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Read e-book online An Atlas of Atopic Eczema (Encyclopedia of Visual Medicine PDF

By Lionel Fry

Atopic eczema is the most typical and protracted dermatological situation noticeable generally perform. during the last few years, advances were made within the genetics of atopy commonly, more recent remedies were brought for topical use, and new techniques recommended within the etiology. hence, a brand new textual content on atopic eczema is either well timed and priceless. Written through one of many world's such a lot unusual dermatologists, An Atlas of Atopic Eczema offers complete insurance of this dermis ailment, together with new details on calcineurin inhibitors and their healing strategies. greatly illustrated in colour, the atlas explores themes comparable to genetics, etiology, pathogenesis, analysis, medical gains, differential analysis, relationships to different forms of eczema, and therapy. the writer lifts the veil of misunderstanding and is helping physicians remain on most sensible of the problem the elevated occurrence of eczemas current.

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There is a reported increased incidence in individuals with atopic eczema compared to normal subjects44. Clinically, it presents as dry scaly skin and may be confused with general dry skin, which is a feature of atopic eczema itself. Ichthyosis vulgaris is most pronounced on the lower legs and, in its mildest form, it may be the only site affected. In its more severe forms, the involvement is extensive, although there is sparing of the flexures of the limbs (Figure 82). Both ichthyosis vulgaris and the xeroderma of atopic eczema improve in the warm weather and deteriorate in cold climates.

26 AN ATLAS OF ATOPIC ECZEMA Figure 19 Soles with hyperkeratosis and fissures in chronic eczema Reticulate pigmentation on the neck In adults with chronic atopic eczema, the neck often shows a reticulate pattern of increased pigmentation (Figure 63). This type of pigmentation is usually only seen when the acute inflammatory component of the eczema has been suppressed. If the eczema goes into a long remission, then this pigmentation will slowly improve. ATOPIC ECZEMA AT SPECIFIC SITES Occasionally, eczema may occur at specific sites, with or without involvement at the more characteristic sites.

In addition, in some individuals who had childhood eczema, the disease may have gone into remission for several years but recurs in adult life, often associated with stress. Very occasionally, atopic eczema may present for the first time in adult life. Whether this is a true primary presentation or whether patients have no recollection of eczema in childhood is debatable. In adults, lichenified patches on the flexures of the knees and elbows (Figures 49–52) may occur, as in children. Involvement of the face (Figures 53–55), particularly around the eyes, is another presentation.

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