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;}\listid1904750278}}{\*\listoverridetable{\listoverride\listid615984777\listoverridecount0\ls1}{\listoverride\listid1079595321 \listoverridecount0\ls2}{\listoverride\listid1522160553\listoverridecount0\ls3}{\listoverride\listid416364890\listoverridecount0\ls4}{\listoverride\listid976254517\listoverridecount0\ls5}{\listoverride\listid1027177560\listoverridecount0\ls6} {\listoverride\listid1896966476\listoverridecount0\ls7}{\listoverride\listid1464156065\listoverridecount0\ls8}{\listoverride\listid1904750278\listoverridecount0\ls9}{\listoverride\listid1535385849\listoverridecount0\ls10}}{\*\rsidtbl \rsid11559252 \rsid16469328}{\*\generator Microsoft Word 11.0.6359;}{\info{\title FEATURES}{\author hunt}{\operator Brad Cheek}{\creatim\yr2004\mo9\dy2\hr16\min55}{\revtim\yr2004\mo9\dy4\hr9\min42}{\version3}{\edmins2}{\nofpages1}{\nofwords609}{\nofchars3477} {\*\company nha}{\nofcharsws4078}{\vern24703}}\paperw15840\paperh12240\margl1418\margr1418\margt1418\margb1418 \widowctrl\ftnbj\aenddoc\hyphhotz425\noxlattoyen\expshrtn\noultrlspc\dntblnsbdb\nospaceforul\hyphcaps0\formshade\horzdoc\dghspace180\dgvspace180 \dghorigin1701\dgvorigin1984\dghshow0\dgvshow0\jexpand\viewkind1\viewscale100\pgbrdrhead\pgbrdrfoot\nolnhtadjtbl\rsidroot11559252 \fet0\sectd \lndscpsxn\linex0\headery709\footery709\cols2\colsx708\endnhere\sectdefaultcl\sftnbj {\*\pnseclvl1 \pnucrm\pnstart1\pnindent720\pnhang {\pntxta .}}{\*\pnseclvl2\pnucltr\pnstart1\pnindent720\pnhang {\pntxta .}}{\*\pnseclvl3\pndec\pnstart1\pnindent720\pnhang {\pntxta .}}{\*\pnseclvl4\pnlcltr\pnstart1\pnindent720\pnhang {\pntxta )}}{\*\pnseclvl5 \pndec\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl6\pnlcltr\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl7\pnlcrm\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl8\pnlcltr\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl9\pnlcrm\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}\pard\plain \s16\qc \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 { \cs18\b\f1\cf1\insrsid16469328 PSORIASIS}{\cs18\b\i\f1\fs16\cf1\insrsid16469328 \par }\pard \s16\ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\cs18\b\i\f1\fs16\ul\cf1\insrsid16469328 FEATURES \par {\listtext\pard\plain\s16 \cs18\f10\fs16\cf1\lang2057\langfe1033\langfenp1033 \loch\af10\dbch\af0\hich\f10 \'fc\tab}}\pard \s16\ql \fi-360\li720\ri0\widctlpar\jclisttab\tx720\aspalpha\aspnum\faauto\ls3\adjustright\rin0\lin720\itap0 { \cs18\f1\fs16\cf1\insrsid16469328 chronic, recurring skin disease. Not contagious, runs in families \par {\listtext\pard\plain\s16 \cs18\f10\fs16\cf1\lang2057\langfe1033\langfenp1033 \loch\af10\dbch\af0\hich\f10 \'fc\tab}early-onset 16 to 22-year-olds ; late-onset 50-60yrs \par {\listtext\pard\plain\s16 \cs18\f10\fs16\cf1\lang2057\langfe1033\langfenp1033 \loch\af10\dbch\af0\hich\f10 \'fc\tab}Psoriasis is derived from the Greek word 'psora', which means itch. \par {\listtext\pard\plain\s16 \cs18\f10\fs16\cf1\lang2057\langfe1033\langfenp1033 \loch\af10\dbch\af0\hich\f10 \'fc\tab}2% pop psoriasis; 6% those have psoriatic arthritis (fingers and toes, spine)}{\f1\fs16\cf1\insrsid16469328 \par {\listtext\pard\plain\s16 \f10\fs16\cf1\lang2057\langfe1033\langfenp1033 \loch\af10\dbch\af0\hich\f10 \'fc\tab}associated with }{\cs18\f1\fs16\cf1\insrsid16469328 exposure to certain stimuli (strep throat, alcohol, medicines-bblockers,NSAIDs,lithium, ACEinhibitors) or damage to the skin \par {\listtext\pard\plain\s16 \cs18\f10\fs16\cf1\lang2057\langfe1033\langfenp1033 \loch\af10\dbch\af0\hich\f10 \'fc\tab}2 types: }{\cs18\i\f1\fs16\cf1\insrsid16469328 psoriasis vulgaris}{\cs18\f1\fs16\cf1\insrsid16469328 (plaque psoriasis) and }{ \cs18\i\f1\fs16\cf1\insrsid16469328 psoriasis pustulosa}{\cs18\f1\fs16\cf1\insrsid16469328 (pustular psoriasis) \par }\pard \s16\ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\cs18\b\i\f1\fs16\ul\cf1\insrsid16469328 SYMPTOMS \par {\listtext\pard\plain\cs18\f10\fs20\cf1\lang1033\langfe1033\langnp1033\langfenp1033 \loch\af10\dbch\af0\hich\f10 \'4c\tab}}\pard\plain \ql \fi-360\li720\ri0\widctlpar\jclisttab\tx720\aspalpha\aspnum\faauto\ls4\adjustright\rin0\lin720\itap0 \fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\cs18\f1\fs16\cf1\insrsid16469328 red spots & silvery scaly patches.}{\b\f1\fs16\cf1\insrsid16469328 \par {\listtext\pard\plain\cs18\f10\fs20\cf1\lang1033\langfe1033\langnp1033\langfenp1033 \loch\af10\dbch\af0\hich\f10 \'4c\tab}}{\cs18\f1\fs16\cf1\insrsid16469328 upper scales fall off (bleeding points) & lower layers fixed.}{\b\f1\fs16\cf1\insrsid16469328 \par {\listtext\pard\plain\cs18\f10\fs20\cf1\lang1033\langfe1033\langnp1033\langfenp1033 \loch\af10\dbch\af0\hich\f10 \'4c\tab}}{\cs18\f1\fs16\cf1\insrsid16469328 Indentures in the nails with thickening }{\b\f1\fs16\cf1\insrsid16469328 \par {\listtext\pard\plain\cs18\f10\fs20\cf1\lang1033\langfe1033\langnp1033\langfenp1033 \loch\af10\dbch\af0\hich\f10 \'4c\tab}}{\cs18\f1\fs16\cf1\insrsid16469328 flexural psoriasis can have 2ndary candida }{\b\f1\fs16\cf1\insrsid16469328 \par {\listtext\pard\plain\cs18\f10\fs20\cf1\lang1033\langfe1033\langnp1033\langfenp1033 \loch\af10\dbch\af0\hich\f10 \'4c\tab}}{\cs18\f1\fs16\cf1\insrsid16469328 guttate psoriasis- strep throat}{\f1\cf1\insrsid16469328 \par }\pard\plain \s1\ql \li0\ri0\keepn\widctlpar\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin0\lin0\itap0 \b\i\f1\fs16\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\ul\cf1\insrsid16469328 MANAGEMENT \par }{\cs18\cf1\insrsid16469328 Emollients: }{\cs18\b0\i0\cf1\insrsid16469328 hydrate, soothe, soften \par }\pard\plain \s2\ql \li0\ri0\keepn\widctlpar\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0 \b\i\f1\fs16\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\insrsid16469328 Tar \endash based }{\b0\i0\insrsid16469328 Coal tar \endash cream, ointment, scalp solution, bath additive}{\insrsid16469328 \par }\pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs16\insrsid16469328 Coal tar + salicylic acid }{\i\f1\fs16\insrsid16469328 \endash cream, scalp solution \par }{\f1\fs16\insrsid16469328 Coal tar + zinc }{\i\f1\fs16\insrsid16469328 - paste \par }{\b\i\f1\fs16\insrsid16469328 Tar-corticosteroid}{\f1\fs16\insrsid16469328 : Alphosyl (mild potency)}{\i\f1\fs16\insrsid16469328 \par }\pard\plain \s2\ql \li0\ri0\keepn\widctlpar\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0 \b\i\f1\fs16\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\insrsid16469328 Topical hydrocortisone }{\b0\i0\insrsid16469328 (see eczema) \par }\pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b\i\f1\fs16\insrsid16469328 Keratolytics}{\f1\fs16\insrsid16469328 \endash Salicylic Acid \endash }{ \i\f1\fs16\insrsid16469328 paste \par }{\b\i\f1\fs16\lang1036\langfe1033\langnp1036\insrsid16469328 Vitamin D analogue}{\f1\fs16\lang1036\langfe1033\langnp1036\insrsid16469328 }{\f1\fs16\insrsid16469328 Calcipotriol }{\i\f1\fs16\insrsid16469328 \endash ointment, cream, scalp solution \par }{\f1\fs16\insrsid16469328 \tab \tab Calcipotriol + Betamethasone }{\i\f1\fs16\insrsid16469328 - ointment}{\f1\fs16\insrsid16469328 \par \tab Calcitriol }{\i\f1\fs16\insrsid16469328 - ointment}{\f1\fs16\insrsid16469328 \par Tacalcitol - }{\i\f1\fs16\insrsid16469328 ointment}{\f1\fs16\insrsid16469328 \par }{\b\i\f1\fs16\insrsid16469328 Vit A analogue/Retinoid}{\f1\fs16\insrsid16469328 \endash Tazarotene - }{\i\f1\fs16\insrsid16469328 gel \par }\pard\plain \s2\ql \li0\ri0\keepn\widctlpar\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0 \b\i\f1\fs16\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\insrsid16469328 Dithranol }{\b0\i0\insrsid16469328 \endash }{ \b0\insrsid16469328 ointment, paste, scalp gel}{\insrsid16469328 \par }\pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs16\insrsid16469328 +coal tar +salicylic acid \par }\pard\plain \s3\ql \li0\ri0\keepn\widctlpar\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0 \b\i\f1\fs16\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\cs18\ul\cf1\insrsid16469328 COMMON SIDE EFFECTS \par {\listtext\pard\plain\cs18\f10\fs16\cf1\lang1033\langfe1033\langnp1033\langfenp1033 \loch\af10\dbch\af0\hich\f10 \'fd\tab}}\pard\plain \ql \fi-360\li720\ri0\widctlpar\jclisttab\tx720\aspalpha\aspnum\faauto\ls7\adjustright\rin0\lin720\itap0 \fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\cs18\b\f1\fs16\cf1\insrsid16469328 Stains}{\cs18\f1\fs16\cf1\insrsid16469328 \endash Coal tar, Dithranol \par {\listtext\pard\plain\cs18\f10\fs16\cf1\lang1033\langfe1033\langnp1033\langfenp1033 \loch\af10\dbch\af0\hich\f10 \'fd\tab}}{\cs18\b\f1\fs16\cf1\insrsid16469328 Acne}{\cs18\f1\fs16\cf1\insrsid16469328 \endash Coal tar \par {\listtext\pard\plain\cs18\f10\fs16\cf1\lang1033\langfe1033\langnp1033\langfenp1033 \loch\af10\dbch\af0\hich\f10 \'fd\tab}}{\cs18\b\f1\fs16\cf1\insrsid16469328 Photosensitivity}{\cs18\f1\fs16\cf1\insrsid16469328 \endash Vitamin D analogues \par {\listtext\pard\plain\cs18\f10\fs16\cf1\lang1033\langfe1033\langnp1033\langfenp1033 \loch\af10\dbch\af0\hich\f10 \'fd\tab}}{\cs18\b\f1\fs16\cf1\insrsid16469328 Local irritation}{\cs18\f1\fs16\cf1\insrsid16469328 \endash all \par {\listtext\pard\plain\cs18\f10\fs16\cf1\lang1033\langfe1033\langnp1033\langfenp1033 \loch\af10\dbch\af0\hich\f10 \'fd\tab}}{\cs18\b\f1\fs16\cf1\insrsid16469328 Dryness}{\cs18\f1\fs16\cf1\insrsid16469328 \endash keratolytic agents}{\insrsid16469328 \par }\pard\plain \s2\ql \li0\ri0\keepn\widctlpar\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0 \b\i\f1\fs16\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\ul\lang1036\langfe1033\langnp1036\insrsid16469328 FURTHER MANAGEMENT \par {\listtext\pard\plain\f10\fs16\lang1036\langfe1033\langnp1036\langfenp1033 \loch\af10\dbch\af0\hich\f10 \'d8\tab}}\pard\plain \ql \fi-360\li720\ri0\widctlpar\jclisttab\tx720\aspalpha\aspnum\faauto\ls6\adjustright\rin0\lin720\itap0 \fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs16\lang1036\langfe1033\langnp1036\insrsid16469328 Oral Retinoids - Acitretin \par {\listtext\pard\plain\cs18\f10\fs16\cf1\lang1036\langfe1033\langnp1036\langfenp1033 \loch\af10\dbch\af0\hich\f10 \'d8\tab}}{\cs18\f1\fs16\cf1\lang1036\langfe1033\langnp1036\insrsid16469328 Phototherapy (ultraviolet B, UVB) photochemotherapy (psoralen) \par {\listtext\pard\plain\f10\fs16\cf1\lang1033\langfe1033\langnp1033\langfenp1033 \loch\af10\dbch\af0\hich\f10 \'d8\tab}}{\f1\fs16\cf1\insrsid16469328 I}{\cs18\f1\fs16\cf1\insrsid16469328 mmunosuppressants (}{\field\fldedit{\*\fldinst { \cs18\f1\fs16\cf1\insrsid16469328 HYPERLINK "http://www.netdoctor.co.uk/medicines/100004411.html" }{\f1\fs16\cf1\insrsid11559252 {\*\datafield 00d0c9ea79f9bace118c8200aa004ba90b0200000003000000e0c9ea79f9bace118c8200aa004ba90b6800000068007400740070003a002f002f007700770077002e006e006500740064006f00630074006f0072002e0063006f002e0075006b002f006d00650064006900630069006e00650073002f003100300030003000 300034003400310031002e00680074006d006c00000000d0200000400000}}}{\fldrslt {\cs15\f1\fs16\cf1\insrsid16469328 ciclosporin}}}{\cs18\f1\fs16\cf1\insrsid16469328 , }{\field\fldedit{\*\fldinst {\cs18\f1\fs16\cf1\insrsid16469328 HYPERLINK "http://www.netdoctor.co.uk/medicines/100001635.html" }{\f1\fs16\cf1\insrsid11559252 {\*\datafield 00d0c9ea79f9bace118c8200aa004ba90b0200000003000000e0c9ea79f9bace118c8200aa004ba90b6800000068007400740070003a002f002f007700770077002e006e006500740064006f00630074006f0072002e0063006f002e0075006b002f006d00650064006900630069006e00650073002f003100300030003000 300031003600330035002e00680074006d006c0000000000000000000000}}}{\fldrslt {\cs15\f1\fs16\cf1\insrsid16469328 methotrexate}}}{\cs18\f1\fs16\cf1\insrsid16469328 or the vitamin A derivative }{\field\fldedit{\*\fldinst {\cs18\f1\fs16\cf1\insrsid16469328 HYPERLINK "http://www.netdoctor.co.uk/medicines/100004472.html" }{\f1\fs16\cf1\insrsid11559252 {\*\datafield 00d0c9ea79f9bace118c8200aa004ba90b0200000003000000e0c9ea79f9bace118c8200aa004ba90b6800000068007400740070003a002f002f007700770077002e006e006500740064006f00630074006f0072002e0063006f002e0075006b002f006d00650064006900630069006e00650073002f003100300030003000 300034003400370032002e00680074006d006c0000000042000000000000}}}{\fldrslt {\cs15\f1\fs16\cf1\insrsid16469328 acitretin}}}{\cs18\f1\fs16\cf1\insrsid16469328 ) \par }\pard\plain \s4\ql \li0\ri0\keepn\widctlpar\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin0\itap0 \b\i\f1\fs16\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\cs18\ul\cf1\insrsid16469328 SPECIFIC TYPES OF PSORIASIS \par {\listtext\pard\plain\cs18\f10\fs16\cf1\lang1033\langfe1033\langnp1033\langfenp1033 \loch\af10\dbch\af0\hich\f10 \'d8\tab}}\pard\plain \ql \fi-360\li720\ri0\widctlpar\jclisttab\tx720\aspalpha\aspnum\faauto\ls8\adjustright\rin0\lin720\itap0 \fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\cs18\b\i\f1\fs16\cf1\insrsid16469328 Scalp Psoriasis:}{\cs18\f1\fs16\cf1\insrsid16469328 Tar based + Keratolytic agent \par {\listtext\pard\plain\cs18\f10\fs16\cf1\lang1033\langfe1033\langnp1033\langfenp1033 \loch\af10\dbch\af0\hich\f10 \'d8\tab}}{\cs18\b\i\f1\fs16\cf1\insrsid16469328 Palm & Sole psoriasis}{\cs18\f1\fs16\cf1\insrsid16469328 : Tar based+Keratolytic agent, Potent topical steroids, Retinoid \par {\listtext\pard\plain\cs18\f10\fs16\cf1\lang1033\langfe1033\langnp1033\langfenp1033 \loch\af10\dbch\af0\hich\f10 \'d8\tab}}{\cs18\b\i\f1\fs16\cf1\insrsid16469328 Flexures/Face}{\cs18\f1\fs16\cf1\insrsid16469328 : milder agnets \par {\listtext\pard\plain\cs18\f10\fs16\cf1\lang1033\langfe1033\langnp1033\langfenp1033 \loch\af10\dbch\af0\hich\f10 \'d8\tab}}{\cs18\b\f1\fs16\cf1\insrsid16469328 Widespread Plaques}{\cs18\f1\fs16\cf1\insrsid16469328 : NOT dithranol or longterm steroids \endash irritates normal skin \par }\pard\plain \s5\qc \li0\ri0\keepn\widctlpar\aspalpha\aspnum\faauto\outlinelevel4\adjustright\rin0\lin0\itap0 \b\f1\fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\cs18\fs24\cf1\insrsid16469328 ATOPIC ECZEMA \par }\pard\plain \s6\ql \li0\ri0\keepn\widctlpar\aspalpha\aspnum\faauto\outlinelevel5\adjustright\rin0\lin0\itap0 \b\f1\fs16\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\cs18\i\ul\cf1\insrsid16469328 FEATURES \par {\listtext\pard\plain\s7 \cs18\f10\fs16\cf1\lang1033\langfe1033\langnp1033\langfenp1033 \loch\af10\dbch\af0\hich\f10 \'fc\tab}}\pard\plain \s7\ql \fi-360\li720\ri0\keepn\widctlpar \jclisttab\tx720\aspalpha\aspnum\faauto\ls9\outlinelevel6\adjustright\rin0\lin720\itap0 \b\f1\fs16\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\cs18\b0\cf1\insrsid16469328 Chronic, recurring skin disease. Not contagious \par {\listtext\pard\plain\cs18\f10\fs16\cf1\lang1033\langfe1033\langnp1033\langfenp1033 \loch\af10\dbch\af0\hich\f10 \'fc\tab}}\pard\plain \ql \fi-360\li720\ri0\widctlpar\jclisttab\tx720\aspalpha\aspnum\faauto\ls9\adjustright\rin0\lin720\itap0 \fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\cs18\f1\fs16\cf1\insrsid16469328 Flexural - mainly involves skin creases-behind knees, bends elbows \par {\listtext\pard\plain\cs18\f10\fs16\cf1\lang1033\langfe1033\langnp1033\langfenp1033 \loch\af10\dbch\af0\hich\f10 \'fc\tab}Personal or immediate family history of hay fever or asthma \par {\listtext\pard\plain\cs18\f10\fs16\cf1\lang1033\langfe1033\langnp1033\langfenp1033 \loch\af10\dbch\af0\hich\f10 \'fc\tab}Tendency towards dry skin \par {\listtext\pard\plain\cs18\f10\fs16\cf1\lang1033\langfe1033\langnp1033\langfenp1033 \loch\af10\dbch\af0\hich\f10 \'fc\tab}Aggravated by pets/perfumes/toiletries/synthetic clothes/extreme temp \par {\listtext\pard\plain\cs18\f10\fs16\cf1\lang1033\langfe1033\langnp1033\langfenp1033 \loch\af10\dbch\af0\hich\f10 \'fc\tab}If it does not itch, it is unlikely to be eczema (Scabies=common differential) \par {\listtext\pard\plain\cs18\f10\fs16\cf1\lang1033\langfe1033\langnp1033\langfenp1033 \loch\af10\dbch\af0\hich\f10 \'fc\tab}May be complicated by secondary bacterial infection or herpes simplex \par {\listtext\pard\plain\cs18\f10\fs16\cf1\lang1033\langfe1033\langnp1033\langfenp1033 \loch\af10\dbch\af0\hich\f10 \'fc\tab}Consider dietary restrictions \par {\listtext\pard\plain\cs18\f10\fs16\cf1\lang1033\langfe1033\langnp1033\langfenp1033 \loch\af10\dbch\af0\hich\f10 \'fc\tab}A growth chart should be completed in children with chronic severe eczema \par {\listtext\pard\plain\cs18\f10\fs16\cf1\lang1036\langfe1033\langnp1036\langfenp1033 \loch\af10\dbch\af0\hich\f10 \'fc\tab}}{\cs18\f1\fs16\cf1\lang1036\langfe1033\langnp1036\insrsid16469328 Other types: irritant, allergic, venous, discoid \par }\pard\plain \s16\ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\cs18\b\i\f1\fs16\ul\cf1\insrsid16469328 SYMPTOMS \par {\listtext\pard\plain\cs18\f10\fs20\cf1\lang1033\langfe1033\langnp1033\langfenp1033 \loch\af10\dbch\af0\hich\f10 \'4c\tab}}\pard\plain \ql \fi-360\li720\ri0\widctlpar\jclisttab\tx720\aspalpha\aspnum\faauto\ls4\adjustright\rin0\lin720\itap0 \fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\cs18\f1\fs16\cf1\insrsid16469328 Ertythematous, symmetrical areas \par {\listtext\pard\plain\cs18\f10\fs20\cf1\lang1033\langfe1033\langnp1033\langfenp1033 \loch\af10\dbch\af0\hich\f10 \'4c\tab}Lichenification}{\cs18\b\f1\fs16\cf1\insrsid16469328 \par {\listtext\pard\plain\cs18\f10\fs20\cf1\lang1033\langfe1033\langnp1033\langfenp1033 \loch\af10\dbch\af0\hich\f10 \'4c\tab}}{\cs18\f1\fs16\cf1\insrsid16469328 Excoriation and rubbing marks}{\cs18\b\f1\fs16\cf1\insrsid16469328 \par {\listtext\pard\plain\cs18\f10\fs20\cf1\lang1033\langfe1033\langnp1033\langfenp1033 \loch\af10\dbch\af0\hich\f10 \'4c\tab}}{\cs18\f1\fs16\cf1\insrsid16469328 Dry skin \par {\listtext\pard\plain\cs18\f10\fs20\cf1\lang1033\langfe1033\langnp1033\langfenp1033 \loch\af10\dbch\af0\hich\f10 \'4c\tab}Secondary bacterial/fungal/viral infection \par }\pard\plain \s1\ql \li0\ri0\keepn\widctlpar\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin0\lin0\itap0 \b\i\f1\fs16\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\ul\cf1\insrsid16469328 MANAGEMENT \par }\pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\cs18\b\i\f1\fs16\cf1\insrsid16469328 Emollients: }{\cs18\f1\fs16\cf1\insrsid16469328 hydrate, soothe, soften}{ \b\i\f1\fs16\insrsid16469328 \par }\pard\plain \s2\ql \li0\ri0\keepn\widctlpar\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0 \b\i\f1\fs16\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\insrsid16469328 Topical hydrocortisone \par {\listtext\pard\plain\f10\fs16\lang1033\langfe1033\langnp1033\langfenp1033 \loch\af10\dbch\af0\hich\f10 \'d8\tab}}\pard\plain \ql \fi-360\li720\ri0\widctlpar\jclisttab\tx720\aspalpha\aspnum\faauto\ls10\adjustright\rin0\lin720\itap0 \fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs16\ul\insrsid16469328 Mild potency }{\b\f1\fs16\ul\insrsid16469328 - }{\b\i\f1\fs16\ul\insrsid16469328 Hydrocortisone}{\f1\fs16\ul\insrsid16469328 0.5 \endash 1%}{\f1\fs16\insrsid16469328 \par }\pard \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\f1\fs16\insrsid16469328 }{\f1\fs16\lang1036\langfe1033\langnp1036\insrsid16469328 +antimicrobials - Canesten HC (clotrimazole) \par \tab - Daktacort (miconazole) \par \tab }{\f1\fs16\insrsid16469328 - Fucidin H (fusidic acid)\tab \par {\listtext\pard\plain\f10\fs16\lang1033\langfe1033\langnp1033\langfenp1033 \loch\af10\dbch\af0\hich\f10 \'d8\tab}}\pard \ql \fi-360\li720\ri0\widctlpar\jclisttab\tx720\aspalpha\aspnum\faauto\ls10\adjustright\rin0\lin720\itap0 {\f1\fs16\ul\insrsid16469328 Moderately potent \tab }{\i\f1\fs16\ul\insrsid16469328 Alphaderm}{\f1\fs16\ul\insrsid16469328 (+urea) \par }\pard \ql \fi720\li1440\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin1440\itap0 {\f1\fs16\ul\insrsid16469328 Clobetasone butyrate }{\i\f1\fs16\ul\insrsid16469328 / }{\b\i\f1\fs16\ul\insrsid16469328 Eumovate}{\b\f1\fs16\ul\insrsid16469328 \par }\pard \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\f1\fs16\insrsid16469328 +antimicrobials \endash }{\i\f1\fs16\insrsid16469328 Trimovate}{\f1\fs16\insrsid16469328 (oxytetracycline & nystatin)}{\b\f1\fs16\insrsid16469328 \tab \par {\listtext\pard\plain\f10\fs16\lang1033\langfe1033\langnp1033\langfenp1033 \loch\af10\dbch\af0\hich\f10 \'d8\tab}}\pard \ql \fi-360\li720\ri0\widctlpar\jclisttab\tx720\aspalpha\aspnum\faauto\ls10\adjustright\rin0\lin720\itap0 {\f1\fs16\ul\insrsid16469328 Potent \endash Betamethasone / }{\b\i\f1\fs16\ul\insrsid16469328 Betnovate}{\b\f1\fs16\ul\insrsid16469328 \par }\pard \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\f1\fs16\insrsid16469328 +antimicrobials - }{\i\f1\fs16\insrsid16469328 Betnovate-C}{\f1\fs16\insrsid16469328 (clioquinol) \par }\pard \ql \li1080\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin1080\itap0 {\f1\fs16\insrsid16469328 - }{\i\f1\fs16\insrsid16469328 Betnovate-N}{\f1\fs16\insrsid16469328 (neomycin) \par }\pard \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\f1\fs16\insrsid16469328 \tab - }{\i\f1\fs16\insrsid16469328 Fucibet}{\f1\fs16\insrsid16469328 (fusidic acid)\tab \tab \tab \par {\listtext\pard\plain\f10\fs16\lang1033\langfe1033\langnp1033\langfenp1033 \loch\af10\dbch\af0\hich\f10 \'d8\tab}}\pard \ql \fi-360\li720\ri0\widctlpar\jclisttab\tx720\aspalpha\aspnum\faauto\ls10\adjustright\rin0\lin720\itap0 {\f1\fs16\ul\insrsid16469328 Very potent \endash Clobetasol propionate / }{\b\i\f1\fs16\ul\insrsid16469328 Dermovate}{\b\i\f1\fs16\insrsid16469328 \tab \tab }{\b\f1\fs16\insrsid16469328 \par }\pard \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\f1\fs16\insrsid16469328 +antimicrobials \endash }{\i\f1\fs16\insrsid16469328 Dermovate-NN}{\f1\fs16\insrsid16469328 (neomycin and nystatin) \par }\pard\plain \s2\ql \li0\ri0\keepn\widctlpar\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0 \b\i\f1\fs16\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\insrsid16469328 Bandages }{\b0\i0\insrsid16469328 (applied over topical steroids)}{\insrsid16469328 - Icthammol }{\b0\i0\insrsid16469328 \endash ointment, cream, +zinc bandage \par }{\insrsid16469328 Tar \endash based }{\b0\i0\insrsid16469328 Coal tar \endash cream, ointment, scalp solution, bath additive}{\insrsid16469328 \par }\pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs16\insrsid16469328 Coal tar + salicylic acid }{\i\f1\fs16\insrsid16469328 \endash cream, scalp solution \par }{\f1\fs16\insrsid16469328 Coal tar + zinc }{\i\f1\fs16\insrsid16469328 - paste \par }\pard\plain \s2\ql \li0\ri0\keepn\widctlpar\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0 \b\i\f1\fs16\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\lang1036\langfe1033\langnp1036\insrsid16469328 Antihistamines \par Potassium Permanganate }{\b0\i0\lang1036\langfe1033\langnp1036\insrsid16469328 \endash exudating eczema\tab \par }{\lang1036\langfe1033\langnp1036\insrsid16469328 \tab \par }\pard\plain \s8\ql \li0\ri0\keepn\widctlpar\aspalpha\aspnum\faauto\outlinelevel7\adjustright\rin0\lin0\itap0 \b\i\f1\fs16\ul\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\insrsid16469328 CHOICE OF FORMULATIONS \par }\pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b\i\f1\fs16\insrsid16469328 Water-miscible creams}{\b\f1\fs16\insrsid16469328 }{\f1\fs16\insrsid16469328 \endash moist or weeping lesions}{\b\f1\fs16\insrsid16469328 \par }\pard\plain \s6\ql \li0\ri0\keepn\widctlpar\aspalpha\aspnum\faauto\outlinelevel5\adjustright\rin0\lin0\itap0 \b\f1\fs16\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\i\insrsid16469328 Ointments}{\insrsid16469328 }{\b0\insrsid16469328 \endash dry, lichified, scaly lesions}{\insrsid16469328 \par }\pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b\i\f1\fs16\insrsid16469328 Lotions}{\b\f1\fs16\insrsid16469328 }{\f1\fs16\insrsid16469328 \endash large areas, hairy areas \par }\pard \ql \li360\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin360\itap0 {\cs18\f1\fs16\cf1\insrsid16469328 \par }}