One aspect of atopic triad of hayfever, asthma, and eczema. Usually an intermittent, chronic, severely pruritic, eczematous dermatitis with scaly erythematous patches, vesiculation, crusting, and fissuring. Lesions are most commonly on flexures, with prominent involvement of antecubital and popliteal fossae; generalized erythroderma in severe cases.
Treatment: Eczema and Atopic Dermatitis Avoidance of irritants; cutaneous hydration; topical glucocorticoids; treatment of infected lesions [often with Staphylococcus aureus (SA)—consider community-acquired methicillin-resistant strains (CA-MRSA)]. Systemic glucocorticoids only for severe exacerbations unresponsive to topical conservative therapy. Topical calcineurin inhibitors have been used for severe disease but may carry toxicity. |