Diagnosis and Management of Dermatitis, Including Atopic, Contact, and Hand Eczemas

Med Clin North Am. 2021 Jul;105(4):611-626. doi: 10.1016/j.mcna.2021.04.003.

Abstract

This is a comprehensive and current guide for the diagnosis, differential diagnosis, treatment, and management of eczematous dermatitis, with a focus on atopic dermatitis, irritant and allergic contact dermatitis, hand dermatitis including recurrent vesicular and hyperkeratotic types, asteatotic dermatitis, and nummular or discoid dermatitis. Diagnostic options highlighted are clinical history, physical examination, and patch testing. Therapeutic options highlighted are moisturizers, topical corticosteroids, topical calcineurin inhibitors, crisaborole, phototherapy, and systemic medications including biologics.

Keywords: Allergic contact dermatitis; Asteatotic; Atopic dermatitis; Contact dermatitis; Dermatitis; Eczema; Irritant contact dermatitis.

Publication types

  • Review

MeSH terms

  • Administration, Topical
  • Adrenal Cortex Hormones / administration & dosage
  • Adrenal Cortex Hormones / therapeutic use
  • Aged
  • Biological Products / therapeutic use
  • Boron Compounds / administration & dosage
  • Boron Compounds / therapeutic use
  • Bridged Bicyclo Compounds, Heterocyclic / administration & dosage
  • Bridged Bicyclo Compounds, Heterocyclic / therapeutic use
  • Calcineurin Inhibitors / administration & dosage
  • Calcineurin Inhibitors / therapeutic use
  • Child
  • Child, Preschool
  • Dermatitis, Allergic Contact / diagnosis
  • Dermatitis, Allergic Contact / drug therapy
  • Dermatitis, Allergic Contact / pathology*
  • Dermatitis, Atopic / diagnosis
  • Dermatitis, Atopic / drug therapy
  • Dermatitis, Atopic / pathology*
  • Diagnosis, Differential
  • Eczema / diagnosis
  • Eczema / drug therapy
  • Eczema / pathology*
  • Humans
  • Infant
  • Middle Aged
  • Patch Tests / methods
  • Phototherapy / methods
  • Quality of Life

Substances

  • Adrenal Cortex Hormones
  • Biological Products
  • Boron Compounds
  • Bridged Bicyclo Compounds, Heterocyclic
  • Calcineurin Inhibitors
  • crisaborole