By Lionel Fry
Atopic eczema is the commonest and chronic dermatological situation noticeable generally perform. over the past few years, advances were made within the genetics of atopy regularly, more moderen remedies were brought for topical use, and new techniques advised within the etiology. therefore, a brand new textual content on atopic eczema is either well timed and priceless. Written by means of one of many world's such a lot amazing dermatologists, An Atlas of Atopic Eczema offers complete insurance of this epidermis sickness, together with new info on calcineurin inhibitors and their healing ideas. broadly illustrated in colour, the atlas explores issues akin to genetics, etiology, pathogenesis, analysis, medical beneficial properties, differential analysis, relationships to different forms of eczema, and remedy. the writer lifts the veil of misunderstanding and is helping physicians remain on best of the problem the elevated occurrence of eczemas current.
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Additional resources for An Atlas of Atopic Eczema (Encyclopedia of Visual Medicine Series)
Both the hypo- and hyperpigmentation will resolve and the skin return to its normal color, although it may take many months. Hypo- and hyperpigmentary changes are more apparent in dark-skinned and particularly black individuals, as it seems their melanocytes are more susceptible to inflammatory changes. 26 AN ATLAS OF ATOPIC ECZEMA Figure 19 Soles with hyperkeratosis and fissures in chronic eczema Reticulate pigmentation on the neck In adults with chronic atopic eczema, the neck often shows a reticulate pattern of increased pigmentation (Figure 63).
Similar lesions may appear on the tips of the fingers. Juvenile plantar dermatosis may last for a few years but usually goes into permanent remission during adolescence. It has been suggested that the condition is aggravated by excessive sweating and the wearing of footwear made from plastic. Leather and/or fabric shoes are thought to be more appropriate. Cotton socks should also be recommended. Atopic hand eczema Involvement is mainly on the dorsal surface of the fingers and hands (Figure 68), which is the opposite of pompholyx eczema, which affects the palms and sides of the fingers.
It usually presents after the individual has been on holiday in a sunny climate and has failed to tan in sites where they have low-grade eczema. The condition can be prevented by applying a topical steroid ointment for 2 weeks before going in the sun. Discoid papular eczema In this condition, scaly follicular papules occur in a discoid pattern. These lesions, which may occur on the limbs (Figure 72) or trunk, may be solitary or multiple and symmetrical. Lichen simplex The term implies thickening of the skin in a localized patch.