Don't Miss These 15 Signs Of Atopic Dermatitis!

Summary

This video discusses 15 signs that may indicate an impaired skin barrier, often associated with atopic dermatitis. Symptoms include white dermatographism, hyperlinear palms, atopic 'dirty neck', itchiness from sweat, and prominent horizontal lines under the eyes. Other signs are dark under-eye circles, nasal creases, follicular prominence, wool intolerance, eyebrow thinning, chelitis, and hypopigmented patches. The video also covers hand and foot rashes, facial pallor, and nipple eczema. It emphasizes the importance of moisturizing and seeking dermatological advice for treatment.

Takeaways

• 📝 White dermatographism is a sign of an impaired skin barrier, where stroking the skin results in a white line appearing within 10-15 seconds.
• 🤲 Hyperlinear palms are common in individuals with atopic dermatitis and are linked to a genetic defect in filaggrin.
• 🌑 Atopic 'dirty neck' refers to the thickened and discolored skin on the neck due to eczema flares, often mistaken for poor hygiene.
• 💧 Sweat can trigger itchiness in people with atopic dermatitis, possibly due to irritants in sweat or the skin's increased sensitivity to moisture.
• 👁 Prominent horizontal lines under the lower eyelid, known as Dennie Morgan's folds, can be an early sign of atopic dermatitis.
• 🌀 Allergic shiners, or dark circles under the eyes, are common in atopic dermatitis due to fluid congestion and thin, delicate skin in that area.
• 👃 A prominent nasal crease can result from chronic rubbing of the nose due to seasonal allergies, which often accompany atopic dermatitis.
• 🐑 Wool intolerance is a common issue for those with atopic dermatitis, causing discomfort and eczema flares due to the rough texture of wool fibers.
• 👋 Chelitis, or chapped lips, is prevalent among atopic dermatitis sufferers and can be exacerbated by irritants such as certain lip balms.
• 👶 Petasis Alba, or pale patches on the skin, can occur in atopic dermatitis and is more noticeable in individuals with darker skin tones.

Q & A

What is White Dermatographism and how is it different from regular dermatographism?

White Dermatographism is a condition where after stroking the skin, a red line appears and then turns completely white within 10 to 15 seconds, lasting for 60 or more seconds. It is different from regular dermatographism because in regular dermatographism, the skin shows a hive that is red and does not turn white.

What is hyperlinear palms and what conditions are associated with it?

Hyperlinear palms refer to an increased number of small lines on the palms of the hands. It is associated with atopic dermatitis, ichthyosis vulgaris, and can also be seen in patients with keratosis pilaris or food allergies.

What is meant by 'atopic dirty neck' and why does it occur?

Atopic dirty neck is a term used to describe the thickened and discolored skin on the neck that can occur in individuals with atopic dermatitis. It happens due to chronic irritation and rubbing, often mistaken for dirtiness, but is actually a result of eczema flares.

Why do people with atopic dermatitis experience itching when they sweat?

Individuals with atopic dermatitis may get itchy when they sweat because the sweat can be irritating and aggravating to eczema. It could also be due to the skin losing more water and becoming more prone to dryness, or because of an inflammatory response triggered by sweat leaking into the dermis.

What are Denny Morgan's folds and how are they related to atopic dermatitis?

Denny Morgan's folds are prominent horizontal lines on the lower eyelids that can be present from a very young age in patients with atopic dermatitis. They are not a result of aging but are due to inflammation and possibly eye rubbing, leading to fluid accumulation in the area.

What causes allergic shiners and how are they connected to atopic dermatitis?

Allergic shiners are dark circles under the eyes that can occur due to congestion of fluid in the veins beneath the eyes, combined with the thin and delicate skin in that area. They are connected to atopic dermatitis as patients often have seasonal allergies, which can lead to fluid congestion and dark discoloration.

What is wool intolerance and how does it affect people with an impaired skin barrier?

Wool intolerance is a condition where individuals experience extreme discomfort and eczema flares upon contact with wool. It is thought to be due to the mechanical irritation from wool fibers, with coarser fibers being more problematic than finer ones like Merino wool.

What is the significance of the Queenan or Hers sign in relation to atopic dermatitis?

The Queenan or Hers sign refers to thinning or loss of the outermost third of the eyebrow, which can be seen in patients with atopic dermatitis. It is not specific to atopic dermatitis and can also be a sign of hypothyroidism. The inflammation from atopic dermatitis may lead to brow loss, which can improve as the condition comes under control.

What is chelitis and why is it common in people with atopic dermatitis?

Chelitis is the medical term for chapped lips, which can be very painful and uncomfortable. It is common in people with atopic dermatitis, possibly due to the impaired skin barrier making the lips more susceptible to irritants and dryness.

What is petasis alba and how does it differ from other skin conditions like vitiligo?

Petasis alba refers to oval, round, hypopigmented patches with a fine scale, often more noticeable in individuals with darker skin tones. It is a result of post-inflammatory hypopigmentation from atopic dermatitis and can be distinguished from vitiligo and other conditions by its association with eczema and the potential for the skin color to return with proper treatment.

Why do individuals with an impaired skin barrier often develop hand and foot rashes?

People with an impaired skin barrier may develop hand and foot rashes due to the skin's increased sensitivity and irritation. Conditions like hand eczema or juvenile plantar dermatosis can occur, exacerbated by factors like friction, poorly fitted shoes, or excessive sweating.

What is nipple eczema and how is it related to atopic dermatitis?

Nipple eczema is an inflammation and irritation around the nipples, which can be painful and lead to cracking and scaling. It is related to atopic dermatitis due to the inherent issues with the skin barrier, and friction from clothing can exacerbate the condition. It's not exclusive to breastfeeding women and can affect anyone with atopic dermatitis.