Published on Dec 05, 2016 and last reviewed on Sep 07, 2018 - 2 min read
Atopic dermatitis is a chronic disease, which usually manifests for the first time in infancy or childhood. But, it usually improves with age.
Atopic dermatitis is an endogenous eczema (eczema due to internal causes) characterized by extreme itchiness and recurrent symmetric eczematous dermatitis. The involvement of a site depends on the age of the patients. This chronic eczema is one of the atopic conditions and together with asthma and hay fever, it has a heritable tendency. Certain environmental factors like winter, inhaled allergens and certain food may aggravate this disease in a certain subset of patients. Its clinical course and features vary with age and are easily aggravated by secondary infections. Herpes simplex viral infection can cause a very severe rash called as Kaposi varicelliform eruption in children with atopic eczema.
Three distinct patterns of atopic dermatitis have been recognized depending on the patient's age:
Atopic dermatitis in babies begins after the age of 3 months. Lesions are intensively itchy papules and vesicles, which soon discharge serous fluids. Lesions begin on the face, but can involve the rest of the body. But, usually, there is sparing of the diaper area and secondary infection is common.
Dry, leathery and extremely itchy, raised areas (plaques), mainly on the elbow and knee flexors. Sometimes, a reversed (extensor) pattern may be seen.
Lesions are very itchy and lichenified, looks like tree bark. It involves the cubital (front of the elbow) and popliteal fosse (back of knee) and sometimes the neck. A low grade involvement may be seen on the rest of the body. Discoid pattern (coin shaped) of eczema may be seen.
Systemic antibiotics are used in patients with extensive infected lesions. Systemic steroids with the availability of potent topical steroids and systemic corticosteroids have reduced the eczema substantially.
Especially, the sedating ones are used regularly to overcome the itching and are of great value in whom sleep is interrupted.
Counseling and Psychotherapy:
Not only can stress aggravate atopic dermatitis, but the severely affected child is also a source of stress for the whole family. Counseling is an important part of the treatment. Counseling of parents for do’s and don’ts when the patient is a child will help them lead a stress-free life. Adolescents with atopic dermatitis should be well advised that this disease often improves or goes into remission with ages. They should avoid occupations such as car mechanics, engineering, hairdressing or nursing.
For further information regarding atopic dermatitis consult an atopic dermatitis specialist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist/atopic-dermatitis
Query: Hello doctor, Eczema or fungus on right thumb and index, it looks like it is expanding and it leaves apparently dead skin behind which peels off. I have pictures for a better understanding. It itches none to moderately, it hurts slightly when applied pressure on. I am a driver. Read Full >>
Answer: Hi, Welcome to icliniq.com. From your pictures (attachment removed to protect patient identity), it is more in favor of eczema but infected one. Do you use gloves while holding steering? It is not a fungal infection clinically. You have to apply combination ointment containing Betamethasone and Ne... Read Full
Query: Hello doctor, I am a 27 year old female. My skin appears very dull. Can you suggest a whitening cream that does not contain steroid, which I can use on a regular basis? Read Full >>
Answer: Hello, Welcome to icliniq.com. You can take an oral Vitamin C supplement every day. I suggest taking one sachet of Ener-C 1000 mg in a glass of water. Use sunscreen in the morning. Apply Golite skin lightening cream over the face at bedtime. For more information consult a dermatologist on... Read Full
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