CME Exam: Difficult to Manage Atopic Dermatitis

CME Exam: Difficult to Manage Atopic Dermatitis

Continuing Medical Education examination Difficult to Manage Atopic Dermatitis Instructions for AMA PRA Category 1 CreditÔ The American Academy of Al...

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Continuing Medical Education examination

Difficult to Manage Atopic Dermatitis Instructions for AMA PRA Category 1 CreditÔ The American Academy of Allergy, Asthma and Immunology (AAAAI) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Test ID no: jaip0063 Contact hours: 1.0 Expiration date: December 31, 2017 AMA PRA Category 1 CreditÔ can be earned by reading the text material and taking this CME examination online. For complete instructions, visit the Journal’s Web site at www.jaci-inpractice.org.

Learning Objectives: 1. To determine why atopic dermatitis management fails. 2. To describe the additional interventions available for refractory atopic dermatitis.

CME items Question 1. A 2-year-old girl presents with a history of dry, erythrodermic skin refractory to emollients and topical steroids. She also has brittle hair, which on microscopic examination reveals trichorrhexis invaginata (bamboo hair). Which of the following diagnoses is the most likely?

Question 4. Which of the following tests is most helpful for the diagnosis of hyper-IgE syndrome? A. Hair microscopy B. Immunoglobulin E level

A. Corticosteroid allergy

C. Skin biopsy

B. Hyper-IgE syndrome

D. Th17 enumeration

C. Mycosis fungoides D. Netherton’s syndrome Question 2. A 63-year-old man with no prior history of eczema presents with a 2-year history of pruritus that has recently progressed to a diffuse erythrodermic rash with a thin, wrinkled quality. Which of the following diagnoses is the most likely? A. Corticosteroid allergy

Question 5. Which of the following is the best initial treatment intensification regimen for difficult to control atopic dermatitis? A. Azathioprine B. Cyclosporine C. Prednisone D. Wet wraps, bleach baths, twice daily topical corticosteroids

B. Hyper-IgE syndrome C. Mycosis fungoides D. Netherton’s syndrome Question 3. A 13-year-old girl presents with difficult to control eczema, recurrent skin boils and pneumonias, and dental extraction due to retention of primary teeth. Which of the following diagnoses is the most likely? A. Corticosteroid allergy B. Hyper-IgE syndrome C. Mycosis fungoides D. Netherton’s syndrome 209