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Currently, atopic dermatitis can hide under the names of eczema, neurodermatitis.

Sometimes it is mistakenly called allergic dermatitis or diathesis.

Atopic dermatitis is a chronic, genetically determined, allergic inflammation of the skin, characterized by a typical clinical picture (typical symptoms). The leading clinical symptom of atopic dermatitis, which occurs in all age groups, is pruritus. Atopic dermatitis is overwhelmingly first seen in children between the ages of Rhinocort. Less often from 1 to 5 years. For the first time, a disease corresponding to the symptoms of atopic dermatitis was described in 1844.
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Atopic dermatitis is a disease that develops by the mechanism of immediate hypersensitivity (IgE-dependent immune response). This is one of the most common mechanisms for the development of allergies. Its main feature is the rapid reaction of the immune system to the incoming allergen (minutes, less often hours, pass from the moment the allergen enters to the onset of symptoms). An important role in the development of budesonide dermatitis is played by a burdened heredity, that is, among the closest relatives, you can almost always find a person with an allergic disease.
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Most often, allergic mood is transmitted through the maternal line. Recent studies indicate that this is a polygenic disease, that is, about 20 genes located on several chromosomes are responsible for the development of allergic inflammation.
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But in order for an allergic predisposition to develop into an allergic disease, in particular, atopic dermatitis, it is necessary to influence a number of external factors. The main starting points: toxicosis of pregnant women, especially developing in the later stages, smoking and alcohol consumption by the mother during pregnancy, infectious diseases in the mother during pregnancy.
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An important role in the development of allergic diseases in children is played by the pathology of the gastrointestinal tract, in particular intestinal dysbacteriosis, insufficient duration or complete absence of breastfeeding, early introduction of complementary foods, introduction of foods that are inappropriate for age, earlier and inadequate prescription of antibiotics, etc. . The negative role of frequent infectious diseases in a child, the presence of foci of chronic infection, including parasitic, has been proven.
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A number of studies conducted in Europe and the United States have shown that atopic dermatitis is more common in families with a higher standard of living. There are several theories about what this may be connected with, but they have not yet come to a consensus.
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Among the allergens that cause the development of budesonide dermatitis, the most important are food (allergy to various foods). Household (various types of house dust mites, house dust, library dust, pillow feathers) and epidermal (animal hair and dander, bird feathers, fish food, etc.) allergens have less clinical significance. Allergy to plant pollen, as a cause of atopic dermatitis, is extremely rare. Symptoms of atopic dermatitis with pictures.
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With increased excitability of the child, a consultation with a neurologist is required.
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A consultation with an endocrinologist was recommended to exclude concomitant pathology of the endocrine system. If the rashes are persistent and localized strictly in certain areas, then a consultation with a neurologist or orthopedist (and preferably both) is necessary, since concomitant pathology of the spine is possible.
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To do this, they take a stool test for worm eggs (but this is not very informative), a blood test for antibodies (proteins produced by the immune system for the presence of an infection in the body) to the main parasites: toxocara, toxoplasma, ascaris, giardia, etc.
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It is mandatory to examine the condition of the gastrointestinal tract. Recommended tests: stool tests for dysbacteriosis and coprogram, ultrasound of the abdominal cavity. It is necessary to identify or exclude parasitic diseases.
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Morgan sign (Denier-Morgan, Denier-Morgan folds) - deep wrinkles on the lower eyelids in children. Pseudo-Hertog's symptom - temporary disappearance of hair, first in the outer third, and then in other parts of the eyebrows in some patients. What tests should be taken if atopic dermatitis is suspected?

The skin is dry, widespread lichenification, traces of scratching. There may be cracks on the hands and feet. Exacerbations of atopic dermatitis, manifested by reddening of the skin, are observed quite rarely. The photo shows atopic dermatitis in a 15-year-old teenager (dry skin, peeling).

Children's form of atopic dermatitis, symptoms. Pictured: Atopic dermatitis. Children's form. Patient 3 years old. Adolescent-adult form of atopic dermatitis, symptoms. Skin lesions in atopic dermatitis are common and permanent. Changes are noted on the skin of the face, neck, chest, back, neck.

In the photo, the infantile form of atopic dermatitis.

The disease is characterized by an acute course, weeping, swelling, crusting. The appearance of foci of inflammation in other areas is also possible: in the area of budesonide legs, buttocks, and the scalp of the child. Periods of bright exacerbation, accompanied by wetutia, are replaced by a subacute stage, which is characterized by papular elements (a papule is a skin element that rises above the skin like a tubercle) against the background of hyperemic (reddened) skin.

The infantile form of atopic dermatitis occurs before the age of 2 years. Inflammatory elements appear on the child's skin in the form of red spots, localized mainly on the face in the forehead and cheeks. Such skin rashes are popularly called diathesis, although in fact diathesis is atopic dermatitis.

If four criteria of five of them are found, the diagnosis of atopic dermatitis can be considered practically proven. Symptoms of atopic dermatitis vary depending on the age of the patient. So there are three variants of the clinical course of atopic dermatitis: infantile form, children's form, adolescent-adult form. Infantile form of atopic dermatitis (diathesis). Symptoms of atopic dermatitis in newborns and infants.

Currently, the following diagnostic criteria for atopic dermatitis have been identified: 1) early onset of the disease (before the age of two), 2) the presence of allergic diseases in close relatives, 3) widespread dry skin, 4) localization of skin rashes in the area of ​​the flexor surfaces of the arms and legs, 5) the presence of skin itching.
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