Last reviewed:September 2019
Last updated:August  2019

Summary

Definition

History and exam

Key diagnostic factors

  • pruritus
  • xerosis (dry skin)
  • sites of skin involvement

Other diagnostic factors

  • erythema
  • scaling
  • vesicles
  • papules
  • keratosis pilaris
  • excoriations
  • lichenification
  • hypopigmentation

Risk factors

  • age <5 years
  • family history of atopic dermatitis
  • allergic rhinitis
  • asthma
  • anthelmintic treatment in utero
  • active and passive exposure to smoke

Diagnostic investigations

Investigations to consider

  • allergy testing
  • IgE levels
  • skin biopsy
Full details

Treatment algorithm

Contributors

Professor & Director of Pediatric Dermatology

Clinical Specialist

Department of Dermatology and Pediatrics

University of Texas Health Sciences Center in Houston

Houston

TX

Disclosures

AAH has received honoraria for lectures and advisory boards from Galderma, Promius, Pfizer, Medimetriks, Vanos, Anacor, and Menarini.

Clinical Research Fellow

Department of Dermatology

UTHealth McGovern Medical School

Houston

TX 

Disclosures

QDN declares that he has no competing interests.

Dr Adelaide A. Hebert and Dr Quoc-Bao D. Nguyen would like to gratefully acknowledge Dr Mary D. DarConte, Dr Christina M. Gelbard, and Dr Daniel A. Grabella, previous contributors to this topic. MOD, CMG and DAG declare that they have no competing interests. 

Peer reviewersVIEW ALL

Assistant Professor

New York University School of Medicine

NY

Disclosures

AK declares that he has no competing interests.

Consultant Dermatologist

Department of Dermatology

Queen's Medical Centre

Nottingham University Hospitals

Nottingham

UK

Disclosures

JE declares that he has no competing interests.

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