Ch 12

Atopik Dermatit

Vol 1 · sayfa 210 · §3

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Fig. 12.4 Atopic dermatitis – papular pattern. This clinical variant is more commonly observed in patients with more darkly pigmented skin. There is also lichenification in the antecubital fossae. Courtesy Gail Todd, MD.

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Fig. 12.5 Postinflammatory hypopigmentation in atopic dermatitis. Courtesy Thomas Bieber, MD and Caroline Bussmann, MD.

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Fig. 12.6 Infantile atopic dermatitis on the face. A Erythema with scale-crust on the cheeks. Note the sparing of the central face. B More severe, widespread facial dermatitis with accentuation of scale- crust around the mouth. A, Courtesy Julie V. Schaffer, MD.

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Fig. 12.6 Infantile atopic dermatitis on the face. A Erythema with scale-crust on the cheeks. Note the sparing of the central face. B More severe, widespread facial dermatitis with accentuation of scale- crust around the mouth. A, Courtesy Julie V. Schaffer, MD.

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Fig. 12.7 Infantile atopic dermatitis on the extensor arms. A Chronic diffuse involvement of the extensor arms with scaling and hyperpigmentation. Note the follicular promi- nence on the trunk. B Nummular lesions on the extensor aspect of the arm and nipple eczema. B, Courtesy Julie V. Schaffer, MD.

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Fig. 12.7 Infantile atopic dermatitis on the extensor arms. A Chronic diffuse involvement of the extensor arms with scaling and hyperpigmentation. Note the follicular promi- nence on the trunk. B Nummular lesions on the extensor aspect of the arm and nipple eczema. B, Courtesy Julie V. Schaffer, MD.

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Fig. 12.8 Flexural atopic dermatitis in a child. The popliteal fossa is a typical location. Note the excoriations. Courtesy Julie V. Schaffer, MD.

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Fig. 12.9 Extensive atopic dermatitis in a child. Excoriations, crusting, and lichenification are evident.

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Fig. 12.10 Chronic atopic dermatitis. A Lichenification, scale, and punctate excoriations in the antecubital fossae. B Coalescing papules and lichenification on the ankle due to chronic scratching and rubbing. C Thick eczematous plaques with lichenification and excoriation on the dorsal hands and wrists. Courtesy Julie V. Schaffer, MD.

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Fig. 12.10 Chronic atopic dermatitis. A Lichenification, scale, and punctate excoriations in the antecubital fossae. B Coalescing papules and lichenification on the ankle due to chronic scratching and rubbing. C Thick eczematous plaques with lichenification and excoriation on the dorsal hands and wrists. Courtesy Julie V. Schaffer, MD.

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Fig. 12.10 Chronic atopic dermatitis. A Lichenification, scale, and punctate excoriations in the antecubital fossae. B Coalescing papules and lichenification on the ankle due to chronic scratching and rubbing. C Thick eczematous plaques with lichenification and excoriation on the dorsal hands and wrists. Courtesy Julie V. Schaffer, MD.

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Fig. 12.11 Atopic dermatitis with severe chronic hand involvement. Note the marked lichenification. Courtesy Julie V. Schaffer, MD.

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Fig. 12.12 Severe atopic dermatitis with facial involvement in an adult.

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Fig. 12.13 Atopic dermatitis variants. A Chronic papular lesions resulting from habitual rubbing and scratching in the setting of longstanding disease. B Prurigo lesions presenting as firm, dome-shaped papules and nodules with central hemorrhagic crust. C Nummular plaques with oozing and crusting on the legs. A, Courtesy Thomas Bieber, MD and Caroline Bussmann, MD; B, C, Courtesy Antonio Torrelo, MD.

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Fig. 12.13 Atopic dermatitis variants. A Chronic papular lesions resulting from habitual rubbing and scratching in the setting of longstanding disease. B Prurigo lesions presenting as firm, dome-shaped papules and nodules with central hemorrhagic crust. C Nummular plaques with oozing and crusting on the legs. A, Courtesy Thomas Bieber, MD and Caroline Bussmann, MD; B, C, Courtesy Antonio Torrelo, MD.

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Fig. 12.13 Atopic dermatitis variants. A Chronic papular lesions resulting from habitual rubbing and scratching in the setting of longstanding disease. B Prurigo lesions presenting as firm, dome-shaped papules and nodules with central hemorrhagic crust. C Nummular plaques with oozing and crusting on the legs. A, Courtesy Thomas Bieber, MD and Caroline Bussmann, MD; B, C, Courtesy Antonio Torrelo, MD.

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Fig. 12.14 Regional variants of atopic dermatitis. A Atopic cheilitis involving both the vermilion lip and surrounding skin (lip-licker’s eczema). B Nipple eczema in an adolescent. Courtesy Julie V. Schaffer, MD.

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Fig. 12.14 Regional variants of atopic dermatitis. A Atopic cheilitis involving both the vermilion lip and surrounding skin (lip-licker’s eczema). B Nipple eczema in an adolescent. Courtesy Julie V. Schaffer, MD.

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Fig. 12.16 Excoriations. Numerous punctate and a few linear excoriations in an area of papular eczema on the lower back. Courtesy Antonio Torrelo, MD.

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Fig. 12.17 Keratosis pilaris. A Discrete perifollicular papules with central keratotic cores on the extensor surface of the upper arm. Each papule has a rim of erythema. B Keratosis pilaris rubra on the lateral face. This variant is characterized by tiny, “grain-like” follicular papules superimposed on confluent erythema. A, Courtesy Luis Requena, MD; B, Courtesy Angela Hernández-Martín, MD.

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Fig. 12.17 Keratosis pilaris. A Discrete perifollicular papules with central keratotic cores on the extensor surface of the upper arm. Each papule has a rim of erythema. B Keratosis pilaris rubra on the lateral face. This variant is characterized by tiny, “grain-like” follicular papules superimposed on confluent erythema. A, Courtesy Luis Requena, MD; B, Courtesy Angela Hernández-Martín, MD.

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Fig. 12.17 Keratosis pilaris. A Discrete perifollicular papules with central keratotic cores on the extensor surface of the upper arm. Each papule has a rim of erythema. B Keratosis pilaris rubra on the lateral face. This variant is characterized by tiny, “grain-like” follicular papules superimposed on confluent erythema. A, Courtesy Luis Requena, MD; B, Courtesy Angela Hernández-Martín, MD.

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Fig. 12.18 Pityriasis alba. Note the slight scale associated with the hypopigmented macules and patches on the cheeks. Courtesy Antonio Torrelo, MD.

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Fig. 12.19 Superinfection with group A Streptococcus in a patient with atopic dermatitis. Pustules and impetigo-like crusting are evident. Courtesy Julie V. Schaffer, MD.

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Fig. 12.20 Eczema herpeticum. Grouped punched- out monomorphic erosions with hemorrhagic crusts on the arm (A) and posterior neck (B). Vesicles are rarely evident. B, Courtesy Julie V. Schaffer, MD.

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