's Bureau: Arizona Center for Integrative Medicine

Shareholder: LearnHealth 

Type of Activity

Online internet enduring

This Activity Is Part of the Following Program:

1. What Is Eczema and Who Gets It?

2. Why People Get Eczema - What We Know and Where Do We Go from Here?

3. Is It Eczema? Principles of Eczema Diagnosis

4. Eczema Mimickers Case Study

5. Introduction to Management of Eczema

6. Educating Patients on Eczema: How to Train Your Patient to Be a Pro and How This Can Make All the Difference

7. Overview of Therapeutic Approaches to Eczema

8. What Are Emollients and How They Work in Eczema

9. Schmear It On - New Paradigms in Topical Treatments for Eczema

10. Systemic Therapies for Eczema: The New Horizon Is Here

11. Adjunctive Therapies in the Treatment of Eczema

12. Lifestyle and Diet in the Treatment of Eczema

13. Psychosocial Aspects of AD and Building a Support Network

14. Atopic Eczema Itch and Its Management

15. Eczema Complications

16. Putting it Together - Clinical Pearls for Integrative Eczema Management

Physician Credit

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Medical Education Resources (MER) and LearnHealth. MER is accredited by the ACCME to provide continuing medical education for physicians.

Credit Designation

Medical Education Resources designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nursing Credit

Medical Education Resources is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. This CE activity provides 0.75 contact hours of continuing nursing education.

Medical Education Resources is a provider of continuing nursing education by the California Board of Registered Nursing, Provider #CEP 12299 for 0.75 contact hours.

Instructor

Vivian Shi, MD

Contact Information

This activity is jointly provided by Medical Education Resources and LearnHealth Inc.

For questions regarding accreditation, please contact MER at 800-421-3756. For all other questions, please contact info@learnskin.com.

This activity is subject to MER's Privacy Policy and LearnSkin's Terms of Use.

What Is Eczema?

What Is Eczema?

Eczema Series

  • 0.75 credits
  • Free
  • ANCC, AMA