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

 Effectiveness of Emollient Therapy in Pediatric Patients With Atopic Dermatitis
Journal of the Dermatology Nurses' Association, May/June 2017

 Effectiveness of topical skin products in the treatment and prevention of incontinence-associated dermatitis: a systematic review
JBI Database of Systematic Reviews and Implementation Reports, May 2017

 Clinical Evaluation of a Skin Protectant for the Management of Incontinence-Associated Dermatitis: An Open-Label, Nonrandomized, Prospective Study
Journal of Wound, Ostomy and Continence Nursing, March/April 2017

 Incontinence-Associated Dermatitis in Nursing Homes: Prevalence, Severity, and Risk Factors in Residents With Urinary and/or Fecal Incontinence
Journal of Wound, Ostomy and Continence Nursing, November/December 2016

 Epidermal Acidification and Skin Barrier Optimization in the Management of Atopic Dermatitis: A Series of Three Cases Successfully Managed by a Novel Approach
Journal of the Dermatology Nurses' Association, September/October 2016

 Incontinence-Associated Dermatitis: Progress, Promises, and Ongoing Challenges
Journal of Wound, Ostomy and Continence Nursing, April 2016

 A Chronic Rash: Why We Should Ask About Body Art
Journal of the Dermatology Nurses' Association, April 2016

 Plant-Associated Dermatitis
Journal of the Dermatology Nurses' Association, September/October 2015

 The Lobsterman’s Son: Nickel Dermatitis and Rural Dermatology Care
Journal of the Dermatology Nurses' Association, September/October 2015

 Pruritic Infraumbilical Dermatitis
Journal of the Dermatology Nurses' Association, July/August 2015

 Diagnostic Dilemmas in Dermatology: A 73-Year-Old Man With Tinea Barbae and a Secondary Dermatitis
Journal of the Dermatology Nurses' Association, July/August 2015

 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


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

 

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