Eczema history and symptoms: Difference between revisions

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{{Eczema}}
{{Eczema}}
{{CMG}}, {{AE}} [[User:Edzelco|Edzel Lorraine Co, D.M.D., M.D.]]
{{CMG}}, {{AE}} [[User:Edzelco|Edzel Lorraine Co, D.M.D., M.D.]]
 
__NOTOC__
==Overview==
==Overview==
 
[[Family history]], [[dietary habits]], [[lifestyle habits]], and [[allergies]] should be elicited whenever considering [[eczema]] as the [[primary diagnosis]]. This is important because [[eczema]] can be based on the [[patient]]'s [[history]] and evolution and distribution of the [[skin]] [[lesion]].


==History==
==History==
Given the many possible reasons for [[eczema]] flare-ups, a doctor is likely to ascertain a number of other things before making a diagnosis:
If [[eczema]] is suspected, the following should be elicited:


* An insight into family history
* Lifestyle habits
* [[Family history]]
* [[Diet|Dietary habits]]
* [[Diet|Dietary habits]]
* Lifestyle habits
* [[Allergy|Allergic tendencies]]
* [[Allergy|Allergic tendencies]]
* Any prescribed drug intake
* [[Previous medical history]]
* Any chemical or material exposure at home or workplace
* Any chemical or material exposure at home or workplace


==Symptoms==
==Symptoms==
Because Eczema is a set of clinical characteristics and not a single disease, there are many different symptoms. All of them involve [[inflammation]] of the skin. The symptoms for the more common ones are:
* Presentation of [[eczematous]] [[lesions]] depend on the [[chronicity]] of the disease and [[age]] of the [[patient]].
 
*[[Chronicity]]
===[[Atopic eczema|Atopic Eczema]]===
**[[Acute]] [[lesions]] typically manifest as [[erythematous]] [[papules]] and [[vesicles]].
* Most common form, thought to be genetic and linked to [[asthma]]
**[[Chronic]] [[lesions]] are usually [[lichenified]] and [[hyperpigmented]].
* Itchy rash is particularly noticeable on head and scalp, neck, inside of elbows, behind knees, and buttocks.
*[[Age]]
 
**[[Infants]] and [[children]] - [[lesions]] are found on the [[neck]], [[head]], [[cheeks]], [[scalp]], front of the [[arms]], and [[legs]].
===[[Contact dermatitis|Contact Dermatitis]]===
**[[Adolescents]] and [[adults]] - [[lesions]] are distributed mainly on [[elbow]] creases, lateral portion of the [[neck]], and back of the [[knees]]. <ref name="pmid30475283">{{cite journal| author=Maliyar K, Sibbald C, Pope E, Gary Sibbald R| title=Diagnosis and Management of Atopic Dermatitis: A Review. | journal=Adv Skin Wound Care | year= 2018 | volume= 31 | issue= 12 | pages= 538-550 | pmid=30475283 | doi=10.1097/01.ASW.0000547414.38888.8d | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=30475283  }} </ref>
* Allergic: delayed rash caused by an [[allergen]] (poison ivy, nickel, etc.)
* Irritant: direct reaction caused by an [[irritant]] (ex. types of detergent)
 
===[[Xerotic eczema|Xerotic Eczema]]===
* Extremely cracked and dry skin that develops into a rash. More common in older population.
 
===[[Seborrhoeic dermatitis|Seborrhoeic Dermatitis]]===
* Closely related to [[dandruff]]. Dry or greasy peeling of scalp, eyebrows, face, and sometimes trunk.


[[Category:Needs content]]
==References==
{{Reflist|2}}
[[category:Up to Date]]

Latest revision as of 18:27, 14 July 2022

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1], Associate Editor(s)-in-Chief: Edzel Lorraine Co, D.M.D., M.D.

Overview

Family history, dietary habits, lifestyle habits, and allergies should be elicited whenever considering eczema as the primary diagnosis. This is important because eczema can be based on the patient's history and evolution and distribution of the skin lesion.

History

If eczema is suspected, the following should be elicited:

Symptoms

References

  1. Maliyar K, Sibbald C, Pope E, Gary Sibbald R (2018). "Diagnosis and Management of Atopic Dermatitis: A Review". Adv Skin Wound Care. 31 (12): 538–550. doi:10.1097/01.ASW.0000547414.38888.8d. PMID 30475283.