By Georg Rajka

"Le mystery d'ennuyer est celui de tout dire. " Voltaire (Discours sur l'homme) Atopic dermatitis (AD) is usually noticeable by way of dermatologists and pediatricians, by way of allergologists, and by way of many practitioners. the quantity of information on advert is great because it has been famous for a long time, has a global distribution, and has a bankruptcy or part dedicated to it in each textbook or overview of pores and skin ailments. hassle arises in comparing definite features of this advanced sickness, for plenty of reviews were focused on just some of its points and with small numbers of sufferers. moreover a monograph on advert also needs to try and surround the $64000 theoretical points of this interesting illness. There­ fore, the matter in offering a monograph on advert lies extra within the severe se­ lection than within the accumulating of data, a lot of that's conflicting. this is applicable either to easy facts and to info. moreover, the various divergent evaluations in virtually each box make it tremendous tough to attract unanimous conclusions. as a result, the writer has no alternative yet to cite adverse perspectives, attempt to make a compromise among those, and convey his personal opinion in keeping with scientific adventure and basic literary work.

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Keratosis punctata palmaris et plantaris was also described, in 82% of cases, as being associated with familial or personal atopy, mostly AD (Anderson et al. 1984), but the nature of this relation is unknown. 1 Drug Reactions of the Immediate Type Drug reactions and urticaria each have a similar relationship to AD. 10). The term "immediate drug reaction" includes all or some of the manifestations of anaphylactic shock, urticaria, and mucosal symptoms, the term "drug" is used in its widest sense and includes the administration of serum.

The rate of this latter group among juvenile plantar dermatosis patients is varyingly reported but in general it is stated to be more than 50%; perhaps one could speak of an atopy-associated and a nonatopic variant (Millard and Gould 1977; Verbov 1978; MacKie 1982; Young 1986; Ashton and Griffith 1986). Fig. 20. 1 Dry Skin Dry skin is a characteristic although unspecific feature of the AD patient with obvious clinical significance. "Xerosis" (rough skin, Pierard 1987) is in general used in the clinical sense as a mild form of ichthyosis vUlgaris (see Sect.

2 Head and Face Dandruff or hyperkeratosis (cradle cap) on the scalp occur not uncommonly in infantile and also in child or adult AD (Heskel and Lobitz 1983; Lindmaier et al. 1987). The face may show various changes in AD. In the majority of such cases a diffuse lichenification is noted, demonstrating a grayish white complexion (facial pallor). The pathological vascular reactivity in AD (compare with white dermographism) may also playa role here. On the other hand, facial erythema may prevail during active bouts of AD.

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Essential Aspects of Atopic Dermatitis by Georg Rajka
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