eczematous dermatitis (eczema)
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Etiology
- atopic dermatitis*
- contact dermatitis*
- hand dermatitis*
- seborrheic dermatitis*
- asteatotic dermatitis (xerotic eczema)
- exudative dermatitis (nummular dermatitis)
- stasis dermatitis
* types described in[1]
Clinical manifestations
Laboratory
- peanut IgE Ab in serum (severe eczema)
Complications
- increased risk for cardiovascular disease in adults[3]
- unstable angina (RR=1.4), heart failure (RR=1.7)
- increased risk for atrial fibrillation, myocardial infarction, & cardiovascular death in adults with eczema[3]
Management
- topical glucocorticoids
- caution: tachyphylaxis may occur with prolonged treatment of endogenous eczema
- bath emollients may not be of benefit[2]
- see dermatitis
Notes
- often used interchangeably with the term dermatitis
- used in Aaushi in to imply 1 or 5 specific conditions
More general terms
More specific terms
- asteatotic dermatitis; eczema craquelatum; xerotic eczema; winter itch
- atopic dermatitis (atopic eczema)
- contact dermatitis (exogenous eczema)
- nummular (discoid) eczema; exudative dermatitis
- stasis dermatitis; venous eczema; gravitational dermatitis
References
- ↑ 1.0 1.1 Medical Knowledge Self Assessment Program (MKSAP) 17, American College of Physicians, Philadelphia 2015
Medical Knowledge Self Assessment Program (MKSAP) 19 Board Basics. An Enhancement to MKSAP19. American College of Physicians, Philadelphia 2022 - ↑ 2.0 2.1 Santer M, Ridd MJ, Francis NA et al Emollient bath additives for the treatment of childhood eczema (BATHE): multicentre pragmatic parallel group randomised controlled trial of clinical and cost effectiveness. BMJ 2018;361:k1332 PMID: https://www.ncbi.nlm.nih.gov/pubmed/29724749 Free PMC Article https://www.bmj.com/content/361/bmj.k1332
Flohr C, Ahmed A. New evidence challenges use of bath emollients for children with eczema. BMJ 2018;361:k1791 PMID: https://www.ncbi.nlm.nih.gov/pubmed/29724863 https://www.bmj.com/content/361/bmj.k1791 - ↑ 3.0 3.1 3.2 Silverwood RJ, Forbes HJ, Abuabara K et al Severe and predominantly active atopic eczema in adulthood and long term risk of cardiovascular disease: population based cohort study. BMJ 2018;361:k1786 PMID: https://www.ncbi.nlm.nih.gov/pubmed/29792314 Free full text https://www.bmj.com/content/361/bmj.k1786
Ingram JR Atopic eczema and cardiovascular disease. BMJ 2018;361:k2064 PMID: https://www.ncbi.nlm.nih.gov/pubmed/29794003 https://www.bmj.com/content/361/bmj.k2064