Clinical Update: Dermatitis

Dermatitis is an inflammation of the skin which can occur in several forms: atopic (eczema), seborrheic, nummular, localized neurodermatitis, contact, chronic, exfoliative, and stasis. Although signs and symptoms and contributing factors may differ between the forms, dermatitis usually consists of red, itchy, swollen skin. Scratching can worsen the edema and cause crusting and scaling.

Diagnosis of dermatitis is made based on clinical presentation and distribution of skin lesions. A family history of allergy and chronic inflammation suggests atopic dermatitis. Serum IgE levels may also be elevated. Treatment of dermatitis may consist of:
  • avoidance of triggering factors
  • antihistamines
  • topical corticosteroids
  • moisturizing creams
  • systemic corticosteroids during extreme exacerbations
  • topical tacrolimus and pimecrolimus
  • tar preparations
  • ultraviolet B light therapy
  • antibiotics.
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This Just In

From Our Journals

Does skin care frequency affect the severity of incontinence-associated dermatitis in critically ill patients? 
Nursing2014
December 2014

Efficacy and Tolerability of Steroid-Free, Over-the-Counter Treatment Formulations in Infants and Children With Atopic Dermatitis 
Journal of the Dermatology Nurses' Association
February 2015 

Patch Testing: Proper Technique for Antigen Preparation and Storage 
Journal of the Dermatology Nurses' Association
February 2015 

Irritant Dermatitis to Metal in a Child With Atopic Skin Disease
Journal of the Dermatology Nurses' Association
September/October 2014


Improving Treatment Adherence in Patients With Atopic Dermatitis
Journal of the Dermatology Nurses' Association
December 2012

Diagnosis and Treatment of Hand Dermatitis
Advances in Skin & Wound Care: The Journal for Prevention and Healing
August 2012


 Incontinence-Associated Dermatitis: Consensus Statements, Evidence-Based Guidelines for Prevention and Treatment, and Current Challenges 
Journal of Wound, Ostomy and Continence Nursing 
June 2012

Incontinence-Associated Dermatitis in a Long-term Acute Care Facility
Journal of Wound, Ostomy and Continence Nursing
June 2012


An 8-Year-Old With Tinea Capitis and Secondary Rash
Advanced Emergency Nursing Journal
March 2012


Treating Poison Ivy, Oak, and Sumac: Still No Magic Bullet—But a Range of Options, Old and New
Journal of the Dermatology Nurses' Association
February 2012

 
 Incontinence-Associated Dermatitis: A Comprehensive Review and Update
Journal of Wound, Ostomy and Continence Nursing
January/February 2012


  Beginning at the Bottom: Evidence-Based Care of Diaper Dermatitis
MCN, The American Journal of Maternal/Child Nursing
January/February 2012


Seborrheic Dermatitis: A clinical practice snapshot
The Nurse Practitioner: The American Journal of Primary Health Care
August 2011


MASD Part 2: Incontinence-Associated Dermatitis and Intertriginous Dermatitis: A Consensus
Journal of Wound, Ostomy and Continence Nursing
July/August 2011


Incontinence-Associated Dermatitis in Critically Ill Adults: Time to Development, Severity, and Risk Factors
Journal of Wound, Ostomy and Continence Nursing
August 2011


 Allergic Contact Dermatitis in Children: Prevention, Diagnosis, and Management 
Journal of the Dermatology Nurses' Association
May/June 2011 

Atopic Eczema and Evidence-Based Care
Journal of the Dermatology Nurses' Association
May/June 2011


Wound Wise: The irritation of eczema
Nursing Made Incredibly Easy!
May/June 2011


Practice Points: Venous Dermatitis Checklist
Advances in Skin & Wound Care: The Journal for Prevention and Healing
February 2011


 Incontinence and Incontinence-Associated Dermatitis
Advances in Skin & Wound Care: The Journal for Prevention and Healing
March 2011


The ABCs of Skin Care for Wound Care Clinicians: Dermatitis and Eczema
Advances in Skin & Wound Care: The Journal for Prevention and Healing
May 2009


A Practical Management of Atopic Dermatitis-Palliative Care to Contact Dermatitis
Journal of the Dermatology Nurses' Association
March/April 2009


CASE STUDY: Does This Young Girl Have Eczema? A Case Study on Allergic Contact Dermatitis and Atopy
Journal of the Dermatology Nurses' Association
March/April 2009


WOUND & SKIN CARE: When your patient has atopic dermatitis
Nursing2008
May 2008

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