Atopic dermatitis: Difference between revisions
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==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{Neonatal rashes DDX}} | {{Neonatal rashes DDX}} | ||
==Complications== | |||
*Secondary bacterial infection | |||
*[[Eczema herpeticum]], widespread HSV infection | |||
==Treatment== | ==Treatment== | ||
Revision as of 04:32, 17 February 2016
Background
- Must distinguish from Seborrheic Dermatitis
- Occurs between 2-6mo (somewhat later than seborrheic dermatitis)
- Pruritic (may manifest as fussiness) vs seborrheic (not pruritic)
Clinical features
- Atopic personal or family hx, worse in winter, dry weather
- Erythema, crusts, fissures, pruritis, excoriations, lichenification
- Infantile form - blisters, crusts, exfoliations
- Face, scalp, extremities
- 1st few months of life, resolving by age 2
- Adults
- Dryness, thickening in AC and popliteal fossa, neck
Diagnosis
- Dry skin, erythematous papular lesions
- Face most commonly involved; nose and diaper areas spared
Differential Diagnosis
Neonatal Rashes
- Acne
- Atopic dermatitis
- Candidiasis
- Contact dermatitis
- Diaper dermatitis
- Erythema toxicum neonatorum
- Impetigo
- Mastitis
- Milia
- Miliaria
- Mongolian spots
- Omphalitis
- Perianal streptococcal dermatitis
- Psoriasis
- Pustular melanosis
- Seborrheic dermatitis
- Sucking blisters
- Tinea capitis
Complications
- Secondary bacterial infection
- Eczema herpeticum, widespread HSV infection
Treatment
- Identify and eliminate triggers
- Reduce drying of skin
- Liberal application of emollients (vaseline)
- Triamcinolone, hydrocortisone, or betamethasone
- Avoid fluoridinated steroids to the face