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==
A number of things should be ascertained when diagnosing [[eczema]]. A thorough history taking must be done to elicit [[family history]], [[dietary habits]], [[lifestyle habits]], and [[allergies]]. If the patient is positive for any of these, this [[disease]] can be detected through its [[clinical manifestations]].  
[[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==
The following should be elicited from a [[patient]] whenever considering [[eczema]] as the [[primary 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==
*[[Chronicity]] and [[age]] are factors that determine the presentation of [[eczematous lesions]].
* Presentation of [[eczematous]] [[lesions]] depend on the [[chronicity]] of the disease and [[age]] of the [[patient]].
*[[Chronicity]]
*[[Chronicity]]
**[[Acute]] [[lesions]] typically manifest as [[erythematous]] [[papules]] and [[vesicles]].
**[[Acute]] [[lesions]] typically manifest as [[erythematous]] [[papules]] and [[vesicles]].
**[[Chronic]] [[lesions]] present with [[lichenification]] and [[hyperpigmentation]].
**[[Chronic]] [[lesions]] are usually [[lichenified]] and [[hyperpigmented]].
*[[Age]]
*[[Age]]
**[[Infants]] and [[children]] - [[lesions]] are found on the [[neck]], [[head]], [[cheeks]], [[scalp]], front of the [[arms]] and [[legs]].
**[[Infants]] and [[children]] - [[lesions]] are found on the [[neck]], [[head]], [[cheeks]], [[scalp]], front of the [[arms]], and [[legs]].
**[[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>
**[[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>


==References==
==References==
{{Reflist|2}}
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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.