Pompholyx Factsheet Pompholyx Eczema (Also Known As Dyshidrotic Eczema/Dermatitis) Is a Type of Eczema That Usually Affects the Hands and Feet
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Seborrheic Dermatitis: an Overview ROBERT A
Seborrheic Dermatitis: An Overview ROBERT A. SCHWARTZ, M.D., M.P.H., CHRISTOPHER A. JANUSZ, M.D., and CAMILA K. JANNIGER, M.D. University of Medicine and Dentistry at New Jersey-New Jersey Medical School, Newark, New Jersey Seborrheic dermatitis affects the scalp, central face, and anterior chest. In adolescents and adults, it often presents as scalp scaling (dandruff). Seborrheic dermatitis also may cause mild to marked erythema of the nasolabial fold, often with scaling. Stress can cause flare-ups. The scales are greasy, not dry, as commonly thought. An uncommon generalized form in infants may be linked to immunodeficiencies. Topical therapy primarily consists of antifungal agents and low-potency steroids. New topical calcineurin inhibitors (immunomodulators) sometimes are administered. (Am Fam Physician 2006;74:125-30. Copyright © 2006 American Academy of Family Physicians.) eborrheic dermatitis can affect patients levels, fungal infections, nutritional deficits, from infancy to old age.1-3 The con- neurogenic factors) are associated with the dition most commonly occurs in condition. The possible hormonal link may infants within the first three months explain why the condition appears in infancy, S of life and in adults at 30 to 60 years of age. In disappears spontaneously, then reappears adolescents and adults, it usually presents as more prominently after puberty. A more scalp scaling (dandruff) or as mild to marked causal link seems to exist between seborrheic erythema of the nasolabial fold during times dermatitis and the proliferation of Malassezia of stress or sleep deprivation. The latter type species (e.g., Malassezia furfur, Malassezia tends to affect men more often than women ovalis) found in normal dimorphic human and often is precipitated by emotional stress. -
Hand Dermatitis – Contact Dermatitis David E
3/2/2021 Hand Dermatitis – Contact Dermatitis David E. Cohen, M.D., M.P.H. Charles and Dorothea Harris Professor and Vice Chairman for Clinical Affairs Director of Allergic, Occupational and Environmental Dermatology New York University School of Medicine Department of Dermatology IEC 2021 Hand Eczema Virtual Symposium 1 •David E Cohen has declared the following financial interests: . Consultant and Honorarium: . Ferndale Laboratories, . Asana . Medimetriks . Leo . UCB . Cutanea [past] . Ferrer [past] . Celgene [past] . Novartis . Dermavant . FSJ . FIDE. (FIDE receives industry sponsorship from AbbVie, Almirall, Amgen, Bausch and Lomb, Bristol- Myers Squibb, Celgene Dermavant, Dermira, Janssen, Kyowa Hakko Kirin, LEO, Lilly, Novartis, Ortho Dermatologics, Pfizer, Sanofi Genzyme, Sun Pharma, UCB, Valeant) . Cosmetic Ingredient Review (CIR) •Stock or stock options: Dermira [past], Medimetriks [past], Brickell Biotech, Kadmon, Evommune, Timber •Board of Directors: Kadmon, Timber, Evommune, [Dermira-Past] I will discuss non-FDA approved patch test allergens, and emerging therapies 2 Hand Dermatitis • General population prevalence is 5% to 10% . Health care workers, exposed to wet work, frequent hand washing, and AD. Atopic dermatitis (AD) is recognized as the top risk factor Causes: • Exogenous: Irritant and Allergic Contact Dermatitis • Endogenous: Psoriasis, Dyshidrosis, Atopic Dermatitis, Nummular • ID • HYBRID • Spectrum for eczematous disease is vesicular and eroded to hyperkeratotic and fissured • Hand Psoriasis may have higher rates of allergic contact dermatitis. Int J Occup Environ Health. 2018 Jan 23:1-10. Ther Clin Risk Manag. 2020 Dec 31;16:1319-1332. doi: Contact Dermatitis. 2014 Jan;70(1):44-55. 10.2147/TCRM.S292504.eCollection 2020 Indian Dermatol Online J. 2012 Sep;3(3):177-81. -
Atopic Dermatitis 101 for Adults
TRIGGER TRACKER Atopic Dermatitis 101 for Adults WHAT IS ATOPIC DERMATITIS? IS THERE A CURE? Atopic dermatitis (AD) is the most common type There is no cure for of eczema. It often appears as a red, itchy rash or atopic dermatitis yet, dry, scaly patches on the skin. AD usually begins but there are treatments in infancy or childhood but can develop at any available and more are on the way. point in a person’s lifetime. It commonly shows up on the face, inside of the elbows or behind the WHAT ARE MY TREATMENT OPTIONS? knees, but it can appear anywhere on the body. It is important to have a regular schedule with AD care that includes bathing with a gentle IS IT CONTAGIOUS ? cleanser and moisturizing to lock water into the You can’t catch atopic dermatitis or spread it to skin and repair the skin barrier. Moisturized skin others. helps control flares by combating dryness and keeping out irritants and allergens. WHAT CAUSED IT? Depending on severity of symptoms and age, AD While the exact cause is unknown, researchers do treatments include lifestyle changes, over-the- know that people develop atopic dermatitis counter (OTC) and natural remedies, prescription because of a combination of genes and a trigger. topical medications, which are applied to the People with AD tend to have an over-reactive immune system that when triggered by skin; biologics, given by injection; something outside or inside the body, responds immunosuppressants, usually taken by mouth in by producing inflammation. It is this inflammation the form of a pill; and phototherapy, a form of that causes red, itchy and painful skin symptoms. -
Hand Dermatitis: Review of Etiology, Diagnosis, and Treatment
J Am Board Fam Med: first published as 10.3122/jabfm.2009.03.080118 on 8 May 2009. Downloaded from Hand Dermatitis: Review of Etiology, Diagnosis, and Treatment Adam D. Perry, MD, and John P. Trafeli, MD Hand dermatitis is a common condition seen in the primary care setting. Occupational exposures and frequent hand washing often lead to symptoms that are irritating and may cause discomfort. Irritant dermatitis, atopic hand dermatitis and contact hand dermatitis account for at least 70% of all diagnoses. A unifying feature in most cases is an underlying disruption in the stratum corneum, altering its barrier function. Transepidermal water loss increases with barrier disruption and is exacerbated by additional exposure to water. Precise diagnosis and subsequent treatment present a considerable challenge, and hand dermatitis often becomes chronic. Initial treatment should be aimed at controlling inflammation and restoring the skin’s natural barrier. Common management recommendations include the avoidance of irritants and potential allergens along with the use of emollients and topical corticosteroids to de- crease inflammation. Simple petroleum-based emollients are very effective at restoring hydration and repairing the stratum corneum. Referral to a Dermatologist or an Allergist may be necessary for pa- tients who require patch testing or those with refractory symptoms. (J Am Board Fam Med 2009;22: 325–30.) Hand dermatitis represents a large proportion of It is estimated that 5% to 7% of patients with occupation-associated skin disease. The prevalence hand dermatitis are characterized as having chronic among the general population has been estimated or severe symptoms and 2% to 4% of severe cases copyright. -
Allergic Contact Dermatitis Handout
#30: ALLERGIC CONTACT DERMATITIS PATIENT PERSPECTIVES Allergic contact dermatitis Contact dermatitis is an itchy rash that is caused by something touching (contacting) your skin. The rash is usually red, bumpy, and itchy. Sometimes there are blisters filled with fluid. THERE ARE TWO TYPES OF CONTACT DERMATITIS: COMMON FORMS OF ALLERGIC CONTACT DERMATITIS: 1. Some things that contact skin are very irritating and will cause a rash in most people. This rash is called irritant contact dermatitis. Examples are acids, soaps, cold weather, and friction. » ALLERGIC CONTACT DERMATITIS TO HOMEMADE SLIME 2. Some things that touch your skin give you a rash because you are allergic to them. This rash is called allergic contact dermatitis. » Slime is a homemade gooey These are items that do not bother everyone’s skin. They only substance that many young people cause a rash in people who are allergic to those items. make and play with. » There are several recipes for making WHAT ARE COMMON CAUSES OF ALLERGIC slime. Common ingredients include CONTACT DERMATITIS IN CHILDREN AND boric acid, contact lens solution, WHERE ARE THEY FOUND? laundry detergent, shaving cream, and school glue. Many ingredients » Homemade slime: often irritation (irritant contact dermatitis) being used can cause irritation results from soap or detergent but can have allergic contact (“irritant contact dermatitis”) and some dermatitis to glues and other ingredients can cause allergic contact dermatitis. » Plants: poison ivy, poison oak, poison sumac » Children playing with slime may get » Metals (especially nickel): snaps, jewelry, an itchy rash on their hands. There belt buckles, electronics, toys can be blisters, flaking, peeling, and cracking. -
Seborrheic Dermatitis
432 Teams Dermatology Done by: Wael Al Saleh & Abdulrahman Al-Akeel Reviewer: Wael Al Saleh & Abdulrahman Al-Akeel 9 Team Leader: Basil Al Suwaine Color Code: Original, Team’s note, Important, Doctor’s note, Not important, Old teamwork 432 Dermatology Team Lecture 9: Atopic dermatitis/ Eczema Objectives 1- To know the definition & classification of Dermatitis/Eczema 2- To recognize the primary presentation of different types of eczema 3- To understand the possible pathogenesis of each type of eczema 4- To know the scheme of managements lines P a g e | 1 432 Dermatology Team Lecture 9: Atopic dermatitis/ Eczema Introduction: A groups and spectrum of related disorders with pruritus being the hallmark of the disease, they also come with dry skin. Every atopic dermatitis is eczema but not every eczema are atopic dermatitis. Atopic dermatitis mean that the patient has eczema (excoriated skin, itching and re-onset) and atopy (atopy; the patient or one of his family has allergic rhinitis, asthma or eczema). It starts early of life (eczema can happen at any time). It classified as: - Acute, characterized by erythema, papules, vesicles, oozing, and crusting. - Subacute, clinically it is represented by erythema, scaling, and crusting. - Chronic, presents with thickening of the skin, skin markings become prominent (lichenification); pigmentation and fissuring of the skin occur. Acute on top of chronic very dry 4 years old boy with chronic, itchy, well defined brownish plaque with bleeding plaques. lichenifications. Ill defined plaques Well defined erythematous excoriated Lichenification is the hallmark for plaques on both cheeks with erosion. chronic course. P a g e | 2 432 Dermatology Team Lecture 9: Atopic dermatitis/ Eczema Dermatitis Classification of dermatitis: Atopic, more common in children Seborrheic (oily skin)- (like naso-labial folds, scalp, ears) Contact dermatitis, substance cause eczema - Allergic - Irritant Nummular, coined shape, usually in the shin. -
Drug Eruptions
DRUG ERUPTIONS http://www.aocd.org A drug eruption is an adverse skin reaction to a drug. Many medications can cause reactions, especially antimicrobial agents, sulfa drugs, NSAIDs, chemotherapy agents, anticonvulsants, and psychotropic drugs. Drug eruptions can imitate a variety of other skin conditions and therefore should be considered in any patient taking medications or that has changed medications. The onset of drug eruptions is usually within 2 weeks of beginning a new drug or within days if it is due to re-exposure to a certain drug. Itching is the most common symptom. Drug eruptions occur in approximately 2-5% of hospitalized patients and in greater than 1% of the outpatient population. Adverse reactions to drugs are more prevalent in women, in the elderly, and in immunocompromised patients. Drug eruptions may be immunologically or non-immunologically mediated. There are 4 types of immunologically mediated reactions, with Type IV being the most common. Type I is immunoglobulin-E dependent and can result in anaphylaxis, angioedema, and urticaria. Type II is cytotoxic and can result in purpura. Type III reactions are immune complex reactions which can result in vasculitis and type IV is a delayed-type reaction which results in contact dermatitis and photoallergic reactions. This is important as different medications are associated with different types of reactions. For example, insulin is related with type I reactions whereas penicillin, cephalosporins, and sulfonamides cause type II reactions. Quinines and salicylates can cause type III reactions and topical medications such as neomycin can cause type IV reactions. The most common drugs that may potentially cause drug eruptions include amoxicillin, trimethoprim sulfamethoxazole, ampicillin, penicillin, cephalosporins, quinidine and gentamicin sulfate. -
PE2342 Seborrheic Dermatitis
Seborrheic Dermatitis What is seborrheic Seborrheic dermatitis is a common skin condition. It causes redness, dermatitis? scaling, or flaky patches in infants, teens and adults. What parts of the • Scalp (this is known as dandruff, or cradle cap in infants) body are usually • Eyebrows affected? • Eyelids • Ears • Nose • Skin fold areas (such as armpits or thighs) What causes The cause of seborrheic dermatitis is not known. Some believe that it is seborrheic caused by an overgrowth of yeast. It is not related to what you eat and it is dermatitis? not contagious. Stress and sickness often make seborrheic dermatitis symptoms worse, but they do not cause it. Symptoms can get better or worse for no reason. What are the Symptoms include: symptoms of • Redness seborrheic • Itching dermatitis? • Scaly patches on your skin that may look greasy or oily • Scales or flakes on the head or in the hair • Crusty yellow flakes on the eyelids or eyelashes What are the There is no cure for seborrheic dermatitis, but there are ways to keep it treatment options? under control. Treatment options for seborrheic dermatitis depend on what part of the body is showing symptoms. Skin Seborrheic dermatitis of the skin can usually be controlled by putting on steroid or antifungal creams to the skin (topical). These medicines help with the redness and itching of your child’s skin. Check with your child’s healthcare provider before giving your child any type of topical medicine. They will help you determine which treatment option would be best. 1 of 2 To Learn More Free Interpreter Services • Dermatology • In the hospital, ask your nurse. -
Understanding Eczema / Atopic Dermatitis
Understanding Atopic Dermatitis An educational health series from National Jewish Health If you would like further information about National Jewish Health, please write to: National Jewish Health 1400 Jackson Street Denver, Colorado 80206 or visit: njhealth.org Understanding Atopic Dermatitis An educational health series from National Jewish Health IN THIS ISSUE About Atopic Dermatitis 2 What Causes Atopic Dermatitis? 3 Do You Have Atopic Dermatitis? 3 Should You Go to an Expert? 4 What Are Your Goals? 4 Avoiding Things that Make Itching and Rash Worse 5 Treatment and Medication Therapy 9 Soak and Seal 9 What Medicines Will Help? 10 Action Plan for Atopic Dermatitis 13 What to Do When Symptoms Are Severe 14 Living with Atopic Dermatitis 15 Remember Your Goals 15 Glossary 16 Note: This information is provided to you as an educational service of National Jewish Health. It is not meant as a substitute for your own doctor. © Copyright 2018, National Jewish Health About Atopic Dermatitis Atopic dermatitis is a common chronic skin disease. It is also called atopic eczema. Atopic is a term used to describe allergic conditions such as asthma and hay fever. Both dermatitis and eczema mean inflammation of the skin. People with atopic dermatitis tend to have dry, itchy and easily irritated skin. They may have times when their skin is clear and other times when they have rash. INFANTS AND SMALL CHILDREN In infants and small children, the rash is often present on face, as well as skin around the knees and elbows. TEENAGERS AND ADULTS In teenagers and adults, the rash is often present in the creases of the wrists, elbows, knees or ankles, and on the face or neck. -
Association of Atopic Dermatitis with Rheumatoid Arthritis and Systemic Lupus Erythematosus in US Adults
Association of atopic dermatitis with rheumatoid arthritis and systemic lupus erythematosus in US adults Alexander Hou, BS1, Jonathan I. Silverberg, MD, PhD, MPH2 1Department of Dermatology, Feinberg School of Medicine, Northwestern University. 2Department of Dermatology, George Washington University School of Medicine, Washington D.C., USA https://orcid.org/0000-0003-3686-7805 Twitter: @JonathanMD Background: There have been conflicting studies about the association of atopic dermatitis (AD) and autoimmune disorders, e.g. rheumatoid arthritis (RA) and systemic lupus erythematosus (SLE). Little is known about which subsets of AD patients have increased likelihood to develop autoimmune disorders. Objective: We sought to determine whether AD with or without atopic comorbidities is associated with RA and SLE, and which subsets of adults have increased likelihood of RA and SLE. Methods: Data were analyzed from the 2012 National Health Interview Survey, a representative United States population-based cross-sectional survey study (n=34,242 adults age ≥18 years). Results: In bivariate and multivariate weighted logistic regression models, RA was associated with AD overall (adjusted odds ratio [95% confidence interval]: 1.65 [1.27-2.16]), and AD with comorbid asthma (2.27 [1.46-3.52]), hay fever (1.76 [1.03-3.02]), food allergy (2.05 [1.23- 3.42]), or respiratory allergy (1.75 [1.14-2.68]). RA was associated with AD without atopic comorbidities in bivariate models, but not in multivariate models adjusting for sociodemographic characteristics (1.44 [0.95-2.19]). Similarly, SLE was associated with AD overall (2.62 [1.40- 4.90]), and AD with comorbid asthma (2.75 [1.13-6.70]), food allergy (6.58 [2.71-16.0]), or respiratory allergy (5.34 [2.21-12.9]), but not AD alone (1.44 [0.59-3.50]) or AD with comorbid hay fever (1.37 [0.33-5.75]). -
Or Moisture-Associated Skin Damage, Due to Perspiration: Expert Consensus on Best Practice
A Practical Approach to the Prevention and Management of Intertrigo, or Moisture-associated Skin Damage, due to Perspiration: Expert Consensus on Best Practice Consensus panel R. Gary Sibbald MD Professor, Medicine and Public Health University of Toronto Toronto, ON Judith Kelley RN, BSN, CWON Henry Ford Hospital – Main Campus Detroit, MI Karen Lou Kennedy-Evans RN, FNP, APRN-BC KL Kennedy LLC Tucson, AZ Chantal Labrecque RN, BSN, MSN CliniConseil Inc. Montreal, QC Nicola Waters RN, MSc, PhD(c) Assistant Professor, Nursing Mount Royal University A supplement of Calgary, AB The development of this consensus document has been supported by Coloplast. Editorial support was provided by Joanna Gorski of Prescriptum Health Care Communications Inc. This supplement is published by Wound Care Canada and is available at www.woundcarecanada.ca. All rights reserved. Contents may not be reproduced without written permission of the Canadian Association of Wound Care. © 2013. 2 Wound Care Canada – Supplement Volume 11, Number 2 · Fall 2013 Contents Introduction ................................................................... 4 Complications of Intertrigo ......................................11 Moisture-associated skin damage Secondary skin infection ...................................11 and intertrigo ................................................................. 4 Organisms in intertrigo ..............................11 Consensus Statements ................................................ 5 Specific types of infection .................................11 -
Information for Adults with Eczema Contents Page
Living with Eczema Information for adults with eczema Contents Page About eczema 1 Types of eczema 1 Eczema in older people 4 Managing your eczema 6 Other treatments 15 Enjoying life 17 Avoiding triggers 22 Further information from the NES 27 Other sources of information and advice 28 Living with Eczema Also, some everyday substances (e.g. About eczema soap, bubble bath and detergents) will dry out the skin. Gaps open up Eczema (also known as dermatitis) is a non-contagious skin condition that between the skin cells as they are can affect people of all ages, including not sufficiently plumped up by water. 1 in 12 adults in the UK. This means that the skin barrier is not as effective as it should be and There are different types of eczema bacteria or irritants can more easily (see pages 2–6), all of which can vary pass through. These then trigger from mild to severe. The skin is usually an inflammatory response, which dry and often very itchy – the urge causes the redness in eczema flares. to scratch the itch of eczema can be Although the exact cause of eczema almost impossible to resist. During a is not known, an ‘over-reactive’ ‘flare’ the skin can be red, sore and immune system is understood to be raw, and may bleed. involved. In atopic eczema, dry skin is due to a genetically defective skin barrier. In other types of eczema the skin Types of eczema barrier becomes faulty when the skin Eczema is often referred to as is inflamed (e.g.