RT Book, Section
A1 Hardin, J. Matthew
A2 Knoop, Kevin J.
A2 Stack, Lawrence B.
A2 Storrow, Alan B.
A2 Thurman, R. Jason
SR Print(0)
ID 1181044032
T1 Atopic Dermatitis
T2 The Atlas of Emergency Medicine, 5e
YR 2021
FD 2021
PB McGraw-Hill
PP New York, NY
SN 9781260134940
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1181044032
RD 2024/04/16
AB Atopic  dermatitis  presents  in  three  overlapping  stages:  infantile,  childhood,  and  adult.  Infantile  begins  after  2  months  of  age  and  is  symmetrically  distributed  on  the  cheeks,  scalp,  neck,  forehead,  and  extensor  surfaces  of  the  extremities.  The  lesions  begin  as  erythema  or  papules,  but  with  persistent  itching  and  rubbing,  they  become  thin  plaques,  exudative,  and  crusted.  Childhood  atopic  dermatitis  presents  with  flexural  involvement.  Other  areas  frequently  involved  are  the  face,  neck,  and  trunk.  The  scratching  induces  plaque  lichenification  and  potential  for  secondary  infection.  Adult  atopic  dermatitis  is  less  specific  but  can  present  with  a  childhood-like  distribution,  papular  lesions  that  coalesce  into  plaques,  and  chronic  hand  dermatitis.  Uncontrolled  atopic  dermatitis  can  become  a  generalized  exfoliative  erythroderma.  Differential  diagnoses  include  seborrheic  dermatitis,  psoriasis,  irritant  or  allergic  contact  dermatitis,  nummular  eczema,  and  scabies.