Differential Diagnosis of Seborrheic Dermatitis

1986 ◽  
Vol 7 (7) ◽  
pp. 204-211
Author(s):  
Mary L. Williams

Seborrheic dermatitis is a common skin condition of infancy of unknown etiology. The disorder is usually mild and responsive to therapy. In severe or atypical cases, a variety of other entities should be considered in the differential diagnosis. Atopic dermatitis, psoriasis, psoriasiform-id reaction, fungal infections, and irritant contact dermatitis can be differentiated on clinical grounds. Less common but more serious disorders, such as histiocytosis X, immunodeficiency disorders, and nutritional and metabolic diseases, may be considered in the child whose disease does not spontaneously resolve or respond satisfactorily to local therapy. Laboratory studies including skin biopsy may be helfpul in these cases. Seborrheic dermatitis is uncommon in children after infancy and before puberty. In this age group, scalp scaling is likely to be due to other causes, such as tinea capitis, atopic dermatitis, or psoriasis.

2021 ◽  
Vol 2021 (2) ◽  
pp. 49-59
Author(s):  
O. N. Оkhotnikova ◽  
N. Y. Yakovleva ◽  
L. V. Duda

The article is devoted to the topical problem of clinical allergology — differential diagnosis of atopic dermatitis (AD). The clinical manifestations of AD are quite similar to the extremely large number of different diseases and pathological conditions in children, which often leads to misdiagnosis. The complexity of the differential diagnosis of AD in children with a detailed description of different pediatrics diseases: from dermatological diseases (seborrheic dermatitis, eczema, shingles, scabies, ichthyosis, psoriasis, bullous epidermolysis, allergic dermatitis, cutaneous mastocytosis) to oncological (T-cell skin lymphoma), orphan metabolic diseases (hereditary disorders of tryptophan metabolism, phenylketonuria, Nezerton’s syndrome, etc.) and primary immunodeficiencies (Bruton’s disease, Job’s syndrome, Wiskott-Aldrich syndrome, selective IgA immunodeficiency etc.) is described. Сommon features of above mentioned diseases are listed in the article, also, special attention is paid to variety of the pathognomonic symptoms. Key words: atopic dermatitis, differential diagnosis, children.


2018 ◽  
Author(s):  
Seth R Stevens

This review describes eczematous dermatitis, or eczema, a skin disease that is characterized by erythematous vesicular, weeping, and crusting patches; atopic dermatitis, a common chronic inflammatory dermatosis that generally begins in infancy; and the ichthyoses, a group of diseases of cornification that are characterized by excessive scaling. The purpose of this review is to examine the major variants, epidemiology, etiology, diagnosis, differential diagnosis, and treatment of these dermatologic diseases. Figures depict chronic eczematous dermatitis, allergic contact dermatitis to poison ivy, seborrheic dermatitis, nummular eczema, acute eczematous patches, lichenified patches that appear after chronic rubbing of eczematous patches, erythroderma (total body erythema), and marked scaling (acquired ichthyosis). Tables list the diagnostic criteria for atopic dermatitis and the differential diagnosis of atopic dermatitis. This review contains 9 highly rendered figures, 2 tables, and 88 references.


2021 ◽  
Vol 9 (7) ◽  
pp. 1452-1456
Author(s):  
Manish Choudhari ◽  
Nikita Jamadari ◽  
Naresh Jain

Objective - To increase awareness of the psychosocial impact of Kushtha, Visarpa, Mukhadushika, Sheetpitta, Udarda and Kotha in Ayurveda and Acne vulgaris, Urticaria, Various types of fungal infections, Atopic dermatitis, Psoriasis etc. in modern point of view. Quality Of Evidence - A literature review was based on a MEDLINE search (1966 to 2000). Selected articles from the dermatologic and psychiatric literature, as well as other relevant medical journals, were reviewed and used as the basis for discussion of how skin disease affects patients’ lives and of appropriate management. Message - Dermatologic problems hurt patients’ quality of life. skin disease can produce stress, anxiety, anger, depression, low self-esteem, embarrassment, and other psychological, personal, professional and social life problems that affect patients’ lives in ways comparable to arthritis or other disabling illnesses, as well as showing a bidirectional relationship between skin disease and psychological distress. This review focuses on the effects of five common skin diseases seen by family physicians- Acne, Urticaria, Various types of fungal infections, Atopic dermatitis and Psoriasis. Conclusion - How skin disease affects psychosocial well-being is un- derappreciated. Increased understanding of the psychiatric comorbidity associated with skin disease and a biopsy- chosocial approach to management will ultimately improve patients’ lives. Keywords: Skin disease, Psychosocial Impact, Quality of life.


2016 ◽  
Author(s):  
Seth R Stevens

This review describes eczematous dermatitis, or eczema, a skin disease that is characterized by erythematous vesicular, weeping, and crusting patches; atopic dermatitis, a common chronic inflammatory dermatosis that generally begins in infancy; and the ichthyoses, a group of diseases of cornification that are characterized by excessive scaling. The purpose of this review is to examine the major variants, epidemiology, etiology, diagnosis, differential diagnosis, and treatment of these dermatologic diseases. Figures depict chronic eczematous dermatitis, allergic contact dermatitis to poison ivy, seborrheic dermatitis, nummular eczema, acute eczematous patches, lichenified patches that appear after chronic rubbing of eczematous patches, erythroderma (total body erythema), and marked scaling (acquired ichthyosis). Tables list the diagnostic criteria for atopic dermatitis and the differential diagnosis of atopic dermatitis. This review contains 9 highly rendered figures, 2 tables, and 88 references.


2018 ◽  
Author(s):  
Seth R Stevens

This review describes eczematous dermatitis, or eczema, a skin disease that is characterized by erythematous vesicular, weeping, and crusting patches; atopic dermatitis, a common chronic inflammatory dermatosis that generally begins in infancy; and the ichthyoses, a group of diseases of cornification that are characterized by excessive scaling. The purpose of this review is to examine the major variants, epidemiology, etiology, diagnosis, differential diagnosis, and treatment of these dermatologic diseases. Figures depict chronic eczematous dermatitis, allergic contact dermatitis to poison ivy, seborrheic dermatitis, nummular eczema, acute eczematous patches, lichenified patches that appear after chronic rubbing of eczematous patches, erythroderma (total body erythema), and marked scaling (acquired ichthyosis). Tables list the diagnostic criteria for atopic dermatitis and the differential diagnosis of atopic dermatitis. This review contains 9 highly rendered figures, 2 tables, and 88 references.


1981 ◽  
Vol 3 (1) ◽  
pp. 23-30
Author(s):  
Sidney Hurwitz

Atopic dermatitis, one of the most common skin disorders seen in infants and children, is frequently a source of frustration to parents and presents a challenge to immunologists, pediatricians, and dermatologists alike. Affecting approximately 3% of the childhood population, atopic dermatitis frequently causes confusion because the terms eczema and dermatitis are often used synonymously and interchangeably.1 Eczema is a generic term that identifies an acute inflammatory cutaneous eruption characterized by itching, redness, papules, vesicles, edema, serous discharge, and crusting (Fig 1). Dermatitis without a qualifying adjective is less definitive and merely refers to an inflammation of the skin which may result in a spectrum of lesions varying from acute necrosis and ulceration to simple erythema.2 A modifying adjective therefore is frequently added to the general term in an effort to identify the specific eruption under consideration, hence the terms contact dermatitis, seborrheic dermatitis, nummular dermatitis, and atopic dermatitis. PATHOGENESIS Atopic dermatitis is the most common cause of eczema in children. Although its cause remains unknown, the disorder represents an eczematous disorder of characteristic distribution, a hereditary symptom complex in individuals with paradoxical physiologic responses to pharmacologic stimuli, a constitutional predisposition to develop dry skin and pruritus, and a personal or family history of allergy.


Author(s):  
Priscila Silva Correia Correia Pri ◽  
Fernanda Cabral Cabral Fe ◽  
Gabriela Higino de Souza Higino Gabi ◽  
Miguel Barrella Neto Barrella Miguel ◽  
Daniel Lago Obadia Lago Daniel ◽  
...  

ResumoA dermatite infecciosa (DI) é uma dermatite grave, crônica e recidivante, descrita como entidade distinta por Sweet em 1966, e associada a infecção pelo HTLV-1 em 1990 por La Grenade e cols. Embora a maioria dos casos descritos tenha início na infância, casos de dermatite infecciosa em adultos tem sido relatados. O quadro dermatológico mimetiza condições comuns como dermatite seborreica, dermatite atópica, dermatite de contato, impetigo e micose fungoide. Em países endêmicos para a infecção por HTLV-1, como o Brasil, é imprescindível que a dermatite infecciosa seja lembrada como diagnóstico diferencial, nestes casos. A identificação precoce é importante a fim de evitar adisseminação e proporcionar acompanhamento e tratamento adequados de possíveis complicações associadas ao vírus, como a mielopatia associada ao HTLV ou paraparesia espástica tropical (HAM/TSP), e a leucemia/linfoma de células T do adulto (ATLL).Relatamos o caso de 2 pacientes do sexo feminino com dermatite infecciosa de início na idade adulta. Para enriquecimento do caso, também apresentamos as fotos da filha de uma das pacientes, com mesmo diagnóstico. Abstract:Infectious dermatitis (ID) is a severe, chronic and relapsing dermatitis, described as a distinct entity by Sweet in 1966 and associated with HTLV-1 in 1990 by La Grenade et al. Although most reported cases have onset in childhood, cases of infectious dermatitis in adults have been reported. The dermatological framework mimics common conditions such as seborrheic dermatitis, atopic dermatitis, contact dermatitis, impetigo and mycosis fungoides. In endemic countries for HTLV-1, like Brazil, it is essential that the infectious dermatitis is remembered as a differential diagnosis in these cases. Early diagnosis is important to prevent the dissemination and provide appropriate monitoring and treatment of possible complications associated with the virus, such as HTLV-1 associated myelopathy or tropical spastic paraparesis (HAM / TSP), and Adult T-cell leukemia / lymphoma (ATLL). We report two female patients with adult-onset ID. In order to enrich the report, we also presented the daughter's photos from one of the patients, with the same diagnosis.


2010 ◽  
Vol 72 (4) ◽  
pp. 385-389
Author(s):  
Miwa KOBAYASHI ◽  
Yoshiki TOKURA ◽  
Noriko SATO ◽  
Yutaka TAKAGI ◽  
Takashi KITAHARA ◽  
...  

Author(s):  
Rajni Sharma ◽  
Sujaya Manvi

Granuloma annulare (GA) is a benign inflammatory skin condition of unknown etiology. Various clinical forms of GA including localized, generalized, subcutaneous, patch and perforating types, have been described. Although the etiology and pathogenesis of granuloma annulare are obscure, there is much evidence for an immunological mechanism. Precipitating factors are insect bites, sunburn, photochemotherapy, drugs, physical trauma, acute phlebitis and sepsis after surgery.[1] Some authors have proposed that it might be associated with a variety of underlying conditions such as thyroid disorders, diabetes mellitus and positive tuberculin skin test.[2] For definitive diagnosis, a biopsy should be performed. We report a case of generalized GA with serpiginous borders on the dorsal aspects of the hands and arms along with an association with diabetes.


2021 ◽  
Vol 49 (4) ◽  
pp. 030006052110066
Author(s):  
Qinghong Meng ◽  
Na Li ◽  
Lianmei Yuan ◽  
Xiaona Gao

Aims To explore the causes of liver damage among children 12 years and younger in Weifang and to provide a theoretical basis for early diagnosis of liver damage in children. Methods Retrospective study of clinical data from pediatric patients (age ≤12 years) with liver damage in diagnosed at Weifang People's Hospital from June 2010 to May 2020. Results A total of 2632 children (1572 boys, 1060 girls) aged ≤12 years were diagnosed with liver damage including infectious liver damage (2100 cases), non-infectious liver damage (446 cases) and liver damage of unknown etiology (86 cases). The most common causes of infectious liver damage were viral infection (1515 cases), Mycoplasma pneumoniae infection (343 cases), and bacterial infection (197 cases). The most common causes of viral liver damage were Epstein–Barr virus, cytomegalovirus, and enterovirus. The most common causes of non-infectious liver damage were drug-induced liver damage, Kawasaki disease, and genetic metabolic diseases. There were 31 cases of severe liver damage. Conclusion There were many causes of liver damage among children in Weifang. Infections, and especially viral infections such as Epstein–Barr virus, were the most common causes of liver damage. Severe liver damage was primarily caused by drugs or poisons.


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