Dermatology Book

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Occlusive Dressing

Aka: Occlusive Dressing, Occlusion
  1. Indications
    1. Increased potency of topical medication
    2. May be used in combination with all Topical Preparation Bases
  2. Contraindications
    1. Avoid use on face
    2. Avoid use in intertriginous areas (risk of maceration and Superficial Folliculitis)
  3. Adverse Effects
    1. Skin maceration
    2. Superficial Folliculitis
    3. Rapidly spreading infection
  4. Mechanism
    1. Increases topical medication (e.g. Topical Corticosteroid) penetration into skin
      1. Increases potency of topical medication
  5. Preparations
    1. Simple plastic wrap (from kitchen)
    2. Transparent Film Dressing
    3. Hydrocolloid Dressing
    4. Steroid impregnated dressing (ultra-high potency)
      1. Flurandrenolide (Cordran) 4 mcg/m2 impregnated dressing
        1. Used in difficult areas to treat (e.g. fingers)
        2. Due to ultra high potency - limit to short duration use

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