Atopic dermatiitis

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Atopic dermatiitis

  1. 1. ATOPIC DERMATITIS • Definition: • How to Diagnose ? • How to Manage ? • Recent Advances:
  2. 2. Atopic Dermatitis • Different types of presentation with severe itching : think of Atopic Dermatitis. • Associated allergic rhinitis, allergic brochitis may or may not be present. • Strong family history.
  3. 3. Atopic Dermatitis Infantile phase Childhood phase Adult phase
  4. 4. Aeitiopathogenesis • Decrease skin barrier function. • Increase trans epidermal water loss. • Increase exogenous proteases from staph. Aureus / Dust mites with reduce endogenous protease inhibitors.
  5. 5. Infantile phase • • • • Who is the first to see and diagnose ? Answer :Pediatrician Starts at 3-6 month of age. First sign : in winter xerosis , scaling, localized erythema with scaling and crusting on cheeks gradually affecting paranasal area and perioral area. • Repeated scratching produces infantile eczema.Extensor side is affected. • Few of them have generalized eruptions.
  6. 6. Infantile phase • Starts at 3-6 month of age. • First sign : in winter xerosis , scaling, localized erythema with scaling and crusting on cheeks gradually affecting paranasal area and perioral area. • Repeated scratching produces infantile eczema.Extensor side is affected. • Few of them have generalized eruptions.
  7. 7. Childhood phase • Inflammations in flexure areas.
  8. 8. Mannagement of AD • Education. • Treatment. • Prevention of invasive infections and (MRSA induced bacteremia , endocarditis , osteomylitis , septic arthritis) and recurrences of atopic dermatitis.
  9. 9. Management strategy • Age of patient • Stage of AD • Site and extent of lesion, infections
  10. 10. Rx • Avoid irritants • Antibacterial Cleansers instead of soaps to reduce bacterial colonization. • Full cotton clothing

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