A chronic, relapsing, pruritic eczematous condition affecting characteristic sites
Early onset cases have coexisting allergen sensitization more often than late onset.
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%)...
Minimize flare-ups and control the duration and intensity of flare-up.
Avoid agents that may cause irritation (e.g., wool, perfumes).
Lukewarm (not hot) bathi...
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...
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
Institute early and proactive treatment to reduce inflammation. Use the lowest potency topical steroid that controls symptoms.
Monitor for secondary bacterial infection.
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Hyperlinearity of palms: observed in atopic dermatitis
<bold>Figure 68-2</bold> Atopic dermatitis. Note the areas of dryness, hypo- and hyperpigmentation and lichenification in the antecubital fossa of this 5-year-old.
<bold>Figure 68-2</bold> Atopic dermatitis. Note the areas of dryness, hypo- and hyperpigmentation and lichenification in the...
Infantile eczema with dramatic postinflammatory hypopigmentation
FIGURE 2.14 Atopic cheilitis (atopic dermatitis of the lips). Note the lichenification and the ill-defined outline of the vermilion border of the upper lip.
FIGURE 2.14 Atopic cheilitis (atopic dermatitis of the lips). Note the lichenification and the ill-defined outline of the vermilion border...
Severe chronic atopic dermatitis with postinflammatory hyperpigmentation and lichenification
Atopic Dermatitis (eczema)
Erythema, scaling, dry skin, and intense itching characterize this condition in children.
Lichenification. Thickening and roughening of the skin with increased visibility of the normal skin furrows. Example: atopic dermatitis
Infantile eczema: 2 month-old with scaling pruritic eruption over 2 weeks.
Eyelid eczema. Pt rubbed her eyes with the back of her hand due to itching.
Icthyosis vulgaris: "Dry" skin in a 6 year-old with eczema and pityriasis alba
Atopic dermatitis with lichenification (lichen simplex chronicus). Note skin-line accentuation
Pityriasis alba in a teen with asthma and eczema. Note the xerosis.
Pityriasis alba in an African American teen with asthma
Pityriasis alba in a young woman with atopy
Pityriasis alba: Subtle hypopigmented macules and dry skin in a child with atopy