Atopic Dermatitis: The Daily PANCE Blueprint
A 17-year-old male with a history of allergies and asthma presents to the clinic complaining of itchy lesions. Physical exam reveals antecubital hyperpigmentation and lichenification. Which of the following is the most likely diagnosis?
A. Psoriasis
B. Atopic dermatitis
C. Molluscum contagiosum
D. Tinea corporis
E. Lichen simplex chronicus
Answer and topic summary
The answer is B. Atopic dermatitis
Atopic dermatitis is a chronic, inflammatory skin disease. Risk factors include genetics and environmental exposures. Clinical features include pruritus, dry skin, and erythematous papules and vesicles with exudation and crusting. Skin thickening and lichenification may develop over time. Classically, the lesions are located on the neck, face, and flexor surfaces of the arms. The diagnosis is often clinical. Management includes avoiding exacerbating factors, optimizing skin hydration with emollients/moisturizers, topical steroids, oral H1 antihistamines for pruritus, and topical calcineurin inhibitors.
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Covered under ⇒ PANCE Blueprint Dermatology ⇒ ⇒
