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ArtikelErythematous scaling eyelids. Patient history, exposure to allergens and irritants are keys to diagnosis  
Oleh: Graves, Julia E ; Brodell, Robert T.
Jenis: Article from Bulletin/Magazine
Dalam koleksi: POSTGRADUATE MEDICINE vol. 117 no. 6 (Jun. 2005), page 43-45.
Topik: Pearls in Dermatology
Ketersediaan
  • Perpustakaan FK
    • Nomor Panggil: P08.K
    • Non-tandon: 1 (dapat dipinjam: 0)
    • Tandon: tidak ada
    Lihat Detail Induk
Isi artikelA 2-year-old woman presented for evaluation of a scaly rash around her eyelids that she described as tremendously itchy. The patient admitted to rubbing and scratching but knew of no specific aggravating factors. Although she had had atopic eczema since early childhood, previous adult flares of eczema had involved only her hands. Physical examination revealed bilateral scaling and erythema with lichenification of the upper and lower eyelids (figure 1). Treatment was initiated with a low-potency topical corticosteroid (desonide 0.05%) cream and a moisturizer (Catnix Correction cream) applied to the eyelids twice a day, and additional doses were applied as needed to relieve itching. The patient was advised to avoid potential irritants and allergens of all kinds. After 2 weeks, she noted marked improvement in the dermatitis. At this time, the dose of the topical corticosteroid was tapered while the patient continued to use moisturizers and avoid allergens and irritants as much as possible. Long-term control was achieved without long-term use of topical corticosteroids.
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