Atopic dermatitis in children and adolescents L20.8

see below eczema atopic

• Multifactorial, chronically persistent or chronically recurring inflammatory skin diseases of varying degrees of severity, which belong to the group of atopic diseases and which arise due to complex interactions of plant and environmental factors.
• In the individual stages of life topographically and morphologically differently pronounced disease pattern:
  • Occurs in infancy and toddlers (rather polytopic), usually localized on the tract side, depending on the acuteity also weeping.
  • In schoolchildren and adolescents, it occurs mainly as "flexural eczema", but also disseminated and generalised.

Mostly pronounced sebostasis with chronified, lichenified areas of atopic eczema. The eczema foci increasingly shift to the bending side.

Predilection sites are the face, neck and nape of the neck.

Lichenification and site-specificity increase with age. Eczema in the area of the large bends of the joints (popliteal and ulnar bends) is preferred. Furthermore, skin changes occur in the face and neck. Increasingly, disabling hand eczema also occurs.

Not uncommon are superimposed, complicative pyodermas, which dominate the clinical picture with weeping and scaly plaques.

In the 2nd year of life atopic eczema improves in 60-70% of cases.

For aetiopathogenesis, therapy, therapy see below eczema atopic (overview)