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CONDITION/DISORDER SYNONYMS
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Atopic dermatitis (AD)
Atopic eczema
Infantile eczema
Nummular eczema
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692.0 Contact dermatitis and other eczema due to detergents
692.1 Contact dermatitis and other eczema due to oils and greases
692.2 Contact dermatitis and other eczema due to solvents
692.3 Contact dermatitis and other eczema due to drugs and medicines in contact with skin
692.4 Contact dermatitis and other eczema due to other chemical products
692.5 Contact dermatitis and other eczema due to food in contact with skin
692.6 Contact dermatitis and other eczema due to plants [except food]
692.7 Contact dermatitis and other eczema due to solar radiation
692.8 Contact dermatitis and other eczema due to other specified agents
692.84 Contact dermatitis and other eczema due to animal (cat) (dog) dander
692.89 Contact dermatitis and other eczema due to other specified agents
692.9 Contact dermatitis and other eczema, unspecified cause
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PREFERRED PRACTICE PATTERN1
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PATIENT PRESENTATION
A 15-year-old female presents with a dry, rough, red rash on her arms, legs, and trunk. The rash is itchy and inflamed. The itchiness is intense and she often scratches till it bleeds. During times of stress, the rash spreads to her face and neck. The rash has gotten worse over time. As a baby, she had small patches on her arm which have now spread to her legs and trunk. The patient states that when it is testing time at school the skin condition becomes worse.
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Eczema is a common group of skin conditions
Form of dermatitis
A chronic, relapsing, and inflammatory skin condition
Results in itchy, inflamed, irritated skin
Often has an inherited tendency to develop other allergic conditions such as asthma and hay fever
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Essentials of Diagnosis
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There are no laboratory tests used to diagnose eczema
Clinical features of the disease are used for diagnosis, including the itchiness and the biology and spread (appearance) of the lesions
Ruling out other skin diseases like contact dermatitis and seborrheic dermatitis is used to confirm the diagnosis
Skin lesion biopsies or skin cultures may be used to rule out other causes
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General Considerations
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