By Lionel Fry
Atopic eczema is the most typical and chronic dermatological situation visible typically perform. over the past few years, advances were made within the genetics of atopy usually, more recent remedies were brought for topical use, and new suggestions steered within the etiology. therefore, a brand new textual content on atopic eczema is either well timed and worthwhile. Written via one of many world's so much special dermatologists, An Atlas of Atopic Eczema offers complete insurance of this dermis affliction, together with new details on calcineurin inhibitors and their healing innovations. generally illustrated in colour, the atlas explores issues reminiscent of genetics, etiology, pathogenesis, analysis, medical gains, differential analysis, relationships to different sorts 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)
7 Clinical features At the present time, there is no single objective feature or investigation with which to define atopic eczema. There are certain clinical features characteristic of the disease but they are not always present. In addition, as in many disorders with a multifactorial etiology, there appears to be a spectrum of disease. At one end of the spectrum are patients with many recognized features associated with atopic eczema, but, at the other end, are patients with mild disease and only one or two of these features.
The condition is worse in the winter months and improves in warm climates. There is a strong association with atopy. Increased linearity on the palms and soles This is associated with dry skin and is another feature of the impaired keratin-bonding characteristic of atopics (Figure 76). CLINICAL FEATURES 31 Figure 26 Patches of atopic eczema on the trunk Micropapular eruption on the trunk in black people In atopic black children, a distinct micropapular eruption is seen on the trunk, particularly the abdomen.
If the affected areas are treated as for eczema, the normal pigmentation usually returns after 2–3 months. A similar condition to pityriasis alba on the face in children is seen on the outer arms in young adult females. It usually presents after the individual has been on holiday in a sunny climate and has failed to tan in sites where they have low-grade eczema. The condition can be prevented by applying a topical steroid ointment for 2 weeks before going in the sun. Discoid papular eczema In this condition, scaly follicular papules occur in a discoid pattern.