Summary
Definition
History and exam
Key diagnostic factors
- presença de fatores de risco
- prurido
- xerose (pele seca)
- locais de envolvimento da pele
Other diagnostic factors
- eritema
- descamação
- vesículas
- pápulas
- ceratose pilar
- escoriações
- liquenificação
- hipopigmentação
Risk factors
- mutação do gene da filagrina
- idade <5 anos
- história familiar de eczema
- rinite alérgica
- asma
- exposição ativa e passiva à fumaça de cigarro
- sexo feminino
- Etnia afro-americana
Diagnostic tests
1st tests to order
- diagnóstico clínico
Tests to consider
- níveis de IgE
- teste alérgico cutâneo por puntura ("prick test")
- teste de desencadeamento alimentar oral
- tentativa de dieta de eliminação
- teste de contato
- biópsia de pele
Treatment algorithm
exacerbação aguda
doença recidivante ou crônica
Contributors
Authors
Adelaide A. Hebert, MD
Professor & Director of Pediatric Dermatology
Clinical Specialist
Department of Dermatology and Pediatrics
University of Texas Health Sciences Center at Houston
Houston
TX
Disclosures
AAH has received research grants paid to UTHealth McGovern Medical School Houston from Pfizer, GSK, Dermavant, Arcutis, and Novan; has received honoraria from Pfizer, Verrica, and Novan; and is on the data safety monitoring boards for GSK, Ortho Dermatologics, and Regeneron-Sanofi.
Alexander Jafari, MD
Dermatology Clinical Research Fellow
Department of Dermatology
University of Texas Health Science Center at Houston
Houston
TX
Disclosures
AJ declares that he has no competing interests.
Matthew Dallo, MD
Clinical Research Fellow
Department of Dermatology
University of Texas Health Science Center at Houston
Houston
TX
Disclosures
MD declares that he has no competing interests.
Acknowledgements
Dr Adelaide A. Hebert, Alexander Jafari, and Dr Matthew Dallo would like to gratefully acknowledge Dr Eugenio G. Galindo, Dr Quoc-Bao D. Nguyen, Dr Mary D. DarConte, Dr Christina M. Gelbard, and Dr Daniel A. Grabella, previous contributors to this topic.
Disclosures
EGG, QBDN, MDD, CMG, and DAG declare that they have no competing interests.
Peer reviewers
Amor Khachemoune, MD
Assistant Professor
New York University School of Medicine
NY
Disclosures
AK declares that he has no competing interests.
John English, MBBS, FRCP
Consultant Dermatologist
Department of Dermatology
Queen's Medical Centre
Nottingham University Hospitals
Nottingham
UK
Disclosures
JE declares that he has no competing interests.
Differentials
- Dermatite seborreica
- Dermatite de contato irritativa
- Dermatite alérgica de contato
More DifferentialsGuidelines
- Guidelines of care for the management of atopic dermatitis
- Atopic eczema in under 12s: diagnosis and management
More GuidelinesPatient information
Eczema
More Patient information
Log in or subscribe to access all of BMJ Best Practice
Use of this content is subject to our disclaimer