High School

A 2-year-old child with a history of atopic eczema is brought to the local GP surgery. Her eczema is usually well controlled with emollients, but her parents are concerned because the facial eczema has significantly worsened overnight. She now has painful clustered blisters on both cheeks, around her mouth, and on her neck. Her temperature is 37.9ºC.

What is the most appropriate management?

Answer :

Final answer:

Management for a 2-year-old with worsening facial eczema involves combining eczema control measures, possible infection treatment, using corticosteroids, antibiotics, emollients, and educating parents for ongoing care.

Explanation:

When a child with a history of atopic eczema presents with a sudden worsening of symptoms, such as painful clustered blisters on the face and neck, it is important to assess the severity of the condition and provide appropriate management.

In this case, the child's parents have brought her to the local GP surgery due to a significant worsening of her facial eczema overnight. The presence of painful clustered blisters and a temperature of 37.9ºC suggests a possible infection.

The most appropriate management for this child would involve a combination of measures to control the eczema and treat the infection. Topical corticosteroids can be used to reduce inflammation and relieve symptoms. Antibiotics may be prescribed to treat any bacterial infection that may be present. It is important to continue using emollients to moisturize and protect the skin.

Additionally, the child's parents should be involved in the management plan and provided with information on how to care for the child's skin and prevent future flare-ups. This may include avoiding triggers, such as certain foods or environmental factors, and maintaining a regular skincare routine.

Learn more about management of worsening facial eczema in a 2-year-old child with a history of atopic eczema here:

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Final answer:

The most appropriate management for a 2-year-old child with worsening facial eczema and painful clustered blisters is a combination of measures to control the eczema and treat the possible infection. This may include the use of topical corticosteroids, antibiotics, and continued use of emollients. It is important to involve the child's parents in the management plan and provide them with information on how to care for the child's skin and prevent future flare-ups.

Explanation:

When a child with a history of atopic eczema presents with a sudden worsening of symptoms, such as painful clustered blisters on the face and neck, it is important to assess the severity of the condition and provide appropriate management.

In this case, the child's parents have brought her to the local GP surgery due to a significant worsening of her facial eczema overnight. The presence of painful clustered blisters and a temperature of 37.9ºC suggests a possible infection.

The most appropriate management for this child would involve a combination of measures to control the eczema and treat the infection. Topical corticosteroids can be used to reduce inflammation and relieve symptoms. Antibiotics may be prescribed to treat any bacterial infection that may be present. It is important to continue using emollients to moisturize and protect the skin.

Additionally, the child's parents should be involved in the management plan and provided with information on how to care for the child's skin and prevent future flare-ups. This may include avoiding triggers, such as certain foods or environmental factors, and maintaining a regular skincare routine.

Learn more about management of worsening facial eczema in a 2-year-old child with a history of atopic eczema here:

https://brainly.com/question/31462223

#SPJ14

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