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17 papers 0 to 25 followers
https://www.readbyqxmd.com/read/26686011/atopic-dermatitis-kids-are-not-just-little-people
#1
Smita Awasthi, Marti Jill Rothe, Lawrence F Eichenfield
The approach to children and adults with atopic dermatitis is similar. In both age groups, failure to respond to conventional therapy should prompt evaluation for complicating factors such as secondary infection and secondary ACD. Immunologic, metabolic, genetic, and nutritional disorders should be considered in the differential diagnosis of refractory pediatric atopic dermatitis. Cutaneous T cell lymphoma (CTCL), cutaneous drug reactions, other spongiotic dermatoses, psoriasis, dermatomycosis, and infestations should be considered in the differential of refractory atopic dermatitis in adults...
November 2015: Clinics in Dermatology
https://www.readbyqxmd.com/read/26592211/key-findings-to-expedite-the-diagnosis-of-hyper-ige-syndromes-in-infants-and-young-children
#2
Beate Hagl, Valerie Heinz, Anne Schlesinger, Benedikt D Spielberger, Julie Sawalle-Belohradsky, Monika Senn-Rauh, Thomas Magg, Annette C Boos, Manfred Hönig, Klaus Schwarz, Gregor Dückers, Horst von Bernuth, Christoph Pache, Cäcilia Karitnig-Weiss, Bernd H Belohradsky, Josef Frank, Tim Niehues, Volker Wahn, Michael H Albert, Andreas Wollenberg, Annette F Jansson, Ellen D Renner
BACKGROUND: Hyper-IgE syndromes (HIES) are primary immunodeficiency disorders characterized by elevated serum IgE, eczema, and recurrent infections. Despite the availability of confirmatory molecular diagnosis of several distinct HIES entities, the differentiation of HIES particularly from severe forms of atopic dermatitis remains a challenge. The two most common forms of HIES are caused by mutations in the genes STAT3 and DOCK8. METHODS: Here, we assess the clinical and immunologic phenotype of DOCK8- and STAT3-HIES patients including the cell activation, proliferation, and cytokine release after stimulation...
March 2016: Pediatric Allergy and Immunology
https://www.readbyqxmd.com/read/26476252/atopic-dermatitis-a-common-pediatric-condition-and-its-evolution-in-adulthood
#3
REVIEW
Deepti Gupta
Atopic dermatitis (AD) is a chronic and pruritic inflammatory skin disorder that has a relapsing course and can affect any age group. Patients with AD have higher rates of other allergic disorders, mental health disorders, and skin infections. An important feature of AD for practitioners to recognize is that the clinical presentation varies by age from infancy into adulthood. The goals of treatment and management of AD focuses on restoring and maintaining the skin barrier function, minimizing inflammation, breaking the itch-scratch cycle, and treating possible external triggers and secondary infections that may propagate AD...
November 2015: Medical Clinics of North America
https://www.readbyqxmd.com/read/26239454/diagnosis-of-atopic-dermatitis-mimics-overlaps-and-complications
#4
REVIEW
Elaine C Siegfried, Adelaide A Hebert
Atopic dermatitis (AD) is one of the most common skin diseases affecting infants and children. A smaller subset of adults has persistent or new-onset AD. AD is characterized by pruritus, erythema, induration, and scale, but these features are also typical of several other conditions that can mimic, coexist with, or complicate AD. These include inflammatory skin conditions, infections, infestations, malignancies, genetic disorders, immunodeficiency disorders, nutritional disorders, graft-versus-host disease, and drug eruptions...
2015: Journal of Clinical Medicine
https://www.readbyqxmd.com/read/24720512/clinical-heterogeneity-and-differential-diagnosis-of-atopic-dermatitis
#5
REVIEW
M Deleuran, C Vestergaard
Atopic dermatitis (AD) is a chronic or chronically relapsing skin disease that usually presents for the first time before the age of 20 years. The disease displays great clinical heterogeneity and may resemble a number of different disorders, making the correct diagnosis of AD a significant challenge for physicians. Based on the Hanifin and Rajka criteria, the authors outline the common symptoms of AD and provide an overview of the differential diagnoses to help distinguish AD from other conditions within the clinic...
July 2014: British Journal of Dermatology
https://www.readbyqxmd.com/read/24720465/clinical-pearls-from-atopic-dermatitis-and-its-infectious-complications
#6
REVIEW
K H Kim
Atopic dermatitis (AD) is clinically very heterogeneous and these differences can cause confusion. Differential diagnosis is also complicated by co-infections, particularly in infancy and early childhood. This paper describes the stages and differential diagnosis during the various stages of childhood. The authors also provide advice on how to distinguish between AD and other disorders together with guidance on tackling common issues with treatment such as steroid phobia.
July 2014: British Journal of Dermatology
https://www.readbyqxmd.com/read/24636644/atopic-dermatitis
#7
REVIEW
Sierra Wolter, Harper N Price
Atopic dermatitis (AD) is a common chronic inflammatory skin condition characterized by intense pruritus and a waxing and waning course. AD often presents in infancy and childhood and can persist throughout adulthood. The exact cause of AD is unknown, but it likely reflects an interplay between genetic and environmental factors. AD affects up to 20% of children in the United States, and prevalence may be increasing. Treatment can be effective in alleviating symptoms but serves only to manage the disease, not cure it...
April 2014: Pediatric Clinics of North America
https://www.readbyqxmd.com/read/24410780/atopic-dermatitis-and-skin-allergies-update-and-outlook
#8
REVIEW
A Wollenberg, K Feichtner
During the last few years, an impressive amount of experimental studies and clinical trials have dealt with a variety of distinct topics in allergic skin diseases - especially atopic dermatitis. In this update, we discuss selected recent data that provide relevant insights into clinical and pathophysiological aspects of allergic skin diseases or discuss promising targets and strategies for the future treatment of skin allergy. This includes aspects of barrier malfunction and inflammation as well as the interaction of the cutaneous immune system with the skin microbiome and diagnostic procedures for working up atopic dermatitis patients...
December 2013: Allergy
https://www.readbyqxmd.com/read/23414536/evaluation-of-the-adult-patient-with-atopic-dermatitis
#9
REVIEW
M S de Bruin Weller, H Rockmann, A C Knulst, C A F M Bruijnzeel-Koomen
Atopic dermatitis (AD) is a chronic inflammatory skin disease with a large impact on quality of life of the patients and their families. In most cases, the diagnosis of AD can easily be made based on (family) history and clinical examination. If necessary, a practical set of diagnostic criteria such as the UK diagnostic criteria can be used. During the diagnostic phase, it is important to pay attention to atopic comorbidity, such as allergic airway disease (allergic asthma and/or rhinitis), allergic eye disease (atopic (kerato) conjunctivitis) and immediate-type food allergy...
March 2013: Clinical and Experimental Allergy: Journal of the British Society for Allergy and Clinical Immunology
https://www.readbyqxmd.com/read/22962911/atopic-dermatitis-an-overview
#10
REVIEW
Rebecca Berke, Arshdeep Singh, Mark Guralnick
Atopic dermatitis, also known as atopic eczema, is a chronic pruritic skin condition affecting approximately 17.8 million persons in the United States. It can lead to significant morbidity. A simplified version of the U.K. Working Party's Diagnostic Criteria can help make the diagnosis. Asking about the presence and frequency of symptoms can allow physicians to grade the severity of the disease and response to treatment. Management consists of relieving symptoms and lengthening time between flare-ups. Regular, liberal use of emollients is recommended...
July 1, 2012: American Family Physician
https://www.readbyqxmd.com/read/22486763/guidance-on-the-diagnosis-and-clinical-management-of-atopic-eczema
#11
REVIEW
S E Baron, S N Cohen, C B Archer
This article discusses the effects of atopic eczema, how to diagnose it confidently, and the options available for treatment, especially in primary care. We also suggest when referral to dermatology departments in secondary care should be considered, and try to anticipate some frequently asked questions.
May 2012: Clinical and Experimental Dermatology
https://www.readbyqxmd.com/read/21054785/phenotypes-of-atopic-dermatitis
#12
Silvia Pugliarello, Alessandra Cozzi, Paolo Gisondi, Giampiero Girolomoni
Atopic dermatitis (AD) is a common disease affecting both children and adults. AD develops from a complex interplay between environmental, genetic, immunologic and biochemical factors. Genetic factors predispose atopic subjects to mount exaggerated Th2 responses and to a poorly efficient epidermal barrier, which may be sufficient to initiate inflammation in the skin and may favor allergic sensitization. Thus AD can present with different clinical pheno-types. AD is classically distinguished into an intrinsic and extrinsic form, which are clinically identical but the former lacks high level specific IgE and is not associated with respiratory atopy...
January 2011: Journal der Deutschen Dermatologischen Gesellschaft, Journal of the German Society of Dermatology: JDDG
https://www.readbyqxmd.com/read/20816194/diagnostic-approach-to-the-hyper-ige-syndromes-immunologic-and-clinical-key-findings-to-differentiate-hyper-ige-syndromes-from-atopic-dermatitis
#13
Lena F Schimke, Julie Sawalle-Belohradsky, Joachim Roesler, Andreas Wollenberg, Anita Rack, Michael Borte, Nikolaus Rieber, Reinhold Cremer, Eberhart Maass, Roland Dopfer, Janine Reichenbach, Volker Wahn, Manfred Hoenig, Annette F Jansson, Angela Roesen-Wolff, Bianca Schaub, Reinhard Seger, Harry R Hill, Hans D Ochs, Troy R Torgerson, Bernd H Belohradsky, Ellen D Renner
BACKGROUND: Hyper-IgE syndromes (HIES) are primary immunodeficiency disorders characterized by Staphylococcus aureus abscesses, recurrent pneumonia, increased serum IgE levels, and eczema. The association of heterozygous signal transducer and activator of transcription 3 (STAT3) mutations with autosomal dominant (AD)-HIES allows the differentiation of AD-HIES from disorders associated with eczema and increased serum IgE levels, such as other primary immunodeficiencies and atopic dermatitis...
September 2010: Journal of Allergy and Clinical Immunology
https://www.readbyqxmd.com/read/19732254/etfad-eadv-eczema-task-force-2009-position-paper-on-diagnosis-and-treatment-of-atopic-dermatitis
#14
REVIEW
U Darsow, A Wollenberg, D Simon, A Taïeb, T Werfel, A Oranje, C Gelmetti, A Svensson, M Deleuran, A-M Calza, F Giusti, J Lübbe, S Seidenari, J Ring
BACKGROUND: The diagnosis of atopic dermatitis (AD) is made using evaluated clinical criteria. Management of AD must consider the symptomatic variability of the disease. METHODS: EADV eczema task force developed its guideline for atopic dermatitis diagnosis and treatment based on literature review and repeated consenting group discussions. RESULTS AND DISCUSSION: Basic therapy relies on hydrating topical treatment and avoidance of specific and unspecific provocation factors...
March 2010: Journal of the European Academy of Dermatology and Venereology: JEADV
https://www.readbyqxmd.com/read/16913276/atopic-dermatitis-or-hyper-ige-syndrome
#15
Nkiruka U Ohameje, James W Loveless, Sarbjit S Saini
A case of atopic dermatitis (AD), recurrent infections, and elevated immunoglobulin E (IgE) level is presented. Clinical characteristics, pathophysiology, diagnosis, and management in this patient are reviewed. Clinical pearls and pitfalls include the following: (1) deep-seeded Staphylococcus aureus infections occur rarely in AD and should raise the possibility of immunodeficiency syndromes such as hyper-IgE syndrome (HIES); (2) HIES is characterized by a clinical triad consisting of elevated serum IgE levels, recurrent staphylococcal skin abscesses, and pneumonia with pneumatocele formation; (3) although serum IgE levels in AD have been noted to be as high as 10,000 IU/mL, severe cases of AD such as that presented here can exceed this range; (4) the efficacy of anti-IgE therapy in AD or HIES is unknown and may be limited by dosing requirements...
May 2006: Allergy and Asthma Proceedings:
https://www.readbyqxmd.com/read/16815151/diagnosis-and-treatment-of-atopic-dermatitis-in-children-and-adults-european-academy-of-allergology-and-clinical-immunology-american-academy-of-allergy-asthma-and-immunology-practall-consensus-report
#16
REVIEW
Cezmi A Akdis, Mübeccel Akdis, Thomas Bieber, Carsten Bindslev-Jensen, Mark Boguniewicz, Philippe Eigenmann, Qutayba Hamid, Alexander Kapp, Donald Y M Leung, Jasna Lipozencic, Thomas A Luger, Antonella Muraro, Natalija Novak, Thomas A E Platts-Mills, Lanny Rosenwasser, Annika Scheynius, F Estelle R Simons, Jonathan Spergel, Kristiina Turjanmaa, Ulrich Wahn, Stefan Weidinger, Thomas Werfel, Torsten Zuberbier
There are remarkable differences in the diagnostic and therapeutic management of atopic dermatitis practiced by dermatologists and pediatricians in different countries. Therefore, the European Academy of Allergy and Clinical Immunology and the American Academy of Allergy, Asthma and Immunology nominated expert teams who were given the task of finding a consensus to serve as a guideline for clinical practice in Europe as well as in North America. The consensus report is part of the PRACTALL initiative, which is endorsed by both academies...
July 2006: Journal of Allergy and Clinical Immunology
https://www.readbyqxmd.com/read/16669989/the-differential-diagnosis-of-atopic-dermatitis-in-childhood
#17
REVIEW
Alfons Krol, Bernice Krafchik
Atopic is the most common of the dermatitides seen in infancy and childhood, but there are numerous other diseases that can mimic the skin findings. These include seborrheic dermatitis, immunodeficiency, and psoriasis in infancy; scabies, tinea corporis infection, perioral, nummular, contact, and molluscum dermatitis in childhood. It is sometimes extremely difficult to differentiate between ichthyosis and AD, and it is also important to differentiate AD from erythrodermic conditions including acrodermatitis enteropathica, biotin deficiency, and Netherton syndrome...
March 2006: Dermatologic Therapy
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