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Overview of Dermatitis

(Eczema)

By

Thomas M. Ruenger

, MD, PhD, Georg-August University of Göttingen, Germany

Last full review/revision Apr 2021
CLICK HERE FOR THE PROFESSONAL VERSION
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Dermatitis is inflammation of the upper layers of the skin, causing itching, blisters, redness, swelling, and often oozing, scabbing, and scaling.

  • Known causes include dry skin, contact with a particular substance, certain drugs, and varicose veins.

  • Typical symptoms include a red itchy rash, scaling, open sores, oozing, and crusting.

  • The diagnosis is typically based on symptoms and confirmed by results of skin tests or skin samples or the presence of suspected drugs or irritants.

  • Avoiding known irritants and allergens (substances that cause an allergic reaction) reduces the risk of dermatitis.

  • Treatment depends on the cause and the specific symptoms.

Dermatitis is a broad term covering many different disorders that all result in a red, itchy rash. Eczema is synonymous with dermatitis but is often used to mean atopic dermatitis Atopic Dermatitis (Eczema) Atopic dermatitis (commonly referred to as eczema) is chronic, itchy inflammation of the upper layers of the skin that often develops in people who have hay fever or asthma and in people who... read more Atopic Dermatitis (Eczema) . Skin infections, such as fungal infections, are not classified as dermatitis.

Some types of dermatitis affect only specific parts of the body (such as contact dermatitis Contact Dermatitis Contact dermatitis is skin inflammation caused by direct contact with a particular substance. The rash may be itchy, is confined to a specific area, and often has clearly defined boundaries... read more Contact Dermatitis , including poison ivy Poison Ivy Poison ivy is an allergic contact dermatitis that causes a very itchy rash caused by exposure to the oil urushiol, which coats the leaves of poison ivy plants. An itchy, red rash and multiple... read more Poison Ivy ; nummular dermatitis Nummular Dermatitis Nummular dermatitis is a persistent, usually itchy rash and inflammation of the skin characterized by coin-shaped spots and scale. (See also Overview of Dermatitis.) The cause of nummular dermatitis... read more Nummular Dermatitis ; stasis dermatitis Stasis Dermatitis Stasis dermatitis is inflammation of the skin of the lower legs resulting from the pooling of blood and fluid. (See also Overview of Dermatitis.) Stasis dermatitis occurs in people who have... read more Stasis Dermatitis ; lichen simplex chronicus Lichen Simplex Chronicus Lichen simplex chronicus is chronic, itchy inflammation of the top layer of the skin caused by repeated scratching, rubbing, or both. Lichen simplex chronicus involves a cycle in which scratching... read more Lichen Simplex Chronicus ; seborrheic dermatitis Seborrheic Dermatitis Seborrheic dermatitis is chronic inflammation that causes yellow, greasy scales and dandruff to form on areas of the skin that have a high number of oil glands such as the scalp and face, along... read more Seborrheic Dermatitis ; and hand and foot dermatitis Hand and Foot Dermatitis Hand and foot dermatitis is a chronic dermatitis characterized by red, scaly, thickened skin on the hands, the feet, or both. (See also Overview of Dermatitis.) Hand and foot dermatitis often... read more Hand and Foot Dermatitis ), whereas others can occur anywhere (such as atopic dermatitis Atopic Dermatitis (Eczema) Atopic dermatitis (commonly referred to as eczema) is chronic, itchy inflammation of the upper layers of the skin that often develops in people who have hay fever or asthma and in people who... read more Atopic Dermatitis (Eczema) ).

Chronic dermatitis persists over a long period of time. The hands are particularly vulnerable to chronic dermatitis, because the hands are in frequent contact with many foreign substances. Chronic dermatitis can have many different causes. Chronic scratching and rubbing because of itching often results in thickening of the skin (lichenification).

Symptoms of Dermatitis

Dermatitis causes

  • Redness

  • Itching

  • Scaling

  • Swelling

  • Oozing

  • Crusting

  • Blisters (sometimes)

  • Thickening of skin, or lichenification (in chronic dermatitis)

Chronic dermatitis often results in thickening of skin and cracks in the skin. Any type of dermatitis may be complicated by an infection.

Diagnosis of Dermatitis

  • A doctor's examination

  • Skin or blood tests or both

  • Sometimes biopsy

Doctors base the diagnosis of dermatitis on the person's symptoms and on what the rash looks like and where it appears on the body. Doctors try to determine whether the person has come in contact with an irritating substance, has an allergy, or has an infection.

Prevention of Dermatitis

  • Avoidance of triggers

To reduce the risk of dermatitis, people should avoid known allergens and irritating substances (triggers).

Treatment of Dermatitis

  • Supportive care (such as moisturizers and dressings, and antihistamines for itching)

  • Topical corticosteroids or other immunosuppressive (drugs that decrease the immune system responses) creams or ointments

  • Sometimes antibiotics

  • Sometimes systemic (bodywide) immunosuppressive drugs or injections

  • Sometimes ultraviolet (UV) light therapy

Dermatitis treatment depends on the cause and the specific symptoms. For example, doctors may give people moisturizers or corticosteroid creams to relieve itching. Some people may be given antibiotics by mouth or injections of certain drugs. Some people may be helped by exposure to ultraviolet light (phototherapy Phototherapy Psoriasis is a chronic, recurring disease that causes one or more raised, red patches that have silvery scales and a distinct border between the patch and normal skin. A problem with the immune... read more Phototherapy ).

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Test your knowledge
Atopic Dermatitis (Eczema)
Atopic dermatitis, commonly known as eczema, is a chronic condition that causes itchy inflammation of the upper layers of skin. Eczema is especially common in people who have hay fever or asthma, and in people whose family members have these conditions. Eczema is common, particularly in urban areas and developed countries. What percentage of children and adolescents are affected by eczema?  
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