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Autoimmune progesterone dermatitis (APD) occurs during the luteal phase of a woman's menstrual cycle and is an uncommon cyclic premenstrual reaction to progesterone.It can present itself in several ways, including eczema, erythema multiforme, urticaria, angioedema, and progesterone-induced anaphylaxis. [2]
[2] [3] The diagnosis is frequently made by treating the initial triggering skin problem and observing the improvement in the eczematous rash. Both the initial skin problem and the id reaction must be observed to make the diagnosis. [5] [6] Not all dyshidrotic rashes are id reactions, but id reactions are often dyshidrotic-like. [2]
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Diagnosis of eczema is based mostly on the history and physical examination. [5] In uncertain cases, skin biopsy may be taken for a histopathologic diagnosis of dermatitis. [35] Those with eczema may be especially prone to misdiagnosis of food allergies. [36] Patch tests are used in the diagnosis of allergic contact dermatitis. [37] [38]
What it looks like: Medically known as atopic dermatitis, eczema is an umbrella term for a range of skin conditions characterized by red, splotchy, dry, cracked, crusty, or flaky skin, that can ...
Nummular dermatitis (commonly known as nummular eczema or discoid eczema) is one of the many forms of dermatitis. [1] It is characterized by round or oval-shaped itchy lesions. [ 2 ] The name comes from the Latin word " nummus ," which means "coin."
Generally/Not otherwise specified [notes 2] Typical findings: [2] Variable degree of epidermal spongiosis and vesicle formation, filled with proteinaceous fluid containing lymphocytes and histiocytes. Usually superficial dermal edema with perivascular lymphocytic infiltrate, with exocytosis. No acanthosis or parakeratosis. Typical findings: [2]
The Eczema Area and Severity Index (EASI) is a validated tool for the measurement of severity of atopic dermatitis. It ranges from 0 (no disease) to 72 (maximal disease). [1] [2] The EASI was developed in 1998 by modifying the Psoriasis Area and Severity Index (PASI), a widely accepted scoring system for psoriasis. [3]