Atopic dermatitis ( eczema ) in children

Common condition -most common chronic inflammatory skin disorder of childhood AD affects 5 % to 20 % of children & it's incidence is increasing Most cases are seen during the 1st five years of life It has a significant impact on QoL of the children ( frequent applications of topical creams which can be complex and uncomfortable ) and their care-givers AD can lead to sleep loss , irritability , anxiety , lowered self esteem and psychological impairment

History-when did this start , pattern and severity what treatment has been tried and response any trigger factors ( particularly for irritant & allergic dermatitis ) how does the condition impact -the child / carers ask about dietary history & any dietary manipulations is the child growing / developing normally have other members suffered

from atopic diseases

flexural dermatitis - that involves the skin creases or visible dermatitis on cheeks and / or extensor areas in children 18 months or under, personal h/o flexural dermatitis , personal h/o dry skin in the preceding 12 months , personal h/o asthma or allergic rhinitis or a h/o atopic disease in a 1st degree relative of children under 4 yrs , onset of signs symptoms...