Table 1: Features to be considered in the diagnosis of patients with AD. Adopted from Eichenfield, et al. [22]
Essential Features: Must be present |
· Pruritus · Eczema (acute, subacute, or chronic) with typical morphology and age-specific patterns* · Chronic or relapsing history |
Important Features: Seen in most cases, add support to the diagnosis |
· Early age of onset · Atopy Personal and/or family history IgE reactivity · Xerosis |
Associated Features: Help to suggest the diagnosis, but are too non-specific to be used in defining or detecting AD for research and epidemiologic studies |
· Atypical vascular responses (e.g.,delayed blanch response) · Keratosis pilaris/pityriasis alba/hyperlinear palms/ichthyosis · Ocular/periorbital changes · Other regional findings (e.g., perioral/periauricular lesions) · Perifollicular accentuation/lichenification/prurigo lesions |
Exclusionary Conditions: |
· Scabies · Seborrheic dermatitis · Contact dermatitis (irritant or allergic) · Ichthyoses · Cutaneous T-cell lymphoma · Psoriasis · Photosensitivity dermatitis · Immune deficiency diseases · Erythroderma of other causes |
*Patterns include (1) Facial, neck, and extensor involvement in infants and children; (2) Current or prior flexural lesions in any age group; or (3) Sparing of groin and axillary regions.