1. ATOPIC DERMATITIS
• Definition:
• How to Diagnose ?
• How to Manage ?
• Recent Advances:

2. Atopic Dermatitis
• Different types of presentation with severe
itching : think of Atopic Dermatitis.
• Associated allergic rhinitis, allergic brochitis
may or may not be present.
• Strong family history.

3. Atopic Dermatitis
Infantile phase
Childhood phase
Adult phase

4. Aeitiopathogenesis
• Decrease skin barrier function.
• Increase trans epidermal water loss.
• Increase exogenous proteases from staph.
Aureus / Dust mites with reduce endogenous
protease inhibitors.

5. Infantile phase
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Who is the first to see and diagnose ?
Answer :Pediatrician
Starts at 3-6 month of age.
First sign : in winter xerosis , scaling, localized
erythema with scaling and crusting on cheeks
gradually affecting paranasal area and perioral
area.
• Repeated scratching produces infantile
eczema.Extensor side is affected.
• Few of them have generalized eruptions.

6. Infantile phase
• Starts at 3-6 month of age.
• First sign : in winter xerosis , scaling, localized
erythema with scaling and crusting on cheeks
gradually affecting paranasal area and perioral
area.
• Repeated scratching produces infantile
eczema.Extensor side is affected.
• Few of them have generalized eruptions.

7. Childhood phase
• Inflammations in flexure areas.

8. Mannagement of AD
• Education.
• Treatment.
• Prevention of invasive infections and (MRSA
induced bacteremia , endocarditis ,
osteomylitis , septic arthritis) and recurrences
of atopic dermatitis.

9. Management strategy
• Age of patient
• Stage of AD
• Site and extent of lesion, infections

10. Rx
• Avoid irritants
• Antibacterial Cleansers instead of soaps to
reduce bacterial colonization.
• Full cotton clothing