By Lionel Fry
Atopic eczema is the commonest and protracted dermatological situation visible as a rule perform. over the past few years, advances were made within the genetics of atopy normally, more moderen 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 helpful. Written through one of many world's such a lot exclusive dermatologists, An Atlas of Atopic Eczema presents complete assurance of this dermis ailment, together with new details on calcineurin inhibitors and their healing strategies. broadly illustrated in colour, the atlas explores issues akin to genetics, etiology, pathogenesis, diagnosis, medical positive aspects, differential analysis, relationships to different varieties of eczema, and remedy. the writer lifts the veil of bewilderment and is helping physicians remain on best of the problem the elevated occurrence of eczemas current.
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Additional resources for An Atlas of Atopic Eczema (Encyclopedia of Visual Medicine Series)
It is often aggravated and becomes persistent when the child develops the habit of ‘lip licking’ to try and moisten the dry sore lips. The problem is also worse in the cold weather when the low temperatures exacerbate the dryness of the lips. In dark-skinned individuals, there is often associated hyperpigmenta-tion around the lips that may be the feature that prompts the patient or their parents to seek medical advice. Peri-auricular eczema Redness, scaling and fissuring at the base of (Figure 65) and behind (Figure 66) the pinna is another common feature of atopic eczema.
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. Both conditions are defects in keratin bonding, which is temperature-dependent.
Meningoencephalitis, pneumonitis, hepatitis and colitis have all been reported. Herpetic infections of the eye (keratoconjunctivitis) are common in eczema herpeticum. Fortunately, with the advent of effective antiviral drugs (aciclovir, famciclovir) against herpes simplex virus, eczema herpeticum now has a better prognosis. If the disease is suspected on clinical grounds, it is important to start antiviral treatment immediately and not wait for laboratory confirmation of the infection. It is also advisable to commence antibacterial therapy at the same time because of possible secondary infection with S.
An Atlas of Atopic Eczema (Encyclopedia of Visual Medicine Series) by Lionel Fry