[Clinical diagnosis of atopic dermatitis]. 1992

B Galaup
Laboratoire d'Immuno-Allergologie, CHRU, Angers.

Atopic eczema is a pruriginous dermatosis that most often starts before one year, but which may show for the first time after 50 years. The diagnosis is essentially clinical, with signs of banal eczema (especially acute in young infants, more chronic later) but of which the topography develops characteristically as a function of age and in the context of atopy. The development of is chronic, dotted with inflamed eruptions and may be complicated by an alteration of general state with bacterial (very frequent) or viral superinfections. The appearance of asthma is frequent when the dermatosis is extended. It usually disappears before adult age. Differential diagnosis is needed especially when there is an atypical form or association with another pruriginous dermatosis. Questioning must cover the environment, food habits and search for signs that may show the responsibility of an allergen.

UI MeSH Term Description Entries
D007223 Infant A child between 1 and 23 months of age. Infants
D007231 Infant, Newborn An infant during the first 28 days after birth. Neonate,Newborns,Infants, Newborn,Neonates,Newborn,Newborn Infant,Newborn Infants
D011537 Pruritus An intense itching sensation that produces the urge to rub or scratch the skin to obtain relief. Itching,Pruritis
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D002675 Child, Preschool A child between the ages of 2 and 5. Children, Preschool,Preschool Child,Preschool Children
D003872 Dermatitis Any inflammation of the skin. Dermatitides
D003876 Dermatitis, Atopic A chronic inflammatory genetically determined disease of the skin marked by increased ability to form reagin (IgE), with increased susceptibility to allergic rhinitis and asthma, and hereditary disposition to a lowered threshold for pruritus. It is manifested by lichenification, excoriation, and crusting, mainly on the flexural surfaces of the elbow and knee. In infants it is known as infantile eczema. Eczema, Atopic,Eczema, Infantile,Neurodermatitis, Atopic,Neurodermatitis, Disseminated,Atopic Dermatitis,Atopic Eczema,Atopic Neurodermatitis,Disseminated Neurodermatitis,Infantile Eczema
D003937 Diagnosis, Differential Determination of which one of two or more diseases or conditions a patient is suffering from by systematically comparing and contrasting results of diagnostic measures. Diagnoses, Differential,Differential Diagnoses,Differential Diagnosis
D005512 Food Hypersensitivity Gastrointestinal disturbances, skin eruptions, or shock due to allergic reactions to allergens in food. Allergy, Food,Food Allergy,Hypersensitivity, Food,Allergies, Food,Food Allergies,Food Hypersensitivities,Hypersensitivities, Food
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

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