By Fry L.
During this concise atlas, Fry (emeritus, Imperial collage) starts off with dialogue of the definition and prevalence of atopic eczema and follows with information regarding reviews that show a rise in prevalence and a courting among eczema and the danger of constructing bronchial asthma and hay fever. He appears on the function of genetic components and result of dual reports and genome displays; the histological good points of acute, subacute and protracted eczema; and etiological components, together with attainable genetic applicants, allergens and contributory elements similar to pollutants and the ''hygiene hypothesis.'' the ultimate chapters contain well-illustrated descriptions of scientific positive aspects and differential prognosis, and a large dialogue of remedy, which include topical medications, organic brokers, and measures which may relief in administration (e.g. behind schedule advent of convinced meals and alteration of maternal diet).
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Extra info for An Atlas of Atopic Eczema
Prurigo nodularis The term prurigo means ‘itchy’ and nodularis refers to firm lumps in the skin. The condition is most commonly seen in middle-aged females. There is often an underlying psychological problem. The lesions are seen most commonly on the extensor surfaces of the limbs (Figure 74), since these are the areas that are most accessible for scratching. The patient 30 AN ATLAS OF ATOPIC ECZEMA Figure 25 Crusting in severe atopic eczema develops a habit of picking and excoriating the lesions, resulting in local lichenification.
34 AN ATLAS OF ATOPIC ECZEMA Figure 29 Confluent erythema and scaling in atopic eczema in infancy Cutaneous fungal infections Infections of the nails and skin with Trichophyton rubrum have been reported to be increased in atopic eczema. The sites of involvement are particularly the hands and feet. Interestingly, there have been reports of an increased incidence of Trichophyton rubrum infection of nails in psoriasis. Pityrosporum oribiculare is a saprophytic yeast, which is found on normal skin but, under certain conditions, can be pathogenic.
If the condition is acute, weeping and crusting will be seen (Figures 24 and 25). Any part of the face may be affected. Involvement may also be seen on the trunk (Figures 26 and 27) and limbs (Figures 28–34). In this age group, it presents as red scaly patches. Occasionally, the patches may coalesce and the eruption is confluent (Figures 28 and 29). If the inflammation is severe, then the patches may form crusts and weep. The crusts are characteristically golden, since they are formed of a mixture of serum and keratin.
An Atlas of Atopic Eczema by Fry L.