By Lionel Fry
Atopic eczema is the most typical and protracted dermatological situation visible as a rule perform. during the last few years, advances were made within the genetics of atopy commonly, more moderen remedies were brought for topical use, and new suggestions recommended within the etiology. therefore, a brand new textual content on atopic eczema is either well timed and invaluable. Written by way of one of many world's so much unique dermatologists, An Atlas of Atopic Eczema offers complete assurance of this dermis ailment, together with new details on calcineurin inhibitors and their healing thoughts. largely illustrated in colour, the atlas explores subject matters resembling genetics, etiology, pathogenesis, analysis, scientific beneficial properties, differential analysis, relationships to different kinds 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)
In kerotoconjunctivitis, the eyelids are lichenified, crusted and scaly and the conjunctiva is hyperemic (Figure 80). There may be associated keratitis, and repeated attacks may lead to scarring and vascularization of the cornea, with eventual loss of sight. Keratoconus This is progressive bulging of the cornea, which produces visual defects (Figure 81). The cause is unknown but it is more common in atopic subjects. CLINICAL FEATURES 33 Figure 28 Extensive involvement on the extensor surface of the legs in an infant Ichthyosis vulgaris Ichthyosis vulgaris is a distinct clinical entity.
Excoriating the skin may also give rise to secondary bacterial infection. This is usually due to Staphylococcus aureus but -hemolytic streptococcal infections may also occur. In infection with S. aureus, the lesions often develop golden crusts and/or weeping (Figure 35). It may be difficult to distinguish between acute weeping eczema (not infected) and secondarily infected eczema (Figure 36). Pustules are occasionally seen, making the diagnosis of secondary infection easier (Figure 36). In secondary infection with streptococci, erythema and edema of the skin surrounding the eczematous lesions are present.
Lichenified eczema, particularly on the limbs, is more common in Asians and black people (Figures 47 and 48) and is more resistant to treatment. 24 AN ATLAS OF ATOPIC ECZEMA Figure 16 Subacute eczema with yellowish crusts Adolescents and adults During childhood, atopic eczema usually improves and goes into remission in the majority of individuals. In a small proportion, usually less than 10%, the eczema continues into adulthood. In addition, in some individuals who had childhood eczema, the disease may have gone into remission for several years but recurs in adult life, often associated with stress.
An Atlas of Atopic Eczema (Encyclopedia of Visual Medicine Series) by Lionel Fry