Atopic eczema
Last Updated: 2023-07-07
Author(s): Anzengruber F., Navarini A.
ICD11: EA80
Last Updated: 2023-07-07
Author(s): Anzengruber F., Navarini A.
ICD11: EA80
Willan, 1808
neurodermitis, endogenous eczema, atopic dermatitis, prurigo besnier, neurodermatitis diffusa, neurodermatitis constitutionalis sive atopica, asthmatic eczema.
Chronic recurrent inflammatory dermatitis, often with intense itching. It occurs typically in persons with atopic diathesis
Points | |
Itchiness when sweating | 3 |
Wool intolerance | 3 |
Xerosis of the skin | 3 |
White dermographism | 3 |
Hertoghe sign | 3 |
Milk scab | 2 |
Perlèche | 2 |
Cheilitis | 2 |
Enhanced hand line drawing | 2 |
Pityriasis alba | 1 |
Positive family history of atopy | 1 |
Rhinitis | 1 |
Conjunctivitis | 1 |
Asthma | 1 |
Dyshidrosis | 1 |
Dennie Morgan wrinkle | 1 |
Nickel sensitisation | 1 |
Food intolerance | 1 |
Facial erythema | 1 |
Light hypersensitivity | 1 |
Follicular hyperkeratosis | 1 |
Score |
0- 6 points: atopy unlikely
7-10 points: atopy possible
>10 points: atopy likely
Atopy score according to Diepgen et al. Source: Acta Derm Venereol 1989; Suppl 144: 50-54
More scoring systems:
Superficial perivascular and interstitial lympho-histiocytic/mastocytic dermatitis in the upper corium, spongiosis, spongiotic blistering, acanthosis, parakeratosis, low eosinophilia.
The symptoms often disappear after childhood, but persistence and relapses do occur. A chronic, relapsing course is then to be expected.
General measures:
Avoidance of toxic-irritative stress (↓ water contact). CAVE: choice of occupation
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