Treatment 2023 62nd Edition By By Maxine Papadakis,
Stephen Mcphee, Michael Rabow & Kenneth Mcquaid
Scaling Disorders:
Name 11 types: - 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: - 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).
-Tendency to recur
-Onset in childhood is most patients. Onset after age 30 is very uncommon
Scaling Disorders:
Atopic Dermatitis:
General Considerations: - 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: - ANSWER Scaling Disorders:
Atopic Dermatitis:
Clinical Findings:
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: - 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:
, DDx: - 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: - ANSWER Scaling Disorders:
Atopic Dermatitis:
Clinical Findings:
Treatment:
General Measures:
-Anything that drys or irritates the skin will potentially trigger
-Sensitive to low humidity and flare in winter
-Do not bath more than 1x/day
-Soap should be confined to arm pits, groin, scalp and feet
-Pat dry and immediately apply emollient or CS
-Cotton is preferable
-Other triggers include sweating, ointments, and heat
Scaling Disorders:
Atopic Dermatitis:
Clinical Findings:
Treatment:
Local Treatment: - ANSWER Scaling Disorders:
Atopic Dermatitis: