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Dermatitis, Atopic

Dennis E. Hughes, DO, FAAFP, FACEP Reviewed 06/2018
 


BASICS

DESCRIPTION

  • A chronic, relapsing, pruritic eczematous condition affecting characteristic sites

  • Early onset cases have coexisting allergen sensitization more often than late onset.

  • Clinical phenoty...

DIAGNOSIS

HISTORY

  • Presence of major symptoms, including relapsing of condition, family history, typical distribution, and morphology necessary to make diagnosis of AD

  • Upward of 33% report associated moo...

TREATMENT

GENERAL MEASURES

  • Minimize flare-ups and control the duration and intensity of flare-up.

  • Avoid agents that may cause irritation (e.g., wool, perfumes).

  • Minimize sweating.

  • Lukewarm (not hot) bathi...

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

Patient Monitoring

Evaluate to ensure that secondary bacterial or fungal infection does not develop as a result of disruption of the skin barrier. Most patients wi...

REFERENCES

1
1 Thomsen SF. Atopic dermatitis: natural history, diagnosis, and treatment. ISRN Allergy.  2014;2014:354250.
2
2 Wollenberg A, Seba A, Antal AS. Immunological and molecular targets of a...

ADDITIONAL READING

  • Boguniewicz M, Leung DY. Recent insights into atopic dermatitis and implications for management of infectious complications. J Allergy Clin Immunol.  2010;125(1):4–13.

  • Lifschitz...

SEE ALSO

Algorithm: Rash 

CODES

ICD10

  • L20.9 Atopic dermatitis, unspecified

  • L20.89 Other atopic dermatitis

  • L20.83 Infantile (acute) (chronic) eczema

  • L20.84 Intrinsic (allergic) eczema

  • L20.82 Flexural eczema

ICD9

691.8 Other atopic der...

CLINICAL PEARLS

  • Institute early and proactive treatment to reduce inflammation. Use the lowest potency topical steroid that controls symptoms.

  • Monitor for secondary bacterial infection.

  • Frequent systemi...

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