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DermatologicalICD-10: L30.9Atopic dermatitis affects up to 20% of children and 3% of adults

Dermatitis

Also known as: Eczema, Atopic Dermatitis, Contact Dermatitis, Skin Inflammation

Dermatitis is a general term for skin inflammation that causes itchy, red, swollen, and sometimes blistered skin. The most common types are atopic dermatitis (eczema), contact dermatitis, and seborrheic dermatitis. While not contagious, dermatitis can be uncomfortable, affect quality of life, and increase the risk of skin infections from scratching. Treatment focuses on moisturizing, reducing inflammation, and avoiding triggers.

Symptoms

Itchy skin (often intense)
Red or inflamed patches of skin
Dry, cracked, or scaly skin
Blisters that may ooze and crust over
Swelling of the affected area
Thickened, leathery skin from chronic scratching (lichenification)
Darkened or lightened skin in affected areas

Causes

  • Genetic predisposition (especially atopic dermatitis)
  • Immune system dysfunction and skin barrier deficiency
  • Direct contact with irritants (soaps, chemicals, fragrances)
  • Allergic reactions to specific substances (nickel, latex, poison ivy)
  • Overgrowth of Malassezia yeast (seborrheic dermatitis)

Risk Factors

  • Family history of eczema, asthma, or hay fever (atopic triad)
  • Occupational exposure to irritants or allergens
  • Dry climate or low humidity environments
  • Stress (can trigger or worsen flares)
  • Age (atopic dermatitis typically begins in childhood)

Diagnosis

  • Physical examination of skin appearance and distribution
  • Patient history of symptoms, triggers, and family history
  • Patch testing for contact allergens
  • Skin biopsy if diagnosis is uncertain
  • Blood tests (IgE levels) for atopic dermatitis

Treatment

  • Regular use of moisturizers and emollients
  • Topical corticosteroids for inflammation (hydrocortisone, triamcinolone)
  • Topical calcineurin inhibitors (tacrolimus, pimecrolimus)
  • Antihistamines for itch relief
  • Biologic therapy (dupilumab) for moderate-to-severe atopic dermatitis
  • Avoidance of identified triggers and irritants

Prevention

  • Moisturize skin daily, especially after bathing
  • Use gentle, fragrance-free soaps and detergents
  • Wear soft, breathable fabrics (cotton)
  • Identify and avoid personal triggers
  • Keep fingernails short to reduce skin damage from scratching

When to See a Doctor

  • Itching is severe enough to disrupt sleep or daily activities
  • Skin becomes painful, oozing, or shows signs of infection
  • Over-the-counter treatments are not providing relief
  • Dermatitis is widespread or affecting your quality of life

Frequently Asked Questions

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Medical Disclaimer: This content is for educational and informational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider.

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