Atopic Dermatitis CS-OSPE
Diagnosis: Atopic Dermatitis (including Infantile phase subacute and Childhood phases)
Context/Description: Cases involve patients (e.g., a 2-year-old kid, Ali from 5 months to 15 years old, a one-year child) suffering from very itchy skin lesions, often with redness, on the face or other areas, experiencing severe bouts.
Describe the skin condition/Main lesions: An erythematous, ill-defined patch or ill-circumscribed plaque with scaly and excoriation, and Papule, often present in the popliteal area or on the face and cheek.
History/Important Questions:
- Always ask about a history of atopy for the patient or their family. This is the main question to confirm the diagnosis.
- When to suspect food allergy? If young patient.
Treatment:
- Avoid the trigger
- Anti-histamine
- Emollient
- Topical steroid (e.g., “Hydrocortisone”)
Complications:
- Eczema herpeticum
- Bacterial infection
- Erythroderma
Which of the following is a common associated disease?
- Rhinitis
Which new systemic treatment provides an excellent response in a short time with little side effect?
- Biologics
Two differential diagnoses?
- Contact dermatitis - Seborrheic dermatitis.
The cause of atopic dermatitis is due to function and protein loss. Name the protein and the function?
- Filaggrin – water barrier