By Lionel Fry
Atopic eczema is the commonest and protracted dermatological noticeable regularly perform. over the past few years, advances were made within the genetics of atopy quite often, more moderen remedies were brought for topical use, and new recommendations prompt within the etiology. hence, a brand new textual content on atopic eczema is either well timed and invaluable. Written by way of one of many world's such a lot unusual dermatologists, An Atlas of Atopic Eczema presents complete assurance of this dermis sickness, together with new details on calcineurin inhibitors and their healing concepts. widely illustrated in colour, the atlas explores themes similar to genetics, etiology, pathogenesis, diagnosis, medical good points, differential analysis, relationships to different different types of eczema, and therapy. the writer lifts the veil of bewilderment and is helping physicians remain on best of the problem the elevated prevalence of eczemas current.
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Additional resources for An Atlas of Atopic Eczema (Encyclopedia of Visual Medicine Series)
Prurigo nodularis The term prurigo means ‘itchy’ and nodularis refers to firm lumps in the skin. The condition is most commonly seen in middle-aged females. There is often an underlying psychological problem. The lesions are seen most commonly on the extensor surfaces of the limbs (Figure 74), since these are the areas that are most accessible for scratching. The patient 30 AN ATLAS OF ATOPIC ECZEMA Figure 25 Crusting in severe atopic eczema develops a habit of picking and excoriating the lesions, resulting in local lichenification.
NON-AGE-RELATED FEATURES Symmetry As with other forms of endogenous skin disease, atopic eczema tends to be a symmetrical eruption (Figures 31, 37–40, 43, 49, 52). e. if the lesions are acute with weeping and crusting, then these lesions are found in a symmetrical pattern. If the lesions are asymmetrical, then this may imply secondary bacterial infection of the eczema. g. psoriasis, are as yet unknown. One possibility is that receptors in the endothelium of cutaneous vessels have developed symmetrically, as has the human body.
Some scaling of the scalp is also present Allergic rhinitis (hay fever) This will subsequently occur in 50% of patients with atopic eczema and usually begins between the ages of 10 and 30, which is considerably later than atopic eczema. Allergic rhinitis is often associated with allergic conjunctivitis (Figure 79) to varying degrees. At times, the nasal symptoms predominate, whilst in others the conjunctivitis is the major symptom. Approximately one-third of patients with atopic eczema will not develop either asthma or allergic rhinitis, while 10% will have all three disorders.