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7 Cards in this Set
- Front
- Back
- 3rd side (hint)
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Infantile phase: Age |
Up to 18-24 months |
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Infantile phase: Onset |
2-6 months |
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Infantile phase: Presentation |
1. Starts on cheeks and scalp (sparing central face) 2. Symetrical, extensors on limbs, spares napkin area 3. Edemetous, macular-papular. Weep easily and intensely itchy with secondary crusting and erosion 4. Generalized xerosis and dry hair and scalp (useful for dx) 5.lymphadenopathy 6. Severity fluctuates w: acute respiratory disease, teething, bacterial infx, stress, climate change, diet, immunisations 7. Fewer than 1/2 clear up by 18months |
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Childhood phase: Age |
18/24 months-puberty |
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Childhood phase: Presentation |
1. 4 flexures, wrists, ankles 2. Periorificial regions (esp eyes and mouth), sides and front of neck, occiput. More widespread involvement of torso also common 3. Edematous, papular, exudative lesions replaced by lichenified erythematous papules. Xerosis becomes more pronounced and widespread 4. If extensor distribution, indicates poor prognosis 5. At this phase nummular or pompholyx type does occur 6. Nail changes may be seen |
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Adolescent/adult phase: Age |
Puberty onward |
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Adolescent/adult phase: Presentation |
1. Similar to childhood, with increased lichenification (esp flexures and dorsum of hands). Face and eyelids often involved. Generally less exudation and more diffuse erythema and scaling 2. Neck often involved ("dirty neck syndrome" 3. Sometimes only a small stubborn area persists (esp around nipples, anus, vulva, neck, dorsum of hands) 4. In older adults (>60) flexures tend to clear, with emergence of marked xerosis (4th phase) |
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