Difference between revisions of "Atopic dermatitis"

Line 35: Line 35:
 
==See Also==
 
==See Also==
 
*[[Neonatal Rashes]]
 
*[[Neonatal Rashes]]
 +
 +
==Sources==
 +
*Kim BS et al. Atopic Dermatitis. eMedicine. Jul 1, 2015. http://emedicine.medscape.com/article/1049085-overview.
  
 
[[Category:Derm]]
 
[[Category:Derm]]
 
[[Category:Peds]]
 
[[Category:Peds]]

Revision as of 04:33, 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

Complications

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

Sources