Difference between revisions of "Atopic dermatitis"

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[[File:Atopic dermatitits.jpg|200px|thumb]]
 
[[File:Atopic dermatitits.jpg|200px|thumb]]
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==Clinical features==
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*Atopic personal or family hx, worse in winter, dry weather
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*Erythema, crusts, fissures, pruritis, excoriations, lichenification
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*Infantile form - blisters, crusts, exfoliations
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**Face, scalp, extremities
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**1st few months of life, resolving by age 2
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*Adults
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**Dryness, thickening in AC and popliteal fossa, neck
  
 
==Diagnosis==
 
==Diagnosis==

Revision as of 04:31, 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)
Atopic dermatitits.jpg

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

Treatment

  • Identify and eliminate triggers
  • Reduce drying of skin
  • Liberal application of emollients (vaseline)
  • Triamcinolone, hydrocortisone, or betamethasone
  • Avoid fluoridinated steroids to the face

See Also