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Atopic eczema

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ECZEMA and nIMPETIGO
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Atopic eczema

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Atopic eczema is a chronic, relapsing, inflammatory skin condition characterised by an itchy red rash that favours the skin creases such as the folds of the elbows or behind the knees.

Atopic eczema is a chronic, relapsing, inflammatory skin condition characterised by an itchy red rash that favours the skin creases such as the folds of the elbows or behind the knees.

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Atopic eczema

  1. 1. ATOPIC ECZEMA By- Dr. Armaan Singh
  2. 2. Atopic eczema is a chronic, relapsing, inflammatory skin condition characterised by an itchy red rash that favours the skin creases such as the folds of the elbows or behind the knees.
  3. 3. TRIGGER FACTORS O Irritants, eg soaps and detergents (including shampoos, bubble baths, shower gels and washing-up liquids). O Skin infections: Staphylococcus aureus is believed to be an important exacerbating factor in atopic eczema. O Contact allergens. O Extremes of temperature and humidity. Most patients improve in summer and are worse in winter. Sweating induced by heat or exercise can provoke an exacerbation.[ - O Abrasive fabrics, eg wool. O Dietary factors aggravate atopic eczema in about 10% of children but much less frequently in adults.Food allergy should be suspected in children with atopic eczema who have reacted previously to a food, with immediate symptoms, or in infants and young children with moderate or severe atopic eczema that has not been controlled by optimum management, particularly if associated with gut dysmotility (colic, vomiting, altered bowel habit) or failure to thrive. O Stress may exacerbate atopic eczema, which itself may be a cause of psychological distress. O Hormonal changes in women - eg premenstrual flare-ups, deterioration in pregnancy.
  4. 4. DIFFERENTIAL DIAGNOSIS O Psoriasis O Contact dermatitis O Seborrhoeic dermatitis O Fungal infections O Lichen simplex chronicus O Scabies and other infestations
  5. 5. INVESTIGATIONS O Estimation of immunoglobulin E (IgE) and specific radio allergosorbant tests (RASTs) only confirm the atopic nature of the individual. O Swabs for bacteriology are particularly useful if patients do not respond to treatment, in order to identify antibiotic-resistant strains of S. aureus or to detect additiona lstreptococcal infection.
  6. 6. INVESTIGATIONS O Estimation of immunoglobulin E (IgE) and specific radio allergosorbant tests (RASTs) only confirm the atopic nature of the individual. O Swabs for bacteriology are particularly useful if patients do not respond to treatment, in order to identify antibiotic-resistant strains of S. aureus or to detect additiona lstreptococcal infection.

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