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Atopic Dermatitis

 Syn. Eczema

Signs & Symptoms

 Exposed to wet-work environments
Ref: Uptodate [ Atopic dermatitis (eczema): Pathogenesis, clinical manifestations, and diagnosis]
History of atopic dermatitis
Note: Atopic hand eczema, Adults with a history of atopic dermatitis who no longer have dermatitis in typical areas (eg, flexural)
Ref: Uptodate [ Atopic dermatitis (eczema): Pathogenesis, clinical manifestations, and diagnosis]
Involved volar wrists
Note: Atopic hand eczema
Ref: Uptodate [ Atopic dermatitis (eczema): Pathogenesis, clinical manifestations, and diagnosis] Hbif [ 158]
Involved dorsum of the hands
Note: Atopic hand eczema
Ref: Uptodate [ Atopic dermatitis (eczema): Pathogenesis, clinical manifestations, and diagnosis] Hbif [ 158]

Physical Examination

 Eggs by skin scraping
Ref: Uptodate [ Atopic dermatitis (eczema): Pathogenesis, clinical manifestations, and diagnosis]
Adhesive tape test
Ref: Uptodate [ Atopic dermatitis (eczema): Pathogenesis, clinical manifestations, and diagnosis]
Mites by skin scraping
Ref: Uptodate [ Atopic dermatitis (eczema): Pathogenesis, clinical manifestations, and diagnosis]

Lab / Serology

 Increased serum immunoglobulin E
Note: The levels of IgE do not necessarily correlate with the activity of the disease
Ref: Uptodate [ Atopic dermatitis (eczema): Pathogenesis, clinical manifestations, and diagnosis] Hbif [ 150]
Anemia
Note: due to Chronic inflammation, due to malnutrition secondary to dietary restrictions, due to malnutrition
Ref: Uptodate [ Atopic dermatitis (eczema): Pathogenesis, clinical manifestations, and diagnosis]
Blood Eosinophilia
Note: severe AD
Ref: Hbif [ 150]

Imagin Study

Complication

 Exudation #Acute
Ref: Uptodate [ Atopic dermatitis (eczema): Pathogenesis, clinical manifestations, and diagnosis] Hbif [ 150]
Blepharitis
Ref: Uptodate [ Atopic dermatitis (eczema): Pathogenesis, clinical manifestations, and diagnosis]
Keratoconus
Ref: Uptodate [ Atopic dermatitis (eczema): Pathogenesis, clinical manifestations, and diagnosis]

Risk Factors

 2 < age < 5
Ref: Hbif [ 149]
Age < 1
Ref: Hbif [ 149]

Cause

Other