Page 94 - LECTURE NOTES

Atopic dermatitis age base description

a. In the infantile phase of a topic dermatitis, age 2 months to two years, there is the
involvement of primarily the cheeks, face, scalp, neck, extensor extremities with

erythamatous papulo – vesicles and oozing.
b. In the child hood phase, between the ages of 4 and 10 years, the lesions are less

acute and exudative, more scattered red and often localized in the flexor folds of
the neck, elbows, wrist and knees. Dry papules, excoriations lichenifications,

erythama and edema are common.

c. In the adolescence and adult phase the lesion occurs on flexures of extremities
the lesion are primarily dry lichenified, hyperpigmental plaques in flexor areas

and around the eyes, Persistent hand dermatitis may be the only reminants of

atopic dermatitis. Generally adults with atopic eczema will have dry skin.
*Treatment refer to contact dermatitis

4.4.2 Superficial fungal Infections

The fungui are tiny arepresentative of the plant kingdom that feed an organic matter.
They are responsible for a variety of common skin infections, in some cases; they affect

only the skin and its appendages (i.e. hair & nails).

Superficial fungal infection rarely cause temporary disability & respond readily to

treatment. Secondary infection with bacteria or Candida or both may occur.
The most common fungal skin disease is known as tinea or ringworm.

There are varies types of ring worm or tinea and they are named according to the site of

involvement as:

¾ Tinea infections affect the feet commonly called athletes foot or tinea pedis
¾ Fungal infection of head- tinea capitis.

¾ Fungal infection of the body including face, neck & extremities -tinea corporis.
¾ Fungal infection of groin -Jock itch, or tinea cruris

¾ Fungal infection of the nail -tinea unqum.

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