| © 2001-2010, DermAtlas | Image Name: | asteatotic_eczema_1_051004 | File Type: | jpg | |
| Diagnosis: | ECZEMA, ASTEATOTIC / STAPHYLOCOCCAL INFECTION | Category: | papulosquamous eruptions / infections and infestations | ||
| Body Site: | foot | Age: | 65 years | ||
| Contributor: | Rakhesh SV, MD | ||||
| Description: | oozing, crusted, cracked, fissured, plaque | ||||
| Comments: | This elderly man developed a cracked, fissured, crusted, oozing plaque on the lateral aspect of his right foot and leg. Note the "crazy pavement pattern" typical of asteotic eczema. He had a history of chronic dry skin with scaling on his legs. He was treated with oral antibiotics for secondary infection, cool tap water compresses, and lubricants. | ||||
| © 2001-2010, DermAtlas | Image Name: | Eczema_asteatotic_3_030608 | File Type: | jpg | |
| Diagnosis: | ECZEMA, ASTEATOTIC | Category: | papulosquamous eruptions | ||
| Body Site: | leg / ankle foot | Age: | 50 years | ||
| Contributor: | Shahbaz A. Janjua, MD | ||||
| Description: | symmetric, red, scaly, lichenified patches with curvilinear fissuring and cracking | ||||
| Comments: | This 50-year-old woman developed thickened dry scaly plaques on her legs that worsened each winter for the last several years. Asteatotic dermatitis commonly affects the elderly with decreased sebaceous and sweat gland activity, patients on antiandrogen therapy, and people using degreasing agents and bathing without replacing natural skin emolients. Transepidermal absorption of allergens and irritants is increased as the epidermis is damaged increasing the risk of allergic or irritant contact dermatitis.She improved with topical emolients and high potency topical steroids. | ||||
| Related Images: | All related Images Eczema_asteatotic_1_030608 Eczema_asteatotic_2_030608 | ||||
| © 2001-2010, DermAtlas | Image Name: | Eczema_asteatotic_2_030608 | File Type: | jpg | |
| Diagnosis: | ECZEMA, ASTEATOTIC | Category: | papulosquamous eruptions | ||
| Body Site: | leg / ankle foot | Age: | 50 years | ||
| Contributor: | Shahbaz A. Janjua, MD | ||||
| Description: | symmetric, red, scaly, lichenified patches with curvilinear fissuring and cracking | ||||
| Comments: | This 50-year-old woman developed thickened dry scaly plaques on her legs that worsened each winter for the last several years. Asteatotic dermatitis commonly affects the elderly with decreased sebaceous and sweat gland activity, patients on antiandrogen therapy, and people using degreasing agents and bathing without replacing natural skin emolients. Transepidermal absorption of allergens and irritants is increased as the epidermis is damaged increasing the risk of allergic or irritant contact dermatitis.She improved with topical emolients and high potency topical steroids. | ||||
| Related Images: | All related Images Eczema_asteatotic_1_030608 Eczema_asteatotic_3_030608 | ||||
| © 2001-2010, DermAtlas | Image Name: | Eczema_asteatotic_1_030608 | File Type: | jpg | |
| Diagnosis: | ECZEMA, ASTEATOTIC | Category: | papulosquamous eruptions | ||
| Body Site: | leg / ankle foot | Age: | 50 years | ||
| Contributor: | Shahbaz A. Janjua, MD | ||||
| Description: | symmetric, red, scaly, lichenified patches with curvilinear fissuring and cracking | ||||
| Comments: | This 50-year-old woman developed thickened dry scaly plaques on her legs that worsened each winter for the last several years. Asteatotic dermatitis commonly affects the elderly with decreased sebaceous and sweat gland activity, patients on antiandrogen therapy, and people using degreasing agents and bathing without replacing natural skin emolients. Transepidermal absorption of allergens and irritants is increased as the epidermis is damaged increasing the risk of allergic or irritant contact dermatitis.She improved with topical emolients and high potency topical steroids. | ||||
| Related Images: | All related Images Eczema_asteatotic_2_030608 Eczema_asteatotic_3_030608 | ||||
| © 2001-2010, DermAtlas | Image Name: | Accutane_Rash_1_030528 | File Type: | jpg | |
| Diagnosis: | ECZEMA, ASTEATOTIC | Category: | drug reaction | ||
| Body Site: | hand | Age: | 17 years | ||
| Contributor: | Charles Crutchfield, III, MD | ||||
| Description: | 17 year old presents with a dry itchy rash on the backs of both hands and arms. The patient is in the second month of Accutane therapy. Clinically, this is an asteatotic/xerotic eczema commonly seen in patients on isotretinoin therapy. This patient was succesfully treated with triamcinalone 0.1% ointment, BID for 7 days. | ||||
| Comments: | This 17-year-old boy developed red scaly itchy patches and papules on the tops of both hands and forearms during the second week of 13-cis retinoic acid therapy for cystic acne. Asteototic eczema is a common complication of systemic retinoids and improved with a week of treatment with lubricants and topical steroids. | ||||
| © 2001-2010, DermAtlas | Image Name: | Dermatitis_Asteatotic_1_030313 | File Type: | jpg | |
| Diagnosis: | ECZEMA, ASTEATOTIC | Category: | papulosquamous eruptions | ||
| Body Site: | leg | Age: | 60 years | ||
| Contributor: | Shahbaz A. Janjua, MD | ||||
| Description: | red scaly patches with curvilinear fissuring and cracking | ||||
| Comments: | This 60-year-old man developed symmetric, pruritic, dry, scaly and curvilinearly cracked skin on pretibial areas with a history of winter exacerbations for the last several years. Asteatotic dermatitis commonly affects the elderly with decreased sebaceous and sweat gland activity, patients on antiandrogen therapy, and people using degreasing agents and bathing without replacing natural skin emolients.Transepidermal absorption of allergens and irritants is increased as the epidermis is damaged increasing the risk of allergic or irritant contact dermatitis. | ||||
| © 2001-2010, DermAtlas | Image Name: | eczemacraquele_1_010317 | File Type: | jpg | |
| Diagnosis: | ECZEMA (DERMATITIS, ATOPIC) / ECZEMA CRAQUELE / ECZEMA, ASTEATOTIC | Category: | papulosquamous eruptions | ||
| Body Site: | leg | Age: | 52 years | ||
| Contributor: | Bernard Cohen, MD | ||||
| Description: | red cracked patches with double edged scale | ||||
| Comments: | Dry red scaly pruritic patches appeared each winter on the lower legs of this 52 year old man. Patches responded to lubricants and topical steroids. | ||||
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