Eczema differential diagnosis: Difference between revisions

Jump to navigation Jump to search
← Older edit
VisualWikitext
Edzelco (talk | contribs)
3,196 edits
Edzelco (talk | contribs)
3,196 edits
No edit summary
 
(10 intermediate revisions by 3 users not shown)
Line 1: Line 1:
__NOTOC__
__NOTOC__
{{Eczema}}
{{Eczema}}
{{CMG}}, {{AE}} [[User:Edzelco|Edzel Lorraine Co, D.M.D., M.D.]]
{{CMG}}, {{AE}} {{EdzelCo}}


==Overview==
==Overview==
Several [[medical conditions]] can mimic [[eczema]], with overlapping features. These conditions could be due to an [[inflammatory]], [[infectious]], [[immunodeficiency]], or a [[nutritional deficiency]] problem. It is important to differentiate one from another to render proper [[medical treatment]].<ref name="pmidhttps://doi.org/10.3390/jcm4050884">{{cite journal| author=Schmoldt A, Benthe HF, Haberland G| title=Digitoxin metabolism by rat liver microsomes. | journal=Biochem Pharmacol | year= 1975 | volume= 24 | issue= 17 | pages= 1639-41 | pmid=https://doi.org/10.3390/jcm4050884 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10 }} </ref>
[[Eczema]] has various mimics with regards to the [[clinical presentation]], [[severity]], and [[course of disease]]. A strong [[clinical evaluation]] by the [[physician]] based on the presenting [[signs]] and [[symptoms]] is needed to come up with the correct diagnosis. [[Differential diagnoses]] of [[eczema]] include [[infectious disease]], [[inflammatory disease]], [[immunodeficiency problem]], or a [[nutritional deficiency]].<ref name="pmid31563186">{{cite journal| author=Raveendran R| title=Tips and Tricks for Controlling Eczema. | journal=Immunol Allergy Clin North Am | year= 2019 | volume= 39 | issue= 4 | pages= 521-533 | pmid=31563186 | doi=10.1016/j.iac.2019.07.006 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=31563186 }} </ref>
 


==Differential Diagnosis==
==Differential Diagnosis==


*Several [[medical conditions]] can mimic [[eczema]], with overlapping features. These conditions could be due to an [[inflammatory]], [[infectious]], [[immunodeficiency]], or a [[nutritional deficiency]] problem.  
A strong [[clinical evaluation]] by the [[physician]] based on the presenting [[signs]] and [[symptoms]] is needed to come up with the correct diagnosis.
*Table 1 summarizes these [[medical conditions]], with their corresponding expected time of presentations.
*Table 1 summarizes these [[medical conditions]] that can mimic the presentation of [[eczema]], with their corresponding expected time of onset.




{| style="border: 0px; font-size: 90%; margin: 1px; width: " align="center" 1000px;"
{| style="border: 0px; font-size: 90%; margin: 1px; width: " align="center" 1000px;"
| valign="top" |
| valign="top" |
|+<big>''' Table 1. [[Differential Diagnosis]] of [[Eczema]].'''</big>
|+<big>''' Table 1. [[Differential Diagnosis]] of [[Eczema]].'''</big><ref name="pmid31563186">{{cite journal| author=Raveendran R| title=Tips and Tricks for Controlling Eczema. | journal=Immunol Allergy Clin North Am | year= 2019 | volume= 39 | issue= 4 | pages= 521-533 | pmid=31563186 | doi=10.1016/j.iac.2019.07.006 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=31563186  }} </ref>
! align="center" style="background: #00CED1; width: 150px;" |{{fontcolor|#FFF|Type}}
! align="center" style="background: #00CED1; width: 150px;" |{{fontcolor|#FFF|Type}}
! align="center" style="background: #00CED1; width: 150px;" |{{fontcolor|#FFF|Medical Condition}}
! align="center" style="background: #00CED1; width: 150px;" |{{fontcolor|#FFF|Medical Condition}}
Line 30: Line 29:
| style="padding: 2px 2px; background: #F5F5F5;" |
| style="padding: 2px 2px; background: #F5F5F5;" |
*[[Morbiliform rash]]
*[[Morbiliform rash]]
| style="padding: 2px 2px; background: #F5F5F5;" |[[Infancy]]
| style="padding: 2px 2px; background: #F5F5F5;" |[[Infancy]].
|-
|-
| align="left" style="padding: 2px 2px; background: #F5F5F5;" |[[Contact Dermatitis]
| align="left" style="padding: 2px 2px; background: #F5F5F5;" |[[Contact Dermatitis]]
| style="padding: 2px 2px; background: #F5F5F5;" |
| style="padding: 2px 2px; background: #F5F5F5;" |
*[[Vesicular]] and [[pruritic]].
*[[Vesicular]] and [[pruritic]].
| style="padding: 2px 2px; background: #F5F5F5;" |[[Infancy]]
| style="padding: 2px 2px; background: #F5F5F5;" |[[Infancy]].
|-
|-


| rowspan="1" align="center" style="padding: 2px 2px; background: #E6E6FA; font-weight: bold" |[[Neoplastic]]
| align="left" style="padding: 2px 2px; background: #F5F5F5;" |[[Cutaneous T-cell Lymphoma]]
| style="padding: 2px 2px; background: #F5F5F5;" |
*[[Eczematous]] [[patch]].
*[[Resistant]] to [[topical steroids]].
| style="padding: 2px 2px; background: #F5F5F5;" |[[Adulthood]].
|-


| rowspan="4" align="center" style="padding: 2px 2px; background: #E6E6FA; font-weight: bold" |[[Immunodeficiency]]
| align="left" style="padding: 2px 2px; background: #F5F5F5;" |[[Wiskott-Aldrich Syndrome]]
| style="padding: 2px 2px; background: #F5F5F5;" |
*[[Recurrent infections]], [[failure to thrive]], and resistant to [[topical steroids]].
| style="padding: 2px 2px; background: #F5F5F5;" |[[Infancy]].
|-
| align="left" style="padding: 2px 2px; background: #F5F5F5;" |[[Netherton syndrome]]
| style="padding: 2px 2px; background: #F5F5F5;" |
*[[Recurrent infections]], [[failure to thrive]], and resistant to [[topical steroids]].
| style="padding: 2px 2px; background: #F5F5F5;" |[[Infancy]].
|-
| align="left" style="padding: 2px 2px; background: #F5F5F5;" |[[Hyper IgE syndrome]]
| style="padding: 2px 2px; background: #F5F5F5;" |
*[[Recurrent infections]], [[failure to thrive]], and resistant to [[topical steroids]].
| style="padding: 2px 2px; background: #F5F5F5;" |[[Infancy]].
|-
| align="left" style="padding: 2px 2px; background: #F5F5F5;" |[[DOCK8]]
| style="padding: 2px 2px; background: #F5F5F5;" |
*[[Recurrent infections]], [[failure to thrive]], and resistant to [[topical steroids]].
| style="padding: 2px 2px; background: #F5F5F5;" |[[Infancy]].
|-
| rowspan="2" align="center" style="padding: 2px 2px; background: #E6E6FA; font-weight: bold" |[[Nutritional Deficiency]]
| align="left" style="padding: 2px 2px; background: #F5F5F5;" |[[Zinc]]
| style="padding: 2px 2px; background: #F5F5F5;" |
*[[Weight loss]].
| style="padding: 2px 2px; background: #F5F5F5;" |[[Infancy]] to [[early childhood]].
|-
| align="left" style="padding: 2px 2px; background: #F5F5F5;" |[[Biotin]]
| style="padding: 2px 2px; background: #F5F5F5;" |
*[[Failure to thrive]].
| style="padding: 2px 2px; background: #F5F5F5;" |[[Infancy]] to [[early childhood]].
|-
|}
|}


Line 45: Line 85:
{{Reflist|2}}
{{Reflist|2}}


[[Category:Needs content]]
[[category:Up to Date]]

Latest revision as of 07:43, 13 November 2023

Eczema Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Eczema from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Social Impact

Future or Investigational Therapies

Case Studies

Case #1

Eczema On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Eczema

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Eczema

CDC on Eczema

Eczema in the news

Blogs on Eczema

Directions to Hospitals Treating Eczema

Risk calculators and risk factors for Eczema

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1], Associate Editor(s)-in-Chief: Edzel Lorraine Co, DMD, MD[2]

Overview

Eczema has various mimics with regards to the clinical presentation, severity, and course of disease. A strong clinical evaluation by the physician based on the presenting signs and symptoms is needed to come up with the correct diagnosis. Differential diagnoses of eczema include infectious disease, inflammatory disease, immunodeficiency problem, or a nutritional deficiency.[1]

Differential Diagnosis

A strong clinical evaluation by the physician based on the presenting signs and symptoms is needed to come up with the correct diagnosis.

  • Table 1 summarizes these medical conditions that can mimic the presentation of eczema, with their corresponding expected time of onset.


 Table 1. Differential Diagnosis of Eczema.[1]
Type Medical Condition Manifestations Expected Time of Presentation
Inflammatory Psoriasis Adolescence to adulthood.
Viral Exanthem Infancy.
Contact Dermatitis Infancy.
Neoplastic Cutaneous T-cell Lymphoma Adulthood.
Immunodeficiency Wiskott-Aldrich Syndrome Infancy.
Netherton syndrome Infancy.
Hyper IgE syndrome Infancy.
DOCK8 Infancy.
Nutritional Deficiency Zinc Infancy to early childhood.
Biotin Infancy to early childhood.

References

  1. ↑ 1.0 1.1 Raveendran R (2019). "Tips and Tricks for Controlling Eczema". Immunol Allergy Clin North Am. 39 (4): 521–533. doi:10.1016/j.iac.2019.07.006. PMID 31563186.
Retrieved from "https://www.wikidoc.org/index.php?title=Eczema_differential_diagnosis&oldid=1736609"