Approach to Eczema Eczema is a term for several different types of skin swelling. Eczema is also called dermatitis. Most types cause dry, itchy skin and rashes on the face, inside the elbows and behind the knees, and on the hands and feet.

2. • LITERALLY MEANS “BOIL OUT” (EK –OUT
,ZEMA-BOIL)
• RED SKIN WITH ERUPTIONS CONTAINING
LIQUID THAT OOZES OUT
• ECZEMA AND DERMATITIS ARE USED
SYNONYMOUSLY
• DERMATITIS INCLUDES ALL TYPES OF SKIN
INFLAMMATION- ALL DERMATITS IS NOT
ECZEMA

3. CLINICAL MANIFESTATIONS ARE DIVIDED INTO 3
STAGES
1) ACUTE
2) SUBACUTE
3) CHRONIC
 ACUTE- ITCHING ,REDNESS,EDEMA,
PAPULOVESICLES & OOZING
 SUBACUTE-CRUSTING AND SCALING WITH LESS
EDEMA
 CHRONIC- DRY, ROUGH AND LICHENIFIED SKIN

4. ACUTE IRRITANT DERMATITIS

5. SUBACUTE CONTACT DERMATITIS

6. SUBACUTE IRRITANT DERMATITS

7. CHRONIC DERMATITIS

8. • THE HISTOPATHOLOGY - ACCORDING TO
THE STAGE OF ECZEMATOUS PROCESS.
• IN THE ACUTE STAGE, THE EPIDERMIS IS
SPONGIOTIC DUE TO
INTERCELLULAREDEMA.
INTRAEPIDERMAL VESICLES FORM DUE
TO RUPTURE OF INTERCELLULAR
ATTACHMENTS. THERE IS ALSO A
VARIABLE INFILTRATION OF THE
EPIDERMIS BY LYMPHOCYTES

9. • SUBACUTE –VESICLES DISAPPEARED ,
SPONGIOSIS DIMINISHED ,PARAKERATOTIC
STATUM CORNEUM FORMS
• CHRONIC –ACANTHOSIS, HYPERKERATOSIS

10. CLASSIFICATION
BASED ON THE PREDOMINANCE OF CAUSATIVE
FACTORS
 EXOGENOUS
o IRRITANT CONTACT DERMATITIS
o ALLERGIC CONTACT DERMATITIS
o PHOTODERMATITIS
o INFECTIVE DERMATITIS

11.  ENDOGENOUS
o ATOPIC DERMATITIS
o SEBORRHEIC DERMATITS
o NUMMULAR ECZEMA
o ASTEATOTIC ECZEMA
o STATIS DERMATITIS
o POMPHOLYX
o JUVENILE PLANTAR DERMATOSIS
o ASSOCIATED WITH SYSTEMIC DISEASE
o ECZEMATOUS DRUG ERUPTIONS

12. THANK YOU