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Caroline, 42 years old, Watch out for the eyelids
Caroline, 42 years old, Watch out for the eyelids
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Allergic contact eczema
Allergic contact eczema
It is indeed allergic contact eczema.
Let’s rule out differential diagnoses:
Flare-ups with periods of remission, history of atopy, pruritus, xerosis.
Location of the lesions: face, skin folds, limbs.
Jagged eczema lesions.
No infectious contact or animals.
Found in typical locations: elbows, knees, lumbar region, scalp, +- nails with a context or history of psoriasis, without the atopic context or animal contact.
Histology if necessary.
Atopic dermatitis
Wrong answer!
It was allergic contact eczema.
Let’s rule out differential diagnoses:
Flare-ups with periods of remission, history of atopy, pruritus, xerosis.
Location of the lesions: face, skin folds, limbs.
Jagged eczema lesions.
No infectious contact or animals.
Found in typical locations: elbows, knees, lumbar region, scalp, +- nails with a context or history of psoriasis, without the atopic context or animal contact.
Histology if necessary.
Psoriasis
Wrong answer!
It was allergic contact eczema.
Let’s rule out differential diagnoses:
Flare-ups with periods of remission, history of atopy, pruritus, xerosis.
Location of the lesions: face, skin folds, limbs.
Jagged eczema lesions.
No infectious contact or animals.
Found in typical locations: elbows, knees, lumbar region, scalp, +- nails with a context or history of psoriasis, without the atopic context or animal contact.
Histology if necessary.
Topical corticosteroids can be prescribed as first line therapy. What is dangerous is steroid phobia!
In short: low-potency class such as desonide.
Specific “eyelid” moisturising cream.
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