By Lionel Fry
Atopic eczema is the most typical and chronic dermatological situation noticeable usually perform. over the past few years, advances were made within the genetics of atopy typically, more moderen remedies were brought for topical use, and new recommendations advised within the etiology. hence, a brand new textual content on atopic eczema is either well timed and beneficial. Written via one of many world's such a lot distinct dermatologists, An Atlas of Atopic Eczema offers complete assurance of this pores and skin sickness, together with new details on calcineurin inhibitors and their healing ideas. generally illustrated in colour, the atlas explores themes akin to genetics, etiology, pathogenesis, analysis, scientific gains, differential analysis, relationships to different sorts of eczema, and therapy. the writer lifts the veil of misunderstanding and is helping physicians remain on most sensible of the problem the elevated prevalence of eczemas current.
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Extra info for An Atlas of Atopic Eczema (Encyclopedia of Visual Medicine Series)
Pityriasis alba is most commonly seen in dark-skinned children, since there is a sharper contrast between the affected and unaffected skin. In Caucasian children, pityriasis alba often presents after they have been on holiday in the sun. The affected areas fail to tan, whereas the unaffected areas tan normally. It is likely that pityriasis alba is a low-grade eczema, which interferes with pigment production. If the affected areas are treated as for eczema, the normal pigmentation usually returns after 2–3 months.
Indefinite antibacterial measures may be required. 34 AN ATLAS OF ATOPIC ECZEMA Figure 29 Confluent erythema and scaling in atopic eczema in infancy Cutaneous fungal infections Infections of the nails and skin with Trichophyton rubrum have been reported to be increased in atopic eczema. The sites of involvement are particularly the hands and feet. Interestingly, there have been reports of an increased incidence of Trichophyton rubrum infection of nails in psoriasis. Pityrosporum oribiculare is a saprophytic yeast, which is found on normal skin but, under certain conditions, can be pathogenic.
This eruption is not an eczematous process and is not itchy. It tends to disappear with age and is not a feature in adult atopic subjects. Dennie-Morgan infraorbital fold This is defined as two lines, with a fold of skin in between, and is found below the lower eyelid (Figure 77). Normal individuals tend to have one or no lines under the eyes. Although there is a definite association with atopic disease, it is not as strong as other features described above. Skin pallor Patients with atopic eczema often have a pale complexion, associated with vasoconstriction of the superficial cutaneous blood vessels.