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Condition Info
ConditionName
Allergic dermatitis
ConditionDescription
Symptoms
Children onset <5 y/o; Dry red, itchy -> secondary infection -> thickened of the skin -> lichenified; Behind knees and inside elbows (flexor surfaces); Face, neck, skin folds; Food allergy (not supported by MDs);
PhysicalFindings
ClinicalTests
Clinical evaluation IgE elevated, but it’s not clinically tested
RiskFactors
History of asthma, allergic rhinitis, family of atopic disorders b/c of idiopathic release of histamine;
IsRedFlag
IsNPLEX
Consequence
ProgressionFromCondition
TreatmentOptions
Moisturizing skin (dry skin itchier); Use humidifier (esp. in winter); Avoid bathing, soap, and washcloths (skin hyperirritable); Use cotton cloths; UV light therapy for severe disease
PharmOptions
Topical corticosteroids (start with low potency); Antihistamines (severe – diphenhydramine, very sedative); Antibiotics for staph and strep (cephalexin, mupirocin) with impetigo; Severe: immunosuppressants (methotrexate, cyclosporine)
WebLink
https://www.merckmanuals.com/en-ca/professional/dermatologic-disorders/dermatitis/atopic-dermatitis-eczema
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