Dermatitis

Types…

ExogenouS[irritant contact dermatitis, allergic contact dermatitis]

Endogenous [atopic, seborrhoeic, neurodermatitis, perioral, ]

Common signs and symptoms of seborrhoeicdermatitis…

• Patchy scaling or thick crusts on the scalp

• Red, greasy skin covered with flaky white or yellow scales

• Itching or soreness

• Seborrheic dermatitis is often found on oily areas of the body, such as the face, upper chest and back. Seborrheicdermatitis can also appear on the scalp as stubborn, itchy

dandruff. For infants, it's known as cradle cap.

Common signs and symptoms of atopic dermatitis (eczema)

• It is idiopathic. Red to brownish-gray colored patches

• Itching, which may be severe

• Small, raised bumps, which may leak fluid and crust over when scratched

• Thickened, cracked or scaly skin

• Raw, sensitive skin from scratching

• Most often, atopic dermatitis occurs in the folds of the elbows, backs of the knees or the front of the neck. The exact cause of this skin disorder is unknown.

Common signs and symptoms of perioral dermatitis include:

• Small red, pus-filled bumps

• Mild peeling

• Perioral dermatitis usually affects the area around the mouth, but can also affect the areas around the nose, cheeks and eyes. The exact cause of

perioral dermatitis is unknown, but misuse of topical corticosteroids may play a role.

Common signs and symptoms of neurodermatitis

• This is also called as LICHEN SIMPLEX CHRONICUS

• Itchy skin in a single, limited area

• Leathery or scaly texture to the skin

• Raised, rough patch that is red or darker than the rest of your skin

• Neurodermatitis occurs

because of repeated scratching. Typically, neurodermatitisoccurs on the scalp and neck.

Common signs and symptoms of stasis dermatitis

• Skin discoloration (red or brown) on the ankles or shins

• Itching and redness

• Thickened skin

• Open sores or ulcers

• Stasis dermatitis occurs when varicose veins or other circulatory conditions cause fluids to build up in the lower legs.

Common signs and symptoms of allergic CD or primary irritant CD

• Red rash or bumps

• Blisters and draining fluid from the involved skin in severe cases

• Itching, which may be severe

• Pain or tenderness

• Contact dermatitis results from direct contact with certain substances called allergens. The resulting reaction is your

body's response to the sensitizing agent. Common allergens include rubber, costume jewelry, perfume, cosmetics, hair dyes

Baboon syndrome…

• Is a systemic contact dermatitis characterized by erythematous patches on the buttocks.

Treatment…

• Early treatment of flares are encouraged.

• Alternate for ketoconazolewill be tacrolimus or sulfonamide or cephalexincombination can be used.

• Propelene glycol rich soaps and body wash lotions .

• Topical corticosteroids {for short term use } .

• Terbinafine creams

• For acute flares – lower corticosteroid creams,lotions and solutions.

• For severe flares – systemic fluconazole and steroids are given. Isotretinoin can be used orally . 0.1-0.3mg /kg body weight for a month.

And doses are reduced to 5-10 mg per day as a maintenance for a month.