Eczema is confined to the dorsum of a 37-year-oldwoman’s hands. She had been applying an over-thecounter,topical antifungal cream but noted no changein the rash. The patient is a hairdresser and enjoyskickboxing.
Eczema is confined to the dorsum of a 37-year-old woman's hands. She had been applying an over-the-counter, topical antifungal cream but noted no change in the rash. The patient is a hairdresser and enjoys kickboxing.
What is your course of action?
A. Perform a potassium hydroxide evaluation.
B. Prescribe a topical corticosteroid cream.
C. Advise the patient to wear gloves when washing, dyeing, or styling hair.
D. Perform a patch test for allergens in the workplace.
E. Advise the patient to give up kickboxing.
(Answer on next page.)
Case 1: Irritant dermatitis
Irritation from the patient's kick-boxing gloves produced an irritant dermatitis on the dorsum of her hands. The eruption's location was a clue to the diagnosis; a contact dermatitis generally affects the fingers and palmar surface.
The kickboxer was advised to purchase new, softer-lined gloves and to use a heavier moisturizer before donning them. A topical corticosteroid cream was recommended for use on an as-needed basis, B. These measures eliminated the problem.
Biden Administration Announces First 10 Prescription Drugs Slated for Price Negotiations
August 29th 2023The first 10 drugs identified for negotiations under the Inflation Reduction Act include several well advertised agents indicated to treat diabetes, heart failure, and other chronic diseases.