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Children atopic dermatitis: Diagnosis, mimics, overlaps, and therapeutic implication.

Authors :
Napolitano, Maddalena
Fabbrocini, Gabriella
Martora, Fabrizio
Genco, Lucia
Noto, Matteo
Patruno, Cataldo
Source :
Dermatologic Therapy; Dec2022, Vol. 35 Issue 12, p1-9, 9p
Publication Year :
2022

Abstract

Atopic dermatitis (AD) is a chronic inflammatory, itching skin with a significant psychosocial impact on patients and relatives. In adults and adolescents besides flexural eczema, head and neck eczema, and hand eczema, which are the most frequent clinical phenotypes (84.9% and 84.2%, respectively), there are also other possible presentation such as, portrait‐like dermatitis (20.1%), diffuse eczema (6.5%), eczema nummulare‐like (5.8%), prurigo nodularis‐like (2.1%) and erythrodermia (0.7%). Diagnosis can be easy due to the typically distributed eczematous lesions, albeit with age‐related differences, However, it is also extremely heterogeneous in severity, course, and sometimes particular clinical features. Currently, there are no better diagnostic criteria than an experienced dermatologist for the diagnosis of AD. Misdiagnosis and delayed treatment will have an impact not only on the child's physical health, but also and especially on the child's psychological health. The aim of our review was to group the main differential diagnoses in pediatric age where the diagnosis can often hide many pitfalls. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
13960296
Volume :
35
Issue :
12
Database :
Complementary Index
Journal :
Dermatologic Therapy
Publication Type :
Academic Journal
Accession number :
160853979
Full Text :
https://doi.org/10.1111/dth.15901