Home' Australian Pharmacist : Australian Pharmacist November 2016 Contents Australian Pharmacist November 2016 I ©Pharmaceutical Society of Australia Ltd.
CONTINUING PROFESSIONAL DEVELOPMENT
1. Mayo clinic (insect bites and stings: first aid). At: www.
2. NHS choices (insect bites and stings – symptoms).
2016. At: www.nhs.uk/Conditions/Bites-insect/Pages/
1. Which ONE of the following
symptoms can be seen in eczema?
a) Koplik spots in the mouth.
b) Oedematous skin wheals.
c) Large blotches on the skin.
d) Thickened areas of skin.
2. Which ONE of the following
statements is CORRECT?
a) A fixed-drug eruption is one or more
erythematous skin lesions appearing
due to systemic exposure to a drug.
b) Chicken pox is not contagious.
c) Hives may not lead to a rash in
d) Insect stings will usually take more than
a week to subside in mild cases.
3. Which ONE of the following
statements regarding chicken pox is
a) Recovery from an initial case of chicken
pox in most cases leads to lifetime
b) The chicken pox virus can be spread
through airborne respiratory droplets.
c) Chicken pox is primarily a disease of
d) Chicken pox lesions usually progress to
4. Which ONE of the following
statements regarding fixed-drug
eruptions is CORRECT?
a) Penicillins have not been associated
with fixed-drug eruptions.
b) It has been proven that there is no
allergic component involved in the
pathophysiology of a fixed-drug
c) Lesions associated with a fixed-drug
eruption do not usually have well
d) Lesions associated with a fixed-drug
eruption usually present within
30 minutes to 8 hours of taking the
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KEY LEARNING POINTS
There are various potential causes of skin rashes in children, and rashes can often
have similar attributes, making them difficult to distinguish. However, there are
some key features of specific rashes and causative agents, which may allow for a
more accurate assessment of which skin rash is present and the most appropriate
treatment options. In this case, the cause was a fixed-drug eruption, which caused a
red, swollen rash on the hip.
The most appropriate course of action for a fixed-drug eruption is to cease the
suspected offending agent, and manage symptoms which have occurred using
treatments such as an oral antihistamine and/or topical corticosteroid as required.
It is important that the pharmacist takes a detailed patient history to determine the
likely cause of skin rashes, to ensure the most appropriate management is instituted.
3. Mayo clinic. Atopic dermatitis (eczema). 2014. At: www.
4. Australasian society of clinical immunology and allergy.
Eczema (atopic dermatitis). 2013. At: www.allergy.org.au/
5. Mayo clinic. Measles. 2014. At: www.mayoclinic.org/
6. Chen S. Measles clinical presentation. At: http://emedicine.
7. DermNet New Zealand. Chicken pox. 2002. At: www.
8. Australian Government Department of Health. The
Australian Immunisation Handbook . 2016. At: www.
9. Centers for disease control and prevention. Chicken pox
(varicella). 2016. At: www.cdc.gov/chickenpox/hcp/clinical-
10. DermNet New Zealand.Urticaria. 2015. At: http: www.
11. Schaefer P. Urticaria: evaluation and treatment. Am Fam
12. Butler D. Fixed drug eruptions. 2016. At: http://emedicine.
13. DermNet New Zealand. Fixed drug eruption. 2001. At:
14. Rehmus W. Drug eruptions and reactions. Merck Manual
15. Blume JE. Drug eruptions. Medscape 2016. At: http://
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