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Venous eczema (gravitational eczema, stasis dermatitis, varicose eczema) occurs in people with impaired circulation, varicose veins, and edema, and is particularly common in the ankle area of people over 50. There is redness, scaling, darkening of the skin, and itching. The disorder predisposes to leg ulcers. (ICD-10 I83.1)
691.8 Eczema, atopic dermatitis; 692 Contact dermatitis and other eczema. 692.0 Contact dermatitis and other eczema due to detergents; 692.1 Contact dermatitis and other eczema due to oils and greases; 692.2 Contact dermatitis and other eczema due to solvents; 692.3 Contact dermatitis and other eczema due to drugs and medicines in contact with skin
Stasis dermatitis, allergic contact dermatitis, acute irritant contact eczema and infective dermatitis have been documented as possible triggers, but the exact cause and mechanism is not fully understood. [7] Several other types of id reactions exist including erythema nodosum, erythema multiforme, Sweet's syndrome and urticaria. [3]
Stasis dermatitis is diagnosed clinically by assessing the appearance of red plaques on the lower legs and the inner side of the ankle. Stasis dermatitis can resemble a number of other conditions, such as cellulitis and contact dermatitis, and at times needs the use of a duplex ultrasound to confirm the diagnosis or if clinical diagnosis alone is not sufficient.
JPD is frequently observed in "atopic" children, or those with hay fever, asthma, atopic dermatitis, or eczema. [6] The warm summertime temperatures can make it worse. [ 4 ]
Erythroderma is generalized exfoliative dermatitis, which involves 90% or more of the patient's skin. [3] The most common cause of erythroderma is exacerbation of an underlying skin disease, such as Harlequin-type ichthyosis, psoriasis, contact dermatitis, seborrheic dermatitis, lichen planus, pityriasis rubra pilaris or a drug reaction, such as the use of topical steroids. [4]
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. [6] [11] In children, nummular dermatitis is commonly confused with tinea corporis. [8]
Eczema herpeticum is a rare but severe and contagious disseminated infection that generally occurs at sites of skin damage produced by, for example, atopic dermatitis, burns, long-term usage of topical steroids or eczema. [1] It is also known as Kaposi varicelliform eruption, Pustulosis varioliformis acute and Kaposi–Juliusberg dermatitis.