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== | ||
| + | *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== | ==Diagnosis== | ||
Revision as of 04:31, 17 February 2016
Contents
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
- Atopic dermatitis
- Diaper dermatitis
- Erythema toxicum neonatorum
- Neonatal acne
- Psoriasis
- Seborrheic dermatitis
- Tinea capitis
- Impetigo
- Contact dermatitis
- Perianal streptococcal dermatitis
- Milia
- Miliaria
- Mongolian spots
- Omphalitis
- Pustular melanosis
- Sucking blisters
Treatment
- Identify and eliminate triggers
- Reduce drying of skin
- Liberal application of emollients (vaseline)
- Triamcinolone, hydrocortisone, or betamethasone
- Avoid fluoridinated steroids to the face