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Dermatitis (Eczema)

» What is dermatitis and why is it so important?
» What is atopy?
» Why is atopic dermatitis becoming more common?
» What are the diagnostic criteria for atopic dermatitis?
» What is the underlying defect in patients with atopic dermatitis?
» In atopic dermatitis, which comes first - the itch or the rash?
» Why does atopic dermatitis itch?
» Why do people like to scratch an itch?
» Does psychological stress worsen atopic dermatitis?
» Did John Phillip Sousa write the “Atopic March?”
» How does atopic dermatitis present at different ages?
» What physical findings are associated with atopic dermatitis? 
» What factors provoke or exacerbate atopic dermatitis? 
» How can your atopic patients relieve their pruritic agony and discomfort? 
» What is the role of antihistamines in atopic dermatitis?
» Describe the “two-pajamas treatment.”
» Is “hand dermatitis” a specific entity?
» What is pompholyx?
» How can pompholyx be managed?
» Describe the typical presentation of nummular eczema.
» What causes nummular eczema?
» Is there a cure for nummular eczema?
» How does seborrheic dermatitis present in children?
» How does seborrheic dermatitis present in adults?
» What causes seborrheic dermatitis, and with what disease states is it commonly found?
» Discuss the treatment approaches to seborrheic dermatitis. 
» What is an “id” reaction, and what does it have to do with Sigmund Freud?
» What are the most common settings for an id reaction and how should you treat it?
» What do you call dermatitis that covers virtually the whole cutaneous surface?
» How can you determine the cause of a patient’s exfoliative dermatitis?
» What general treatment measures are used to treat patients with exfoliative dermatitis?

 
 
 

How does seborrheic dermatitis present in children?


Seborrheic dermatitis. A, Infant demonstrating characteristic scalp seborrheic dermatitis commonly known as 'cradle cap.' B, Adult demonstrating yellowish-red, sharply demarcated lesions with greasy scale. (Courtesy of James E. Fitzpatrick, MD.)
Fig. 8.4 Seborrheic dermatitis. A, Infant demonstrating characteristic scalp seborrheic dermatitis commonly known as 'cradle cap.' B, Adult demonstrating yellowish-red, sharply demarcated lesions with greasy scale. (Courtesy of James E. Fitzpatrick, MD.)
Retention hyperkeratosis of the scalp known as “cradle cap” (Fig. 8-4A) is the most common presentation, while “napkin dermatitis” in the diaper area is the next most frequent. The primary lesions are round to oval patches of dry scales or yellowish-brown, greasy crusts with variable erythema. Seborrheic dermatitis presents in infants 2 to 10 weeks of age and generally clears by 8 to 12 months of age before reappearing at puberty. However, there are exceptions, and children of all ages may have this condition, even though they do not produce sebum as much as adults do.