Eczema Definition: Epidermodermitis vesicular, pruritic, appearing most frequently in susceptible persons, caused by external or internal, offsetting exciting

and disposal. (Basombrío) Clinical Aspects Plates of variable size and shape. With net margins (microbial eczema) or diffus e (atopic eczema). chronic disease that evolves in spurts. Clinical stages Eritematovesiculosa Secretory Phase Phase Phase Phase lichenified flaky (not alw ays shown)

Histology spongiosis Clinical Forms Eczema contact. Microbial and mycotic eczema. Reactions nstitutional or Atopic Eczema. Contact Dermatitis Irritant DC: EXCITING> host. Mild irritants: erythematous or eczematous lesions. Strong irritants: burns, blisters, necrosis or ulceration. Appear at any age. M ale: female Examples latter. Eccemátides. co

Infants / elderly people: ammonia or diaper dermatitis. Adults: occupational der matitis: Bleach, cleaners, detergents, soaps, solvents, mild acids and alkalis. Plants: direct irritation: nettle, rue, fig, parsley, lemon and fennel. Irritati on indirect Dermatitis meadows (phitophotodermatosis) DC Dermatitis, Allergic Contact: Exciting <HOST reaction HS IV. Types: - Professional: Chrome (cement) Cobalt (ce ment, plastics), epoxy resin (electrical equipment). - Cosmetics: Nail polish (c lear), eyeliner, shadow, rouge. - Casual: Nickel (jewelry, buttons) Diagnosis of allergic DC Patient's occupation Location dermatosis exciting disappears when removing t he skin tests Treatment: Avoid contacted directly. Local or systemic corticost eroids and antihistamines. Gloves and silicoles.

Microbial and mycotic eczema Group of eczema caused by pyogenic or fungal agents. bial. Mycotic intertrigo. Second Reactions Example: Epidermodermitis micro

Injury from a distance by the action of existing agents in a primary cutaneous o r extracutaneous focus. They are symmetrically uninhabited occur via blood (appe arance of outbreaks). It has a different clinical aspect that caused the outbrea k. Treatment: the primary focus. Types of secondary reactions Eczema Dyshidrosis Nummular palpebral Candide Dyshidrosis Symmetrically distributed pruritic dermatosis in palms, soles and sides of finge rs. Vesicles isolated and / or Agmin. Sometimes blisters may form (dyshidrosis g iant). Secondary impetiginización is common. Spring - summer. Subacute course, e volves in spurts. Nails: Striae longitudinal (more frequent in recurrent or chro nic). Causes: fungal or Streptococcal Intertrigo. Chronic septic foci, parasites . Emotional factors and seasonal. Differential Dx: eczema.

Nummular Eczema Plates rounded, well-defined. Location: Member. chronic course. tracutaneous primary focus (eg, intestinal parasites).

Causes: ex

Candide palpebral Injuries affecting both eyelids eczema. Secondary to an intestinal or vaginal candidiasis focus Women> Men. Differential Dx: contact eczema from cosmetics . Constitutional or atopic eczema (atopic dermatitis) Etiology: Multifactorial. Personal or family history of allergic diseases (asthma, rhini tis) over environmental factors (allergens, foods, irritants, Staphylococcus aur eus) Clinic Infant: Appears after the first month of life and persists with intervals of imp rovement until 6 years. Wet plates, erosive-edged, very itchy. Secondary impetig inización is common. Location: salient areas of the face, scalp, extensor aspect of the members. Stigmata: infraorbital fold, skin xerosis, recurrent pityriasis alba, keratosis pilaris, repeated skin infections (intertrigo retroauricular or

recurrent cheilitis). • Children: Continuation of the DA infant or appear at this age. Papules, erythe ma and lichenification Location: flexion creases, wrists, neck and neck. • Adole scent and adult: Erythema and scales and. lichenification. Location: flexor aspe ct of limbs, neck, face, upper chest. It tends to cure into the fourth decade. Seborrheic Eczema Scales dry or oily scalp and seborrheic areas. Cradle cap Treatment: Daily Bath Veg etable oils (almond oil) or mineral oil ichthyol 5%. Salicylic Ac 3 to 5% lotion Treatment of acute outbreak of eczema General: Avoid trigger. White cotton clothes, short showers with soap white€emol lients. oral corticosteroids (adults: 20-30 mg / kg / day) Antihistamines: I f itching is very intensity can add 2 difernte class. Local: during Secretory: Pasta water. Later: high-power local corticosteroids, except the face, folds an d genital region (low power). Local antibiotics