Atopic Dermatitis : Clinical Manifestasion, Nursing Management, and Natural Treatment with Advice For Patient
Atopic dermatitis: is an in inflammatory disorder of the skin but in this case the patient inherits an increased tendency of becoming sensitized to various environmental allergens.
This tendency is inherited as a polygenic recessive character and several relatives of the patient also often suffer from one of the atopic disorder which include asthma, uritcaria and allergic dermatitis
Atopic dermatitis is an intensely pruritic, recurrent inflammation of the skin occurring in all groups (infant, childhood and adolescent). It is the most common type of infantile eczema and is also seen in characteristic patterns in children, adolescents and adults too.
Approximately 70 percent of patients with atopic dermatitis have a family history of atopiy. About 3 percent of infants have some evidence of atopic dermatitis during the first few moths of life and many children with atopic dermatitis develop either rhinitists or asthma at a later age.
Clinical manifestations
Many of the clinical signs and symptoms seen are secondary to scratching and rubbing of the skin
- The clinical manifestations of atopic dermatitis during infancy are called infantile atopic eczema and consists of severely itching, erythematosus, papulo–vesicular lesions with appear on the cheeks and spread to other parts of the body
- In severe case exudations and massive crusting can occur
Note: Atopic dermatitis usually sets up avicious cycle, itching leads to scratching and scratching causes oozing and other changes, Infantileatopic eczema usually starts on the face, cheek and extensor of extremities and can even be generalized, including flexures and trunks in the first six months, later In child hood, adolescent and adult hood also affect the flexures and the trunk.
Atopic dermatitis age base description
a. In the infantile phase of a topic dermatitis, age 2 months to two years, there is the involvement of primarily the cheeks, face, scalp, neck, extensor extremities with erythamatous papulo – vesicles and oozing.
b. In the child hood phase, between the ages of 4 and 10 years, the lesions are less acute and exudative, more scattered red and often localized in the flexor folds of the neck, elbows, wrist and knees. Dry papules, excoriations lichenifications, erythama and edema are common.
c. In the adolescence and adult phase the lesion occurs on flexures of extremities the lesion are primarily dry lichenified, hyperpigmental plaques in flexor areas and around the eyes, Persistent hand dermatitis may be the only reminants of atopic dermatitis. Generally adults with atopic eczema will have dry skin.
* Treatment refer to contact dermatitis
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