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Chapter-21 Eczema and Dermatitis

BOOK TITLE: Essential of Dermatology, Venereology and Leprosy

Author
1. Chattopadhyay SP
ISBN
9788180610172
DOI
10.5005/jp/books/11611_21
Edition
1/e
Publishing Year
2003
Pages
4
Author Affiliations
1. Armed Forces Medical College Pune, Vivekananda Institute of Medical Sciences, Ramakrishna Mission Seva Pratishthan; Calcutta Medical and Research Institute, Kolkata, West Bengal, India
Chapter keywords
Eczema, Allergy is a predisposing factors, Endogenous, Exogenous, Contact dermatitis to custies acid, Alkali, Bacterial, Viral infections, Allergic contact dermatitis due to contact with allergic agent, Patch test.

Abstract

Eczema and dermatitis denote the inflammatory changes in the skin which can be of external or internal origin. It can be acute of chronic. The signs of dermatitis in the order of evolution are as follows: 1. Redness and swelling of the skin. 2. Vesiculation and oozing. 3. Crusting and scaling. 4. Thickening of the skin and evidence of repeated excoriation. 5. Hyperpigmentation. Classification: (i) Exogenous eczema and (ii) Endogenous eczema. Irritant contact dermatitis: Eczematization is seen due to cutaneous insult caused by any agent who can be a chemical agent like detergents, soaps, acids, alkalies, etc. or physical agents like sunlight, heat, etc. or biological agent like bacterial virus, scabies pediculosis, etc. or biological agent like bacterial virus, scabies pediculosis, etc. Allergic contact dermatitis: Allergic to the causative external allergen. Eczematization due to footwears, cosmetics, hair dyes, pollens, etc. are the example of allergic cause. Pollens and other allergic agents mainly affect face, eyes. The diagnosis of allergic contact dermatitis can be established by patch test. Treatment of eczemas/dermatitis: Local treatment: Acute stage: Potassium permanganate soaks 1:10,000 dilution should be given to stop oozing. Calamine lotion should not be used if there is oozing. Subacute stage: Corticosteroid cream is applied locally three times a day. Chronic stage: Corticosteroid ointment is applied locally 2 or 3 times a day. Addition of 3 percent salicylic in corticosteroid ointment is beneficial. Systemic treatment: A suitable oral antihistaminic is given three times a day. Systemic corticosteroids with other supportive measures are tried in severe cases with extensive involvement. Treatment: Soaks, Cream, Ointment, Antihistaminic, Systemic corticosteroids.

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