Atopic dermatitis - Revision history

Rossdonaldson1: /* Background */

2024-12-11T16:15:34Z

Background

← Older revision		Revision as of 16:15, 11 December 2024
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	==Background==		==Background==
			{{Skin anatomy background images}}
	*Also known as atopic eczema		*Also known as atopic eczema
	*A chronic type of inflammatory skin disease affecting many children and adults		*A chronic type of inflammatory skin disease affecting many children and adults

Rossdonaldson1: /* Clinical Features */

2022-05-14T11:34:21Z

Clinical Features

← Older revision		Revision as of 11:34, 14 May 2022
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	==Clinical Features==		==Clinical Features==
	[[File:Atopic dermatitits.jpg\|~~200px~~\|thumb]]		[[File:Atopic dermatitits.jpg\|thumb\|]]
			[[File:Atopy2010.jpg\|thumb\|Atopic dermatitis of the inside crease of the elbow.]]
	*Atopic personal or family history, worse in winter, dry weather		*Atopic personal or family history, worse in winter, dry weather
	*Erythema, crusts, fissures, [[pruritus]], excoriations, lichenification		*Erythema, crusts, fissures, [[pruritus]], excoriations, lichenification

Elcatracho: /* See Also */

2021-01-11T17:27:46Z

Elcatracho: /* Clinical Features */

2021-01-11T17:23:47Z

Clinical Features

← Older revision		Revision as of 17:23, 11 January 2021
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	*1st few months of life, resolving by age 2		*1st few months of life, resolving by age 2
	*Differentiate from [[impetigo]] (which may occur alongside)		*Differentiate from [[impetigo]] (which may occur alongside)

			===Childhood===
			*~4-12 years old
			*Wrists, ankles, antecubital and popliteal fossae

	===Adults===		===Adults===
	*Dryness, thickening in flexor surfaces including antecubital and popliteal fossae, neck		*>12 years old
			*Dryness, thickening in flexor surfaces including antecubital and popliteal fossae, neck, hands<ref>Leung DYM, Sicherer SH. Atopic Dermatitis (Atopic Eczema). In: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Textbook of Pediatrics. 21st ed. Elsevier; 2020:(Ch) 170.</ref>

	==Differential Diagnosis==		==Differential Diagnosis==

Elcatracho: /* Infantile */

2021-01-11T17:21:09Z

Infantile

← Older revision		Revision as of 17:21, 11 January 2021
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	===Infantile===		===Infantile===
	*blisters, crusts, exfoliations		*blisters, crusts, exfoliations
	*Face, scalp, ~~extremities~~, sparing of diaper area		*Face, scalp, trunk, extensor surfaces, sparing of diaper area
	*1st few months of life, resolving by age 2		*1st few months of life, resolving by age 2
	*Differentiate from [[impetigo]] (which may occur alongside)		*Differentiate from [[impetigo]] (which may occur alongside)

Rossdonaldson1: /* Background */

2020-09-10T22:42:51Z

Background

← Older revision		Revision as of 22:42, 10 September 2020
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	*Occasionally accompanied by [[asthma]] and/or hay fever. Patients develop a cutaneous hyperreactivity to environmental triggers.		*Occasionally accompanied by [[asthma]] and/or hay fever. Patients develop a cutaneous hyperreactivity to environmental triggers.
	*Cause is not known, but believed to be due to an interaction between susceptibility genes, the environment, defective skin barrier function, and immunologic responses.		*Cause is not known, but believed to be due to an interaction between susceptibility genes, the environment, defective skin barrier function, and immunologic responses.

			{{Dermatitis types}}

	==Clinical Features==		==Clinical Features==

NadavNahumi: /* Clinical Features */

2020-03-24T01:38:16Z

Clinical Features

← Older revision		Revision as of 01:38, 24 March 2020
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	===Infantile===		===Infantile===
	*blisters, crusts, exfoliations		*blisters, crusts, exfoliations
	*Face, scalp, extremities		*Face, scalp, extremities, sparing of diaper area
	*1st few months of life, resolving by age 2		*1st few months of life, resolving by age 2
	*Differentiate from [[impetigo]] (which may occur alongside)		*Differentiate from [[impetigo]] (which may occur alongside)

	===Adults===		===Adults===
	*Dryness, thickening in antecubital and popliteal fossae, neck		*Dryness, thickening in flexor surfaces including antecubital and popliteal fossae, neck

	==Differential Diagnosis==		==Differential Diagnosis==

ClaireLewis: /* Management */

2019-10-05T20:37:03Z

Management

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	**Alternatives include petroleum jelly and Aquaphor		**Alternatives include petroleum jelly and Aquaphor
	**If using steroids, apply emollients on top of steroids		**If using steroids, apply emollients on top of steroids
	*Topical steroids		*[[Topical steroids]]
	**7 days of low or medium potency steroid ointments either daily or BID		**7 days of low or medium potency steroid ointments either daily or BID
	***[[Triamcinolone]], [[hydrocortisone]], or [[betamethasone]]		***[[Triamcinolone]], [[hydrocortisone]], or [[betamethasone]]

Ted Fan: /* Management */

2017-05-30T03:48:48Z

Management

← Older revision		Revision as of 03:48, 30 May 2017
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	==Management==		==Management==
	*Identify and eliminate triggers		*Identify and eliminate triggers:
			**Alcohol based products
			**Fragrances and astringents
			**Excessive bathing
			**Allergens
	*Reduce drying of skin		*Reduce drying of skin
	*Liberal application of emollients (vaseline)		**Avoid lotions (high water and low oil content)
	*[[Triamcinolone]], [[hydrocortisone]], or [[betamethasone]]		*Liberal application of emollients (vaseline) immediately after bath (<5 min, skin should be pat dry instead of rubbing) <ref>Fang J. Dermatology. In: The Harriet Lane Handbook. 20th ed. Philadelphia, PA: Elsevier; 2015</ref>
	*[[Topical steroid potency]] for additional options		**Alternatives include petroleum jelly and Aquaphor
	*Avoid fluoridinated steroids to ~~the~~ face		**If using steroids, apply emollients on top of steroids
			*Topical steroids
			**7 days of low or medium potency steroid ointments either daily or BID
			***[[Triamcinolone]], [[hydrocortisone]], or [[betamethasone]]
			**Severe flares require high potency steroids followed by a taper
			***[[Topical steroid potency]] for additional options
			*Avoid fluoridinated steroids to thin skin areas such as face, groin, or axilla
	*Consider [[doxepin]] for recalcitrant pruritus<ref>Hercogova J. Topical anti-itch therapy. Dermatol Ther 18(4):341-3 (2005 Jul-Aug).</ref><ref>Drake L, Cohen L, Gillies R, et al. Pharmakinetics of doxepin in subjects with pruritic atopic dermatitis. J Am Acad Dermatol 41(2):209-14 (1999 Aug).</ref>		*Consider [[doxepin]] for recalcitrant pruritus<ref>Hercogova J. Topical anti-itch therapy. Dermatol Ther 18(4):341-3 (2005 Jul-Aug).</ref><ref>Drake L, Cohen L, Gillies R, et al. Pharmakinetics of doxepin in subjects with pruritic atopic dermatitis. J Am Acad Dermatol 41(2):209-14 (1999 Aug).</ref>
	**25-50mg PO nightly		**25-50mg PO nightly

Ted Fan: /* Management */

2017-05-30T03:27:58Z

Management

← Older revision		Revision as of 03:27, 30 May 2017
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	*Liberal application of emollients (vaseline)		*Liberal application of emollients (vaseline)
	*[[Triamcinolone]], [[hydrocortisone]], or [[betamethasone]]		*[[Triamcinolone]], [[hydrocortisone]], or [[betamethasone]]
			*[[Topical steroid potency]] for additional options
	*Avoid fluoridinated steroids to the face		*Avoid fluoridinated steroids to the face
	*Consider [[doxepin]] for recalcitrant pruritus<ref>Hercogova J. Topical anti-itch therapy. Dermatol Ther 18(4):341-3 (2005 Jul-Aug).</ref><ref>Drake L, Cohen L, Gillies R, et al. Pharmakinetics of doxepin in subjects with pruritic atopic dermatitis. J Am Acad Dermatol 41(2):209-14 (1999 Aug).</ref>		*Consider [[doxepin]] for recalcitrant pruritus<ref>Hercogova J. Topical anti-itch therapy. Dermatol Ther 18(4):341-3 (2005 Jul-Aug).</ref><ref>Drake L, Cohen L, Gillies R, et al. Pharmakinetics of doxepin in subjects with pruritic atopic dermatitis. J Am Acad Dermatol 41(2):209-14 (1999 Aug).</ref>

← Older revision		Revision as of 17:27, 11 January 2021
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	*[[General approach to rashes]]		*[[General approach to rashes]]
	*[[Pediatric rashes]]		*[[Pediatric rashes]]

			==External Links==
			https://pedemmorsels.com/atopic-dermatitis/

	==References==		==References==