Lesions are eczematous and exudative. Pallor of the face is common; erythema and scaling occur around the eyes. Dennie-Morgan folds (ie, increased folds below the eye) are often seen. Flexural creases, particularly the antecubital and popliteal fossae, and buttock-thigh creases are often affected.
What is clinical presentation of atopic dermatitis?
Dry skin. Itching, which may be severe, especially at night. Red to brownish-gray patches, especially on the hands, feet, ankles, wrists, neck, upper chest, eyelids, inside the bend of the elbows and knees, and in infants, the face and scalp. Small, raised bumps, which may leak fluid and crust over when scratched.
Which of the following is associated with atopic dermatitis?
While atopic dermatitis is not always due to an allergic reaction, it is commonly associated with other allergic disorders: up to 60 percent of people with atopic dermatitis develop asthma or hay fever (allergic rhinitis) later in life, and up to 30 percent have food allergies.
How would you describe atopic dermatitis rash on a physical exam?
Lesions are ill-defined, erythematous, scaly, and crusted (eczematous) patches and plaques. Most commonly involved areas: Scalp, cheeks and extensor side of the extremities.
How do you describe severe atopic dermatitis?
Atopic Dermatitis Also known as eczema, atopic dermatitis is a chronic inflammatory skin condition that is associated with an overreactive immune system. Symptoms include itchy, dry, scaly skin that may weep with clear fluid when scratched.
When do you refer to atopic dermatitis?
ACD should be suspected when patients do not respond to appropriate topical therapy or when affected areas continue to spread beyond the usual flexural locations. Emollients and moisturizers — Skin hydration is a key component of the overall management of patients with atopic dermatitis.
What causes atopic dermatitis on hands?
Atopic hand dermatitis is due to impaired skin barrier function and is triggered by contact with irritants. It usually involves the backs of the hands and around the wrists. It may manifest as a discoid or vesicular pattern of eczema.
What parts of the body are most likely to be affected by atopic dermatitis?
What parts of the body are affected? The part or parts of the body affected by atopic dermatitis tends to change as a child ages. In infants and young children, it’s usually the face, trunk and extremities. In older children and adults, atopic dermatitis tends to appear on the creases if the arms and back of the legs.
What other atopic conditions may occur in people with atopic asthma?
The presence of atopy in an individual is associated with an increased risk of developing one or more of the atopic diseases – atopic dermatitis, asthma, and allergic rhinoconjunctivitis/hay fever (and food allergy).
What type of hypersensitivity reaction is atopic dermatitis?
Atopic dermatitis is a type I IgE-mediated hypersensitivity reaction, but the exact etiology is unknown.
How do you describe dermatitis rash?
Dermatitis is a general term that describes a common skin irritation. It has many causes and forms and usually involves itchy, dry skin or a rash. Or it might cause the skin to blister, ooze, crust or flake off.
How do you describe physical contact dermatitis?
Contact dermatitis usually leads to erythema and scaling with visible borders. Itching and discomfort may also occur. Acute cases may involve a dramatic flare with erythema, vesicles, and bullae; chronic cases may involve lichen with cracks and fissures.
How do you clinically describe eczema?
Definition. Eczema is a chronic inflammatory skin disease that affects about 20% of children [3,4] and 3% of adults. It is characterized by pruritus, scratching, and eczematous lesions (dry, scaling and crusted areas of skin), and when chronic may be associated with lichenification (thickening) and pigmentary changes.
What is the most descriptive of atopic dermatitis in the infant?
What are the symptoms of atopic dermatitis? In infants: Red, very itchy dry patches of skin. Rash on the cheeks that often begins at 2 to 6 months of age.
Which is the primary symptom causing discomfort in patients with atopic dermatitis AD )?
Itch is the hallmark of the disease. Typically, affected skin areas include the folds of the arms, the back of the knees, wrists, face, and neck. The itchiness is an important factor in atopic dermatitis, because scratching and rubbing can worsen the skin inflammation that is characteristic of this disease.
What is the medical term for atopic dermatitis?
Atopic dermatitis: A skin disease characterized by areas of severe itching, redness, scaling, and loss of the surface of the skin. Atopic dermatitis is the most common of the many types of eczema. Atopic dermatitis is frequently associated with other allergic disorders, especially asthma and hay fever.