Treatment
Scaling Disorders:
Name 11 types: - ✔✔ correct answer Scaling Disorders:
1. Atopic Dermatitis
2. Psoriasis
3. Pityriasis Rosea
4. Seborrheic Dermatitis
5. Fungal Infections
6. Cutaneous Lupus Erythematosus
7. Cutaneous T-Cell Lymphoma
8. Exfoliative Dermatitis (Exfoliative Erythroderma)
9. Actinic Keratososes
10. Bowen Disease & Paget Disease
11. Intertrigo
Scaling Disorders:
Atopic Dermatitis:
Essentials of Diagnosis: - ✔✔ correct answer Scaling Disorders:
Atopic Dermatitis:
Essentials of Diagnosis:
-Pruritic, xerotic, exudative or lichenified eruption on face, neck, upper trunk, writs, and hands and
the anecubital and popliteal folds
-Personal or family history of allergic manifestations (eg, asthma, allergic rhinitis, atopic dermatitis).
,Current Medical Diagnosis &
Treatment
-Tendency to recur
-Onset in childhood is most patients. Onset after age 30 is very uncommon
Scaling Disorders:
Atopic Dermatitis:
General Considerations: - ✔✔ correct answer Scaling Disorders:
Atopic Dermatitis:
General Considerations:
-Diagnostic criteria must include pruritus, typical morphology and distribution (flexural, hand, nipple
and eyelid in adults), onset in childhood, and chronicity.
-Also helpful are (1) a personal or family history of atopy (asthma, allergic rhinitis, atopic dermatitis,
(2) xerosis-ichthyosis, (3) facial pallor with infraorbital darkening, (4) elevated serum IgE, and (5)
repeated skin infections.
Scaling Disorders:
Atopic Dermatitis:
Clinical Findings:
Symptoms and Signs: - ✔✔ correct answer Scaling Disorders:
Atopic Dermatitis:
Clinical Findings:
,Current Medical Diagnosis &
Treatment
Symptoms and Signs:
-Itching is key
-Ill-defined, scaly, red plaques affect the face, neck and upper trunk
-Flexural surfaces are also involved
-Virtually all patients with atopic dermatitis have skin disease before age 5
Scaling Disorders:
Atopic Dermatitis:
Clinical Findings:
Laboratory Findings: - ✔✔ correct answer Scaling Disorders:
Atopic Dermatitis:
Clinical Findings:
Laboratory Findings:
-Food allergy is uncommon cause of flares
-Eosinophilia and increased serum IgE levels may be presents
Scaling Disorders:
Atopic Dermatitis:
Clinical Findings:
, Current Medical Diagnosis &
Treatment
DDx: - ✔✔ correct answer Scaling Disorders:
Atopic Dermatitis:
Clinical Findings:
DDx:
-Seborrheic dermatitis (less puritic, frequent scalp and central face involvement, greasy and scaly
lesions, quick response to therapy)
-Psoriasis: sharply demarcated thickly scaled plaques
-Secondary staphylococcal or herpetic infections may exacerbate and should considered during
hyper-acute, weeping flares (infra-auricular fissure is a cardinal signs of secondary infections
Scaling Disorders:
Atopic Dermatitis:
Clinical Findings:
Treatment:
General Measures: - ✔✔ correct answer Scaling Disorders:
Atopic Dermatitis:
Clinical Findings:
Treatment:
General Measures: