Atopic Dermatitis Diagnosis

The diagnosis of Atopic dermatitis is largely done on the basis of history and physical examination. For identifying a skin lesion as Atopic dermatitis at least 3 major features and 3 minor features should be present.

Major features:

:. Itching (that is severe at times)

:. Chronic and recurring (repeatedly occurring symptoms)

Typical distribution of the Atopic dermatitis rash:
:: Infants and young children – Scalp, face (chin and cheeks) and extensor surfaces of extremities.
:: Older children and adults – Flexor surface of elbow and knee, neck, wrist and ankles.

:. Past/Family history of Atopic diseases like asthma, rhinitis, etc

Minor features:

:. Dryness of Skin

:. Thickening of palm skin with increase in lines

:. Dry, thick and scaly skin

:. Small and pointed rough bump

:. Elevated serum IgE (Immunoglobulin E) level

:. Facial pallor (around the mouth)

:. Food intolerance

:. Impaired immunity

:. Eyes
- Cataract
- Cone shaped cornea (Keratoconus)
- Prominent skin folds below the eyes