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Color Atlas & Synopsis of Pediatric Dermatology, 2eColor Atlas & Synopsis of Pediatric Dermatology, 2e

Section 2. Eczematous Dermatitis

Topics Discussed: antibiotics; anti-inflammatory agents; antipruritics; atopic dermatitis; atopic dermatitis, infantile; dermatology; skin lesion.
Sections: Striae Distensae, Lichen Simplex Chronicus, Prurigo Nodularis, Dyshidrotic Eczematous Dermatitis, Nummular Eczema, Contact Dermatitis, Seborrheic Dermatitis.
Excerpt:"Atopic dermatitis is a chronic disorder characterized by xerosis, pruritus, scaly erythematous patches, and thickening of the skin with enhancement of normal skin markings (lichenification). It is frequently associated with a personal or family history of hay fever, asthma, or allergic rhinitis. It can be divided into three phases based on the age of the individual: infantile, childhood, and adolescent.Although many patients and families will insist on "finding the cause," experience and studies confirm that specific allergen identification and avoidance or dietary modification is less helpful than focusing on skin treatment.Type Patches and plaques with scale, crust, and lichenification. Lesions usually confluent and ill defined.Age Symptoms appear between age 2 and 6 months and the majority clear by age 2 to 3 years.Type Patches and erosions with scaling, exudation with wet crusts, and fissures.Age Typically follows infantile atopic dermatitis and is seen from age 4 to 10 years.Type Papules coalescing into lichenified plaques with erosions and crusts (Figs. 2-3 and 2-4).Age Begins at age 12 years and continues into adulthood.Type Papules coalescing into lichenified plaques.1. Bathing in lukewarm water for approximately 15 minutes daily.
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