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Diagnosis of nummular dermatitis is largely via clinical observation. Biopsies are typically not necessary, and cannot be used to rule out other atopic dermatitis or other eczemas. [9] [10] However, patch testing may be employed to rule out irritants (contact dermatitis) as a cause.
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]
The full chapter can be found on pages 379 to 393 of Volume 1, which contains all (sub)categories of the ICD-9. Volume 2 is an alphabetical index of Volume 1. Both volumes can be downloaded for free from the website of the World Health Organization .
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 ...
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]
The dermis is the layer of skin between the epidermis and subcutaneous tissue, and comprises two sections, the papillary dermis and the reticular dermis. [10] The superficial papillary dermis interdigitates with the overlying rete ridges of the epidermis, between which the two layers interact through the basement membrane zone. [10]
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