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Dermatology

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Eczema

Question
4 out of 8
 

A 3 year old child has eczematous dermatitis on extensor surfaces. His mother has a history of Bronchial asthma. Diagnosis should be - (AIIMS Nov 2014)



A Atopic dermatitis

B Contact dermatitis NEETIDNB Pattern)

C Seborrheic dermatitis

D Infantile eczematous dermatitis

Ans. A
i.e., Atopic dermatitis [Ref Previous explanation]

a. In this question :-

i. Child is 3 years old

ii. History of Asthma in mother

iii. Extensor involvement

b. First two points suggest the diagnosis of atopic dermatitis (childhood pattern).

c. About third point (extensor involvement) :-

"Though childhood atopic dermatitis mainly involves flexural parts, less commonly extensor surfaces may also be

involved".

d. Further, you can easily rule out other three options :-

i. Contact dermatitis

· = Family history of asthma is not important.

· = No history of contact to allergen.

ii. Seborrheic dermatitis

· Occurs in adults and less frequently in infants but not in children.

iii. Infantile eczematous dermatitis

· Occurs in Infant.

I think option D. requires specific mention here :-

If the age of the child would have been 3 months (instead of3 years), then it is the typical of Infantile eczematous

dermatitis (Infantile atopic dermatitis) which involves face and extensor surfaces.

Eczema Flashcard List

8 flashcards
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