Professional Documents
Culture Documents
Diagnosis and
Treatment of
Eczema
Adrian Guevara MD
Dermatitis 101
Atopic
Seborrheic
Contact
Allergic
Irritant
Nummular
Asteatotic
Stasis
Neurodermatitis/Lichen Simplex Chronicus
Dermatitis 101
Dermatitis=Eczema=Spongiosis
Dermatitis 101
Acute Dermatitis
Dermatitis 101
Subacute Dermatitis
Dermatitis 101
Chronic Dermatitis
Allergic Contact
Dermatitis
Allergic Contact
Dermatitis
Poison Ivy/Oak/Sumac
linearity
Allergic Contact
Dermatitis
Potassium Dichromate
in Leather
Allergic Contact
Dermatitis
Latex
Cleaning products
Cosmetics
Occupational
exposures
Check the feet
and nails!!!
Allergic Contact
Dermatitis
Irritant Contact
Dermatitis
Look at the
cuticles
Blunting of
vermillion
Accentuation of
Atopic Dermatitis
10-20% of
population
Primary symptom:
itch
Location, location,
location
Associated with
atopic background
Periorbital pallor
Look for
keratosis
pilaris
Seborrheic Dermatitis
Distribution
Chronic condition
Disease associations
Nummular Dermatitis
Asteatotic Dermatitis
Extreme case of
xerosis
Riverbed type
cracking
Stasis Dermatitis
Venous hypertension
Full spectrum of timing
Id reaction common
Complicated by ulceration
Pseudokaposis
(acroangiodermati
tis)
Lipodermatoscle
rosis
Venous ulceration
Dispigmentation
(chronic)
Superimpos
ed allegic
contact
Elephantiasis Verrucosa
Nostras
Neurodermatitis/Lichen
Simplex Chronicus
Paroxysmal pruritus
Habitual excoriating
or rubbing
Skin thickens to
defend
Consider underlying
disease
Increased skin
markings
Lichen simplex
chronicus
No fungus on the
scrotum!
Prurigo
Butterfly
sign
Prurigo
Nodularis
Consider
Prevention
Treatment
Topical Steroids
Clobetasol
Triamcinolone IV
Desonide
VI
Hydrocortisone VII
Treatment
TIM
Light
Systemic
immunosuppressives
Prednisone
Cyclosporine
Azathioprine
IVIG
Only on thin
skin !!!
Treatment
Antihistamines
Common Pitfalls
Misdiagnosis
Scabies (intensely pruritic,
burrows/vesicles, others itch)
Psoriasis (elbows/knees/inflammatory
arthritis/nail changes)
Fungus (central sparing, well
marginated, scaly border)
Common Pitfalls
Mistreatment
Commit to a diagnosis
2) Shotgunners: Dont be a wimp
Quadriderm: betamethasone,
gentamycin, clotrimazole
Animax
The End