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DERMATITIS

Dermatitis is a broad term that refers to inflammation of the skin, characterized by redness, swelling, and irritation. It encompasses a variety of skin conditions, each with its unique causes, symptoms, and treatment approaches. Dermatitis can affect individuals of all ages and can occur anywhere on the body. While not life-threatening, dermatitis can cause significant discomfort and impact a person's quality of life.

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TYPES OF DERMATITIS

Dermatitis can be classified into several types, each with its distinct characteristics:

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Atopic Dermatitis (Eczema):

  • Overview: Atopic dermatitis is a chronic, relapsing form of dermatitis that often begins in childhood and may continue into adulthood. It is commonly associated with other atopic conditions such as asthma and allergic rhinitis (hay fever).

  • Symptoms: Red, itchy patches of skin, often located on the face, neck, hands, and the insides of the elbows and knees. The skin may become dry, scaly, and thickened due to chronic scratching.

  • Causes: The exact cause is unknown, but it is believed to be a combination of genetic predisposition, immune system dysregulation, and environmental factors.​

  • Triggers: Common triggers include allergens (e.g., pollen, pet dander), irritants (e.g., soaps, detergents), stress, and weather changes.

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Contact Dermatitis:

  • Overview: Contact dermatitis occurs when the skin comes into direct contact with an irritant or allergen, leading to an inflammatory reaction.

Types:

  • Irritant Contact Dermatitis: Caused by direct contact with substances like harsh soaps, detergents, or chemicals that irritate the skin.

  • Allergic Contact Dermatitis: Occurs when the skin develops an allergic reaction to a substance, such as nickel, poison ivy, or certain cosmetics.

  • Symptoms: Redness, swelling, and itching at the site of contact, often accompanied by blisters or sores in severe cases.

  • Causes: Exposure to specific irritants or allergens.

  • Triggers: Common triggers include certain metals, fragrances, cosmetics, and plants like poison ivy.​

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Seborrheic Dermatitis:

  • Overview: Seborrheic dermatitis is a chronic form of dermatitis that primarily affects areas of the body with a high density of sebaceous (oil-producing) glands, such as the scalp, face, and chest.​​

  • Symptoms: Greasy, yellowish scales or patches, redness, and itching. In infants, it is commonly known as cradle cap.

  • Causes: The exact cause is unknown, but it is believed to be related to a combination of factors, including genetics, hormones, and an overgrowth of yeast (Malassezia) on the skin.

  • Triggers: Stress, cold and dry weather, and hormonal changes.​

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Nummular Dermatitis:

  • Overview: Nummular dermatitis is characterized by coin-shaped patches of irritated skin, typically on the arms, legs, and torso.

  • Symptoms: Round, itchy, and sometimes oozing or crusty patches that can become scaly over time.

  • Causes: The exact cause is unknown, but it is often associated with dry skin, environmental factors, or a history of atopic dermatitis.

  • Triggers: Cold, dry weather, frequent bathing, and irritants like wool or harsh soaps.

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Stasis Dermatitis:

  • Overview: Stasis dermatitis occurs in individuals with poor circulation, particularly in the lower legs. It is often associated with chronic venous insufficiency.

  • Symptoms: Red, swollen, itchy skin, often accompanied by varicose veins, scaling, and ulceration in severe cases.

  • Causes: Poor blood circulation, typically in the legs, leading to fluid buildup and skin inflammation.

  • Triggers: Prolonged standing or sitting, injury to the lower legs, and obesity.

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Dyshidrotic Dermatitis:

  • Overview: Dyshidrotic dermatitis affects the hands and feet, causing small, itchy blisters, particularly on the sides of the fingers, palms, and soles.

  • Symptoms: Tiny, fluid-filled blisters that cause intense itching and may lead to cracking and peeling of the skin.

  • Causes: The exact cause is unknown, but it may be related to stress, allergies, or exposure to certain metals like nickel.

  • Triggers: Stress, excessive sweating, and exposure to water or certain metals.

CAUSES OF DERMATITIS

The causes of dermatitis vary depending on the type, but they generally involve a combination of genetic, environmental, and immune system factors:

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  • Genetic Predisposition: Individuals with a family history of atopic conditions (e.g., eczema, asthma, allergies) are more likely to develop dermatitis.

  • Immune System Dysregulation: An overactive immune system may respond to harmless substances as if they were harmful, leading to inflammation and skin irritation.

  • Environmental Factors: Exposure to irritants, allergens, and environmental conditions (e.g., cold weather, humidity) can trigger or worsen dermatitis.

  • Skin Barrier Dysfunction: A compromised skin barrier (e.g., due to dry skin or frequent washing) can make the skin more susceptible to irritation and infection.

SYMPTOMS OF DERMATITIS

The symptoms of dermatitis can vary depending on the type and severity of the condition, but common symptoms include:

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  • Redness and Swelling: Inflamed skin that appears red and swollen.

  • Itching: Persistent itching that can be mild to severe, often leading to scratching and further irritation.

  • Rash: A rash that may be localized or spread over larger areas of the body.

  • Blisters: Fluid-filled blisters that may ooze, crust over, and eventually heal, leaving the skin dry and scaly.

  • Dry, Scaly Skin: Areas of the skin may become dry, cracked, and scaly.

  • Thickened Skin: Chronic dermatitis can lead to lichenification, where the skin becomes thickened and leathery due to repeated scratching.

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PREVENTION OF DERMATITIS

Preventing dermatitis involves a combination of lifestyle modifications, skincare practices, and avoiding known triggers:

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  • Maintain Good Skin Hygiene: Regular bathing with gentle, non-irritating cleansers and applying moisturizers can help maintain the skin barrier and prevent flare-ups.

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  • Avoid Known Irritants and Allergens: Identify and avoid substances that trigger dermatitis, such as certain soaps, detergents, or fabrics.

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  • Wear Protective Clothing: When handling irritants or allergens, wearing gloves and protective clothing can reduce the risk of contact dermatitis.

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  • Manage Stress: Incorporating stress-reduction techniques, such as mindfulness, exercise, and relaxation, can help prevent stress-related flare-ups of dermatitis.

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  • Environmental Control: Keeping the home environment cool, humidified, and free from dust mites or other allergens can help reduce the risk of atopic dermatitis.

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PRURITUS

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SCABIES

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PITYRIASIS

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POST-INFLAMATORY HYPERPIGMENTATION (PIH)

Post-inflammatory hyperpigmentation (PIH) is a common dermatological condition characterized by the darkening of the skin following inflammation or injury.

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