Generalized dermatitis in clinical practice:
Gespeichert in:
| 1. Verfasser: | |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
Dordrecht [u.a.]
Springer
2012
|
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | XV, 154 S. zahlr. Ill. |
| ISBN: | 1447128966 9781447128960 |
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Datensatz im Suchindex
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| adam_text | Titel: Generalized dermatitis in clinical practice
Autor: Nedorost, Susan
Jahr: 2012
Contents
1 Introduction..........................................................................1
Problems with the Definition.................... 1
Problems with the Diagnosis and Treatment..............2
Problems with the Care Team......................................4
Aim of This Work............................................................4
References......................................................................6
2 Generalized Dermatitis: The Basics..................................7
Introduction....................................................................7
Definition.......................................................8
Pathophysiology..............................................................10
Diagnosis and Management..........................................13
Management of Itch......................................................16
Dermatitis and the Health Care System......................17
References......................................................................18
3 The Role of Irritation in Dermatitis:
Implications for Treatment..................................................19
Definition........................................................................19
Irritation and Innate Immunity....................................19
Emollients........................................................................22
Textiles............................................................................23
Influence of Innate Immunity on the
Adaptive Immune Response................................24
Nature of the Allergen..........................................25
Type of Tissue First Exposed
and Concentration of Allergen................25
Other Variables......................................................25
Corticosteroids................................................................26
xi
xii Contents
The Role of Irritant Dermatitis
in Generalized Dermatitis....................................26
References......................................................................^7
4 Atopie Dermatitis................................................................29
Definition........................................................................z
Sensitization to Food Protein Allergens......................29
Sensitization to Pollen Protein Allergens....................32
Food Pollen Syndromes................................................33
Atopy Patch Tests: Concept..........................................36
Atopy Patch Test: Procedure........................................36
Atopy Patch Test: Patient Education............................38
Avoidance of Topical and Ingestion
Exposure to Foods....................................38
Avoidance of Aeroallergens................................38
Conventional Patch Testing
in Atopic Dermatitis..............................................41
Role of Commensal Skin Flora
in Atopic Dermatitis..............................................42
References......................................................................48
5 Stasis Dermatitis and Antoeczematization......................53
Definition........................................................................53
Management of Stasis Dermatitis................................54
Secondary Allergic Contact Dermatitis......................54
Autoeczematization........................................................55
Bullous Pemphigoid: An Instructive Mimic................57
References......................................................................59
6 Generalized Allergic Contact Dermatitis........................61
Definition........................................................................61
Causes of Generalized Allergic
Contact Dermatitis................................................62
Sensitization to a Common Allergen(s)
with More Than One Source,
or Polysensitization....................................62
Sensitization to an Allergen with
Widespread Skin Contact........................63
Contents
xiii
Contact Allergy as a Secondary
Diagnosis Along with Other
Dermatitis Such as Stasis Dermatitis
with Autoeczematization or an
Underlying Non-eczematous
Skin Disease Such as Psoriasis........ 64
Contact Allergy with Urticarial
and Eczematous Response
to Airborne Exposure............... 64
Patch Testing for Allergic Contact Dermatitis...... 64
Diagnosis of Generalized Allergic
Contact Dermatitis........................ 71
Differential Diagnosis.......................... 73
Scabies: An Instructive Mimic................... 74
References................................... 75
7 Systemic Contact Dermatitis....................... 77
Definition.................................... 77
Mechanism of Systemic Contact Dermatitis....... 78
Diagnosis of Systemic Contact Dermatitis......... 79
Antigen Presenting Cells in Skin Versus
Other Mucosae..................... 79
Complexity of Food Chemistry
and Absorption..................... 79
T Regulatory Subtypes and Migration
Patterns........................... 79
Clinical Clues to Systemic
Contact Dermatitis........................ 80
Contact Urticaria......................... 80
Allergic Contact Recall: Ingestion
Creates Dermatitis at Prior
Patch Test Site...................... 82
Mixed Urticarial and Eczematous
Reactions.......................... 83
Vesicular Hand Dermatitis (Dyshidrotic
Eczema, Also Known
as Pompholyx)...................... 83
Baboon Syndrome........................ 87
xiv Contents
Erythema Multiforme..........................................88
Reaction to Implanted Devices..........................88
Dermatitis Herpetiformis:
In Instructive Mimic..................................90
References......................................................................90
8 Dermatitis Due to Systemic Disease................................95
Definition........................................................................95
Hypereosinophilic Syndrome (HES)..........................96
Dermatomyositis............................................................99
Cutaneous T Cell Lymphoma........................................101
References......................................................................102
9 Diagnosis of Generalized Dermatitis................................105
Initial Visit......................................................................105
Patient Education at Start of Visit......................105
History and Exam..................................................106
Initial Tests............................................................106
Initial Plans and Preparation
for the Second Visit..............................................108
Discharge Patient Education..............................108
Diagnostic/Therapeutic Trials..............................108
Interval Treatment................................................Ill
Referral for Patch Testing..............................................Ill
Evaluating Diagnostic Results......................................113
Patient Education..................................................114
One Month Follow Up After Patch Testing................115
Recalcitrant Generalized Dermatitis..........................115
References......................................................................117
10 Treatment of Generalized Dermatitis..............................119
Demands to Prescribe Systemic Therapy....................119
Short-Term Treatment for Acute Flares......................120
Maintenance Treatment for
Prevention of Flares ............................................122
Long-Term Use of Immuosuppressives......................125
Prophylaxis for Infectious Complications..........126
References......................................................................126
Contents xv
11 Interdisciplinary Care for Dermatitis................................129
References......................................................................134
Glossary........................................................................................137
Index..............................................................................................147
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| isbn | 1447128966 9781447128960 |
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| spelling | Nedorost, Susan Verfasser aut Generalized dermatitis in clinical practice Susan T. Nedorost Dordrecht [u.a.] Springer 2012 XV, 154 S. zahlr. Ill. txt rdacontent n rdamedia nc rdacarrier Erscheint auch als Online-Ausgabe 978-1-4471-2897-7 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=026166879&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Nedorost, Susan Generalized dermatitis in clinical practice |
| title | Generalized dermatitis in clinical practice |
| title_auth | Generalized dermatitis in clinical practice |
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| title_full | Generalized dermatitis in clinical practice Susan T. Nedorost |
| title_fullStr | Generalized dermatitis in clinical practice Susan T. Nedorost |
| title_full_unstemmed | Generalized dermatitis in clinical practice Susan T. Nedorost |
| title_short | Generalized dermatitis in clinical practice |
| title_sort | generalized dermatitis in clinical practice |
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