By Lionel Fry
Atopic eczema is the commonest and chronic dermatological visible mostly perform. over the past few years, advances were made within the genetics of atopy in most cases, more recent remedies were brought for topical use, and new strategies prompt within the etiology. hence, a brand new textual content on atopic eczema is either well timed and helpful. Written via one of many world's so much unusual dermatologists, An Atlas of Atopic Eczema offers complete insurance of this epidermis ailment, together with new info on calcineurin inhibitors and their healing techniques. widely illustrated in colour, the atlas explores subject matters corresponding to genetics, etiology, pathogenesis, diagnosis, scientific good points, differential analysis, relationships to different forms of eczema, and remedy. the writer lifts the veil of misunderstanding and is helping physicians remain on best of the problem the elevated occurrence of eczemas current.
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Additional info for An Atlas of Atopic Eczema (Encyclopedia of Visual Medicine Series)
Occasionally, the patches may coalesce and the eruption is confluent (Figures 28 and 29). If the inflammation is severe, then the patches may form crusts and weep. The crusts are characteristically golden, since they are formed of a mixture of serum and keratin. Occasionally, the patches are red and raised and urticarial in appearance, and this CLINICAL FEATURES 23 Figure 15 Redness and minimal scaling in mild eczema can subsequently progress to scaling, crusting or weeping, depending on the severity of the inflammation.
Bacterial infection Staphylococcal infections are common in patients with atopic eczema. There appear to be two clinical patterns. aureus; this infection responds well to antibacterial treatment. In the second, there seems to be an inability of the subject to deal with the organism and this manifests as recurrent infection. Staphylococcal infection is suggested by weeping and crusting of the lesions. The crusts are often yellow and small blisters may be seen at the periphery (Figure 36). In the second pattern of infection, there is frequently weeping and crusting on the face (Figure 46) and particularly around the eyes and ears.
The affected areas fail to tan, whereas the unaffected areas tan normally. It is likely that pityriasis alba is a low-grade eczema, which interferes with pigment production. If the affected areas are treated as for eczema, the normal pigmentation usually returns after 2–3 months. A similar condition to pityriasis alba on the face in children is seen on the outer arms in young adult females. It usually presents after the individual has been on holiday in a sunny climate and has failed to tan in sites where they have low-grade eczema.