Infantile eczema; Atopic dermatitis; Dermatitis - atopic; Eczema - atopic
Typical skin changes may include:
Blisterswith oozing and crusting
Ear discharge or bleeding
- Raw areas of the skin from scratching
- Skin coloring changes -- more or less coloring than the normal skin tone (See:
Skin abnormally dark or light)
Skin redness or inflammationaround the blisters
- Thickened or leather-like areas, called lichenification, which can occur after long-term irritation and scratching
Both the type of rash and where the rash appears can depend on the age of the patient:
- In children younger than age 2,
skin lesionsbegin on the face, scalp, hands, and feet. It is often a crusting, bubbling, or oozing rash.
- In older children and adults, the rash is more commonly seen on the inside of the knees and elbows, as well as the neck, hands, and feet.
- During a severe outbreak, rashes may occur anywhere on the body.
Itching, which is sometimes intense, almost always occurs. Itching may start even before the rash appears.
Signs and tests
Diagnosis is primarily based on:
- Appearance of the skin
- Personal and family history
The health care provider should examine the lesions to rule out other possible causes. A
- Difficult-to-treat eczema
- Other allergy symptoms