Atopic dermatitis

Revision as of 15:59, 22 March 2016 by Ostermayer (talk | contribs) (Text replacement - "Category:Peds" to "Category:Pediatrics")


  • 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
    • Differentiate from impetigo (which may occur alongside)
  • Adults
    • Dryness, thickening in AC and popliteal fossa, neck


  • Dry skin, erythematous papular lesions
  • Face most commonly involved; nose and diaper areas spared

Differential Diagnosis

Neonatal Rashes



  • 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