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Dermatitis

47 articles

Abscess

Abscess: a pus-filled cavity in tissue, usually skin; primary skin abscesses are dominated by Staphylococcus aureus including MRSA strain USA300. Main treatment is incision and drainage, with TMP-SMX or clindamycin as adjunctive antibiotics.

Aquagenic urticaria

Aquagenic urticaria, or water urticaria, is a rare chronic inducible urticaria causing wheals after any water skin contact regardless of temperature; first described 1964, under 100 cases, treated first-line with second-generation H1 antihistamines.

Asteatotic eczema

Asteatotic eczema (eczéma craquelé, xerotic eczema, winter itch) is a dry-skin eczema of older adults with crazy-paving fissuring, mainly on the shins, flaring in winter and treated with emollients and topical steroids.

Boil

A boil, medically called a furuncle, is a painful, pus-filled infection of a hair follicle, usually caused by Staphylococcus aureus, that often drains on its own.

Cellulitis

Cellulitis, related to erysipelas, is an acute bacterial infection of the dermis and subcutaneous tissue, usually streptococcal, entering through broken skin; diagnosed clinically, treated with about 5 days of antibiotics, and frequently misdiagnosed (mean 41%).

Chalazion

Chalazion (meibomian cyst): a chronic sterile lipogranuloma of the eyelid from obstructed meibomian or Zeis glands. Treated with warm compresses, triamcinolone injection, or incision and curettage; recurrent lesions need biopsy.

Cholinergic urticaria

Cholinergic urticaria (CholU, heat bumps) is a chronic inducible urticaria causing small itchy wheals when body temperature rises and sweating begins. Exercise triggers nearly 9 in 10 cases; antihistamines are first-line, omalizumab for refractory disease.

Chronic actinic dermatitis

Chronic actinic dermatitis (CAD), also called actinic reticuloid or chronic photosensitivity dermatitis, is a rare immune-mediated photodermatosis causing itchy eczema on sun-exposed skin of older men, confirmed by phototesting and managed with strict photoprotection.

Cutaneous larva migrans

Cutaneous larva migrans, or creeping eruption, is a parasitic skin disease in which dog or cat hookworm larvae migrate under human skin, leaving an intensely itchy, winding red track.

Dandruff

Dandruff, the mild scalp end of seborrheic dermatitis, causes flaky, itchy scalp skin; linked to Malassezia yeast, sebum, and skin barrier dysfunction; treated with medicated shampoos.

Dermatitis

Dermatitis, synonymous with eczema, is inflammation of the skin with spongiotic histology, covering atopic, contact, and seborrhoeic types; treated with emollients, topical corticosteroids, calcineurin inhibitors, biologics, and JAK inhibitors.

Dermatitis of feet

Dermatitis of feet (foot eczema, foot dermatitis) is eczematous inflammation predominantly affecting the feet, most often allergic contact dermatitis from footwear allergens such as rubber chemicals and chromate, distinguished from tinea pedis and psoriasis by patch testing, KOH, and biopsy.

Dermatitis of hands

Dermatitis of hands, or hand eczema, is a common acute or chronic eczematous skin inflammation of the hands and wrists, often occupational, driven by irritants, contact allergy, and atopy, and frequently chronic.

Dermatographic urticaria

Dermatographic urticaria, also called symptomatic dermographism or urticaria factitia, is a chronic inducible urticaria in which stroking or scratching the skin produces itchy linear wheals within about 5 minutes, diagnosed by provocation testing and treated with antihistamines.

Diabetic foot ulcer

A diabetic foot ulcer, or neuropathic ulcer due to diabetes, is an open sore on the foot of a person with diabetes, often leading to infection and amputation.

Dyshidrosis

Dyshidrosis (dyshidrotic eczema, pompholyx): recurrent itchy 1–2 mm tapioca-like vesicles on palms, finger sides, and soles, clearing in 2–3 weeks; cause unknown, linked to atopy, nickel/cobalt allergy, and hyperhidrosis.

Erysipelas

Erysipelas (Greek erythros + pella, red skin), also historically St. Anthony's fire, is a superficial dermal infection usually caused by group A Streptococcus, sharply demarcated, classically facial but now mostly on the legs, treated with antibiotics.

Erythema multiforme

Erythema multiforme (EM) is an immune-mediated, self-limiting mucocutaneous rash with target lesions, usually triggered by herpes simplex virus type 1; distinct from Stevens-Johnson syndrome and toxic epidermal necrolysis.

Foot odor

Foot odor (bromodosis) is body odor from bacteria metabolizing sweat on the feet, chiefly isovaleric acid from leucine degraded by Staphylococcus epidermidis; hyperhidrosis, fungi, and pitted keratolysis worsen it.

Hives

Hives (urticaria): itchy wheals from mast cell histamine release, acute or chronic (over 6 weeks). Treated with second-generation H1-antihistamines up to fourfold, then omalizumab, then ciclosporin.

Hyperhidrosis

Hyperhidrosis, also known as excessive sweating, is a condition in which a person sweats more than needed for cooling, either all over or in localized areas.

Impetigo

Impetigo (pyoderma) is a contagious superficial bacterial skin infection caused by Staphylococcus aureus, Streptococcus pyogenes, or both, occurring mainly in children aged 2 to 5, with honey-crusted lesions treated by topical or oral antibiotics.

Infantile seborrhoeic dermatitis

Infantile seborrhoeic dermatitis (ISD), or cradle cap, is a common, non-itchy, greasy-scaling inflammatory rash of infants, peaking before 3 months, affecting up to 70% of young infants, and resolving spontaneously within months.

Infectious dermatitis

Infectious dermatitis (infective eczematoid dermatitis, ICD-11 EA88.0): acute exudative eczematous eruption around a suppurative infection focus, mainly S. aureus, treated with topical antibiotics and soaks.

Intertrigo

Intertrigo is inflammatory dermatitis of skin folds caused by friction, heat, and moisture, often secondarily infected by Candida; common in obesity and diabetes, with weak treatment evidence.

Lichen planus

Lichen planus: chronic T-cell-mediated inflammatory disease of skin, oral and genital mucosa, scalp, and nails; Wickham striae, 1.14% oral malignant transformation rate, topical steroids first-line.

Lichen sclerosus

Lichen sclerosus, formerly kraurosis vulvae or balanitis xerotica obliterans, is a chronic inflammatory skin disease of the anogenital area, most common in postmenopausal women, treated first-line with ultrapotent topical corticosteroids and carrying a squamous cell carcinoma risk.

Lichen simplex

Lichen simplex (lichen simplex chronicus, neurodermatitis) is a chronic itchy skin disorder with lichenified plaques caused by an itch-scratch cycle; treated mainly with potent topical corticosteroids and behavioral measures.

Necrosis

Necrosis, also called necrotic tissue or tissue necrosis, is the irreversible death of cells from injury, infection, or lost blood supply; widespread tissue death is called gangrene.

Nummular dermatitis

Nummular dermatitis (nummular eczema, discoid eczema): chronic itchy coin-shaped eczematous plaques on the limbs of middle-aged and older adults; clinical diagnosis, topical corticosteroids first-line, no FDA-approved therapies.