Generalized pruritus Dermatologic (arising from diseases of the skin)

Generalized pruritus Dermatologic (arising from diseases of the skin)
Xerosis Atopic dermatitis Contact dermatitis Urticaria Bullouse pemphigoid Dermatitis herpetiformis and … Non-dermatologic Systemic (liver, kidney, blood and drugs) Neurologic (MS, brain tumor and …) Psychogenic (depression, anxiety, OCD,,,)

Xerosis atopic dermatitis contact dermatitis Urticaria bullouse pemphigoid dermatitis herpetiformis and … Non-dermatologic Systemic (liver, kidney, blood and drugs) Neurologic (MS, brain tumor and …) Psychogenic (depression, anxiety, OCD,,,)

Generalized Pruritus Winter Itch
Xerosis (dry skin)

Generalized Pruritus Winter itch
Xerosis (dry skin) Aggravated by low ambient humidity, repeated exposure to water Great frequency in elderly patients

Xerosis (dry skin) Aggravated by low ambient humidity, repeated exposure to water Great frequency in elderly patients Physical exam Dry, cracked and scaly skin on the lower leg

Xerosis (dry skin) Aggravated by low ambient humidity, repeated exposure to water Great frequency in elderly patients Physical exam Dry, crackednand scaly skin on the lower leg Treatment

Xerosis (dry skin) Aggravated by low ambient humidity, repeated exposure to water Great frequency in elderly patients Physical exam Dry, crackednand scaly skin on the lower leg Treatment Limiting frequency, duration and water temperature of bathing

Xerosis (dry skin) Aggravated by low ambient humidity, repeated exposure to water Great frequency in elderly patients Physical exam Dry, crackednand scaly skin on the lower leg Treatment Limiting frequency, duration and water temperature of bathing Use superfatted soaps or syndet bars

Xerosis (dry skin) Aggravated by low ambient humidity, repeated exposure to water Great frequency in elderly patients Physical exam Dry, crackednand scaly skin on the lower leg Treatment Limiting frequency, duration and water temperature of bathing Use superfatted soaps or syndet bars Use emollients immediately after bath of shower

Xerosis (dry skin) Aggravated by low ambient humidity, repeated exposure to water Great frequency in elderly patients Physical exam Dry, crackednand scaly skin on the lower leg Treatment Limiting frequency, duration and water temperature of bathing Use superfatted soaps or syndet bars Use emollients immediately after bath of shower Oral antihistamins

Xerosis Atopic dermatitis contact dermatitis Urticaria bullouse pemphigoid dermatitis herpetiformis and … Non-dermatologic Systemic (liver, kidney, blood and drugs) Neurologic (MS, brain tumor and …) Psychogenic (depression, anxiety, OCD,,,)

Generalized pruritus Atopic Dermatitis
Diagnostic criteria for atopic dermatitis

Diagnostic criteria for atopic dermatitis Pruritus (primary lesion)

Diagnostic criteria for atopic dermatitis Pruritus (primary lesion) Typical morphology and distribution of lesions for age

Diagnostic criteria for atopic dermatitis Pruritus (primary lesion) Typical morphology and distribution of lesions for age Chronic relapsing course

Diagnostic criteria for atopic dermatitis Pruritus (primary lesion) Typical morphology and distribution of lesions for age Chronic relapsing course Personal or family history of asthma, allergic rhinitis or atopic dermatitis

Diagnostic criteria for atopic dermatitis Pruritus (primary lesion) Typical morphology and distribution of lesions for age Chronic relapsing course Personal or family history of asthma, allergic rhinitis or atopic dermatitis Presentation

Diagnostic criteria for atopic dermatitis Pruritus (primary lesion) Typical morphology and distribution of lesions for age Chronic relapsing course Personal or family history of asthma, allergic rhinitis or atopic dermatitis Presentation Infantile (2 mo to 2y) Cheeks

Diagnostic criteria for atopic dermatitis Pruritus (primary lesion) Typical morphology and distribution of lesions for age Chronic relapsing course Personal or family history of asthma, allergic rhinitis or atopic dermatitis Presentation Infantile (2 mo to 2y) Cheeks Face

Diagnostic criteria for atopic dermatitis Pruritus (primary lesion) Typical morphology and distribution of lesions for age Chronic relapsing course Personal or family history of asthma, allergic rhinitis or atopic dermatitis Presentation Infantile (2 mo to 2y) Cheeks Face Ext surface of extremities

Diagnostic criteria for atopic dermatitis Pruritus (primary lesion) Typical morphology and distribution of lesions for age Chronic relapsing course Personal or family history of asthma, allergic rhinitis or atopic dermatitis Presentation Infantile Childhood (3 to 11y) Flex surface of extremities

Diagnostic criteria for atopic dermatitis Pruritus (primary lesion) Typical morphology and distribution of lesions for age Chronic relapsing course Personal or family history of asthma, allergic rhinitis or atopic dermatitis Presentation Infantile Childhood (3 to 11y) Flex surface of extrimities Buttocks

Diagnostic criteria for atopic dermatitis Pruritus (primary lesion) Typical morphology and distribution of lesions for age Chronic relapsing course Personal or family history of asthma, allergic rhinitis or atopic dermatitis Presentation Infantile Childhood (3 to 11y) Flex surface of extrimities Buttocks Back of thighs

Diagnostic criteria for atopic dermatitis Pruritus (primary lesion) Typical morphology and distribution of lesions for age Chronic relapsing course Personal or family history of asthma, allergic rhinitis or atopic dermatitis Presentation Infantile Childhood Adults Mostly hands

Diagnostic criteria for atopic dermatitis Pruritus (primary lesion) Typical morphology and distribution of lesions for age Chronic relapsing course Personal or family history of asthma, allergic rhinitis or atopic dermatitis Presentation Infantile Childhood Adults Mostly hands Sometimes face and neck

Diagnostic criteria for atopic dermatitis Pruritus (primary lesion) Typical morphology and distribution of lesions for age Chronic relapsing course Personal or family history of asthma, allergic rhinitis or atopic dermatitis Presentation Infantile Childhood Adults Mostly hands Sometimes face and neck Rarely diffuse area

Generalized pruritus Atopic Dermatitis Treatment
Avoid provoking factors

Avoid provoking factors Scrubbing

Avoid provoking factors Scrubbing Bathing > 10 min

Avoid provoking factors Scrubbing Bathing > 10 min Hot water bathing

Avoid provoking factors Scrubbing Bathing > 10 min Hot water bathing Temperature extreme, …

Avoid provoking factors Scrubbing bathing > 10 min hot water bathing temperature extreme, … Applying moisturizing

Avoid provoking factors Scrubbing bathing > 10 min hot water bathing temperature extreme, … Applying moisturizing Containing ceramid and vaselin

Avoid provoking factors Scrubbing bathing > 10 min hot water bathing temperature extreme, … Applying moisturizing containing ceramid and vaselin whitin 3 min of bathing Keep humidity between 35-40%

Generalized Pruritus Atopic Dermatitis Treatment
Subacute and Chronic lesions

Subacute and Chronic lesions Topical CS

Subacute and Chronic lesions Topical CS Once daily use Application in the evening more effective than morning

Subacute and chronic lesions Topical CS Once daily use Application in the evening more effective than morning Acute and weeping lesion

Subacute and chronic lesions Topical CS Once daily use Application in the evening more effective than morning Acute and weeping lesion Wet to dry compress

Subacute and chronic lesions Topical CS Once daily use Application in the evening more effective than morning Acute and weeping lesion Wet to dry compress Role of antihistamins is minimal

Generalized Pruritus Dermatologic (arising from diseases of the skin)
Xerosis atopic dermatitis Contact dermatitis Urticaria bullouse pemphigoid dermatitis herpetiformis and … Non-dermatologic Systemic (liver, kidney, blood and drugs) Neurologic (MS, brain tumor and …) Psychogenic (depression, anxiety, OCD,,,)

Xerosis atopic dermatitis Contact dermatitis Urticaria Bullouse pemphigoid dermatitis herpetiformis and … Non-dermatologic Systemic (liver, kidney, blood and drugs) Neurologic (MS, brain tumor and …) Psychogenic (depression, anxiety, OCD,,,)

Generalized Pruritus Bullouse Pemphigoid
BP is the disease of the elderly (after 60y)

BP is the disease of the eldery (after 60y) In non-bullouse phase sign and symptoms may be nonspecific

BP is the disease of the eldery (after 60y) In non-bullouse phase sign and symptoms may be nonspecific Mild to severe pruritus

BP is the disease of the eldery (after 60y) In non-bullouse phase sign and symptoms may be nonspecific Mild to severe pruritus Eczematous lesions

BP is the disease of the eldery (after 60y) In non-bullouse phase sign and symptoms may be nonspecific Mild to severe pruritus Eczematous lesions Papular lesions

BP is the disease of the eldery (after 60y) In non-bullouse phase sign and symptoms may be nonspecific Mild to severe pruritus Eczematous lesions Papular lesions Urticarial lesions

Generalized pruritus Bullouse pemphigoid
BP is the disease of the eldery (after 60y) In non-bullouse phase sign and symptoms may be nonspecific Mild to severe pruritus Eczematous lesions Papular lesions Urticarial lesions Persist for several weeks to months

Generalized pruritus Bullouse pemphigoid
BP is the disease of the eldery (after 60y) In non-bullouse phase sign and symptoms may be nonspecific Mild to severe pruritus Eczematous lesions Papular lesions Urticarial lesions Persist for several weeks to months May remain the only sign of the disease

Xerosis atopic dermatitis Contact dermatitis Urticaria Bullouse pemphigoid Dermatitis herpetiformis and … Non-dermatologic Systemic (liver, kidney, blood and drugs) Neurologic (MS, brain tumor and …) Psychogenic (depression, anxiety, OCD,,,)

Generalized Pruritus Dermatitis Herpetiformis
Cutaneous manifestation of celiac disease

Cutaneous manifestation of celiac disease Associated with gluten sensitivity in all cases

Cutaneous manifestation of celiac disease Associated with gluten sensitivity in all cases Symmetric distribution of skin lesions

Cutaneouse manifestation of celiac disease Associated with gluten sensitivity an all cases Symmetric distribution of skin lesions Elbows

Cutaneouse manifestation of celiac disease associated with gluten sensitivity an all cases Symmetric distribution of skin lesions Elbows Ext forearms

Cutaneouse manifestation of celiac disease associated with gluten sensitivity an all cases Symmetric distribution of skin lesions Elbows Ext forearms Back

Cutaneouse manifestation of celiac disease associated with gluten sensitivity an all cases Symmetric distribution of skin lesions Elbows Ext forearms Back Buttocks Knees

Generalized Pruritus Non-dermatologic
Dermatologic (arising from diseases of the skin) Xerosis atopic dermatitis Contact dermatitis Urticaria Bullouse pemphigoid dermatitis herpetiformis and … Non-dermatologic Systemic (liver, kidney, blood and drugs) Neurologic (MS, brain tumor and …) Psychogenic (depression, anxiety, OCD,,,)

Generalized pruritus Dermatologic (arising from diseases of the skin)

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Generalized pruritus Dermatologic (arising from diseases of the skin)

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