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ATOPIC DERMATITIS
• Definition:
• How to Diagnose ?
• How to Manage ?

• Recent Advances:
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.
Atopic Dermatitis

Infantile phase
Childhood phase
Adult phase
Aeitiopathogenesis
• Decrease skin barrier function.
• Increase trans epidermal water loss.
• Increase exogenous proteases from staph.
Aureus / Dust mites with reduce endogenous
protease inhibitors.
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.
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.
Childhood phase
• Inflammations in flexure areas.
Mannagement of AD
• Education.
• Treatment.
• Prevention of invasive infections and (MRSA
induced bacteremia , endocarditis ,
osteomylitis , septic arthritis) and recurrences
of atopic dermatitis.
Management strategy
• Age of patient
• Stage of AD
• Site and extent of lesion, infections
Rx
• Avoid irritants
• Antibacterial Cleansers instead of soaps to
reduce bacterial colonization.
• Full cotton clothing

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Atopic dermatiitis

  • 1. ATOPIC DERMATITIS • Definition: • How to Diagnose ? • How to Manage ? • Recent Advances:
  • 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.
  • 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. 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. 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.
  • 8. Mannagement of AD • Education. • Treatment. • Prevention of invasive infections and (MRSA induced bacteremia , endocarditis , osteomylitis , septic arthritis) and recurrences of atopic dermatitis.
  • 9. Management strategy • Age of patient • Stage of AD • Site and extent of lesion, infections
  • 10. Rx • Avoid irritants • Antibacterial Cleansers instead of soaps to reduce bacterial colonization. • Full cotton clothing