Rashes:
Generally speaking,rahses maybe classified as being from
inside or outside.
Examples of Inside or endogenous rashes include:
Atopic Eczema.
Drug Rashes
Psoriasis
Examples of Outside
or exogenous rashes include :
Fungal infections.
Contact Ddermatitis.
HISTORY OF RECURRENT EPISODE:
In case of history of recurrent episode,this may be due to
atopic eczema due to a patients”s constitutional tendency or contact dermatitis
due to a regular exposure to a causative agent.
OTHER FAMILY MEMBERS AFFECTED:
If several members of a family are affected by a skin rash
together,think of a contagious condition such as scabies.
Similarly an skin condition with a familial tendency can cause
similar presentation such as Atopic Eczema.
Symmetry:
Usually,endogenous skin rashes are symmetrical such as
psoriasis.
Distribution:
It is important to evaluate the distribution and location of
the rash.
Rashes on sun exposed areas are due to sensitivity to sun
light
HOW SKIN DISEASES AFFECT A PERSON/CONCERNS OF PATIENT AND EFFECT
ON ADL:
It is important to evaluate how the patient reacts to skin
disease.
For example a patient with severe psoriasis may be
unbothered while someone with a small rash maybe very anxious.
A person may become anxious that the rash maybe due to
cancer or underlying disease and it is vital the patients be reassured and plan
of further action be discussed with them adequately.
It is important to give counselling in cases where an
allergen at work environment maybe causing the rash that the affected person
may need to consider change of occupation.
Where applicable the patient should be advised to avoid
aggravating factor for the rash.
The patient will be anxious to know whether the rash canbe
cured or not.
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