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Dermatitis, Atopic

Dennis E. Hughes, DO, FAAFP, FACEP Reviewed 06/2020
 


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

  • Most prevalent symptoms: itch (54%)...

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
Narla S, Silverberg JI. Association between atopic dermatitis and serious cutaneous, multiorgan and systemic infections in US adults. Ann Allergy Asthma Immunol.  2018;120(1):66.e11–7...

ADDITIONAL READING

  • D’Erme AM, Romanelli M, Chiricozzi A. Spotlight on dupilumab in the treatment of atopic dermatitis: design, development, and potential place in therapy. Drug Des Devel Ther.  2...

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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