Leprosy

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Refer to the section on Leprosy under Infectious Diseases 

Acute eczema

  • Sudden eruption with erythema, vesicles and sometimes bullae, often with serous exudates (wet appearance)
  • Wet or oozing lesions - dry them first with Calamine lotion 2 times a day
  • Give Chlorpheniramine 4mg at night for 7 days

Subacute eczema

  • Lesions take several days to erupt, are red but not wet or may be slightly wet. Few

General Management

  • Normal or slightly wet lesions- use Hydrocortisone 1% cream twice a day
  • Give Chlorpheniramine 4mg at night for 7 days

Chronic eczema

  • Develops after months/years, thickened dry and scaly skin, (lichenification), deep cracks (can bleed) scratch marks, sometimes infected

General Management

  • Dry skin lesions
    • Apply Hydrocortisone ointment 1% bd

Alternative

  • Give potent steroid e.g. Betamethasone 0.1%