Dermatology Book

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Dry Skin

Aka: Dry Skin, Xerotic Eczema, Dyshidrotic Eczema, Xerosis, Asteatotic Eczema, Eczema Craquele, Pompholyx
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  1. Epidemiology
    1. Incidence increases with age (common in elderly)
  2. Pathophysiology
    1. Related to abnormal keratin production
    2. Elderly have decreased skin Fatty Acids
      1. Results in decreased skin barrier and hydration
  3. Symptoms
    1. Pruritus without rash
      1. Itching may be intense
      2. Sporadic occurrence
    2. Common Areas involved
      1. Anterolateral lower legs (most commonly affected)
        1. Nummular lesions are common on the legs in the elderly (and often very pruritic)
      2. Back and Flanks
      3. Abdomen and waist
      4. Arms
    3. Areas spared
      1. Axilla
      2. Groin
      3. Face and scalp
    4. Provocative factors
      1. Worse with cold, dry weather
      2. Examples: Winter or air conditioning exposure
    5. Palliative factors
      1. Improves with warm, humid weather
  4. Signs
    1. Mild changes
      1. Faint reticulate pinkness
      2. Fine scale or cracks seen with tangential light
      3. Often affects legs (especially shins)
    2. Moderate to severe changes
      1. Dramatic deep redness and cracking
        1. May appear as cracked porcelain (Eczema Craquele)
      2. Nummular eczema type lesions
  5. Management
    1. See Dry Skin Management

Vesicular eczema of hands and/or feet (C0032633)

Definition (SNOMEDCT) Self-limited vesicular eruption of palms and soles
Definition (MSH) A recurrent eczematous reaction characterized by the development of vesicular eruptions on the palms and soles, particularly along the sides and between the digits. It is accompanied by pruritus, a burning sensation, and hyperhidrosis. The disease is self-limiting, lasting only a few weeks. (Dorland, 27th ed)
Concepts Disease or Syndrome (T047)
MSH D011146
ICD9 705.81
SnomedCT 201198005, 274946003, 201199002, 201200004, 201202007, 402567004, 156417004, 267866004, 156416008, 267865000, 25560004
English Dyshidrosis, Vesicular eruption of palms and soles, DYSHYDROSIS, DYSHYDROTIC ECZEMA, Dyshidrotic Eczemas, Dyshydrotic Eczemas, Eczema, Dyshidrotic, Eczema, Dyshydrotic, Eczema, Vesicular Palmoplantar, Eczemas, Dyshidrotic, Eczemas, Dyshydrotic, Eczemas, Vesicular Palmoplantar, Palmoplantar Eczema, Vesicular, Palmoplantar Eczemas, Vesicular, Pompholyx, Vesicular Palmoplantar Eczema, Vesicular Palmoplantar Eczemas, DISHYDROSIS, DYSHIDROSIS, DYSHIDROTIC ECZEMA, Dyshidrotic Eczema, Dyshydrotic Eczema, Dyshidrotic dermatitis, NOS, Dysidria, Dysidrosis, Dyshidrosis NOS, Vesic eczema of hands and feet, Dyshidrosis unspecified, Pompholyx unspecified, POMPHOLYX, dyshidrosis (diagnosis), dyshidrosis, Pompholyx (finding), ECZEMA DYSHIDROTIC, Dyshidrosis unspecified (disorder), Pompholyx unspecified (disorder), Dyshidrosis NOS (disorder), Eczema, Dyshidrotic [Disease/Finding], vesicular eczema of hands and/or feet, eczema dyshidrotic, eczema dyshidrotic (diagnosis), dyshydrosis, pompholyx eczema, dyshidrotic hand eczema, dyshidrotic dermatitis, dishydrosis, dyshidrotic eczema, cheiropompholyx, Vesicular eczema of hands and/or feet (disorder), pompholyx, dyshydrotic; eczema, eczema; dyshydrotic, Dyshidrotic dermatitis, Dyshidrotic eczema, Dyshidria, Cheiropodopompholyx, Pompholyx eczema, Vesicular eczema of hands and feet, Dyshidrosis (disorder), Cheiropompholyx, Vesicular eczema of hands and/or feet, dyshydrotic eczema, Eczema;dyshidrotic
Italian Disidrosi, Disidrosi eczematosa, Ponfolice, Eczema disidrosico, Pompholyx, Eczema vesicolare palmoplantare, Eczema disidrotico
Dutch pompholyx eczeem, dyshidrotisch eczeem, pompholyx, dyshidrotisch; eczeem, eczeem; dyshidrotisch, dyshidrose, Dyshidrotisch eczeem, Eczeem, dyshidrotisch, Eczeem, vesiculair palmoplantair, Pompholyx, Vesiculair palmoplantair eczeem
French Eczéma dyshydrosiforme, Dyshidrose bulleuse, Eczéma dyshidrotique, DYSIDROSE, Dyshidrose, Pompholyx, Dysidrose
German Pompholyx eczema, dyshidrotisches Ekzem, Ekzem, dyshidrotisches, Cheiropompholyx, Dyshidrose, Dyshidrosis, Dyshidrotisches Ekzem, Podopompholyx, Pompholyx, Ekzem, vesikuläres, palmoplantares, Vesikuläres palmoplantares Ekzem
Portuguese Eczema desidrótico, DESIDROSE, Desidrose, Eczema Disidrótico, Eczema Vesicular Palmar e Plantar, Ponfolix
Spanish Ezcema dishidrótico, Eczema ponfólix, dermatitis dishidrótica, ponfólix, dishidria, ponfólice, eczema dishidrótico, dishidrosis (trastorno), dishidrosis, eccema dishidrótico, Cheiropompholyx, Dyshidrosis, Pompholyx, dishidrosis no especificada (trastorno), dishidrosis no especificada, dishidrosis, SAI (trastorno), dishidrosis, SAI, eccema vesicular de manos y/o pies (trastorno), eccema vesicular de manos y/o pies, eczema vesicular de manos y/o pies, ponfólix no especificado (trastorno), ponfólix no especificado, Dishidrosis, Ponfolix, Eccema Dishidrótico, Eccema Vesicular Palmoplantar, Ponfólix, Eccema Dishidrotico
Japanese 発汗障害, 汗疱性湿疹, ｶﾝﾎｳｾｲｼｯｼﾝ, ｲｶﾝｾｲｼｯｼﾝ, ｶﾝﾎﾟｳ, ﾊｯｶﾝｼｮｳｶﾞｲ, 湿疹-汗疱状, 異汗性湿疹, 汗疱, 汗疱状湿疹, 胞状掌蹠湿疹, 湿疹-胞状掌蹠
Swedish Eksem, dyshidrotiskt
Czech ekzém dyshidrotický, pomfolyx, Dyshidróza, Dyshidrotický ekzém
Finnish Dyshidroosi
Russian EKZEMA VEZIKULIARNAIA LADONNO-PODOSHVENNAIA, VEZIKULIARNAIA LADONNO-PODOSHVENNAIA EKZEMA, EKZEMA DISGIDROTICHESKAIA, DISGIDROZ, ВЕЗИКУЛЯРНАЯ ЛАДОННО-ПОДОШВЕННАЯ ЭКЗЕМА, ДИСГИДРОЗ, ЭКЗЕМА ВЕЗИКУЛЯРНАЯ ЛАДОННО-ПОДОШВЕННАЯ, ЭКЗЕМА ДИСГИДРОТИЧЕСКАЯ
Polish Potnica, Wyprysk potnicowy
Hungarian Dyshidrosis, Dyshidroticus eczema, Pompholyx, Pompholyx eczema
Sources
Derived from the NIH UMLS (Unified Medical Language System)


Dry skin (C0151908)

Definition (NCI) The pores are generally fine with a papery thin texture that feels dry to the touch. Usually flaky and dull looking.
Definition (NCI) The pores are generally fine with a papery thin texture that feels dry to the touch. Usually flaky and dull looking.
Definition (NCI) A disorder characterized by flaky and dull skin; the pores are generally fine, the texture is a papery thin texture.
Concepts Sign or Symptom (T184)
SnomedCT 16386004
English DRY SKIN, SKIN DRY, SKIN DRYNESS, Dry skin, dry skin, dry skin (physical finding), dry skin (symptom), Skin dry, DRY, Dry Skin, skin dryness, Dry;skin, Anhydrotic skin, Dry skin (finding)
Italian Cute secca, Pelle secca
French Peau sèche, SECHERESSE CUTANEE, Sécheresse cutanée
German Haut trocken, HAUTTROCKENHEIT, trockene Haut
Portuguese Pele seca, PELE SECA, Xerose cutânea
Japanese 皮膚乾燥, ﾋﾌｶﾝｿｳ
Spanish PIEL SECA, piel seca (hallazgo), piel seca, Piel seca
Czech Suchá kůže
Hungarian Bőr száraz, Száraz bőr
Dutch droge huid
Sources
Derived from the NIH UMLS (Unified Medical Language System)


Xerosis (C0259817)

Concepts Disease or Syndrome (T047)
English XEROSIS, Xerosis, xerosis
Italian Xerosi
Japanese 乾燥症, ｶﾝｿｳｼｮｳ
French XEROSE, Xérose
Portuguese XEROSE, Xerose
German XEROSIS, Xerose
Spanish XEROSIS, Xerosis
Czech Xeróza
Hungarian Xerosis
Dutch xerose
Sources
Derived from the NIH UMLS (Unified Medical Language System)


Asteatotic eczema (C0549201)

Concepts Disease or Syndrome (T047)
ICD10 L85.3
SnomedCT 7867008, 201077008, 238595005, 260046006, 201025002, 400051008, 260956008, 261852004, 201064004, 238596006
English Asteatosis, Xerotic eczema, Prurigo hiemalis, ECZEMA ASTEATOTIC, winter itch, winter itch (diagnosis), Eczema asteatotic, eczema asteatotic, winter eczema, asteatosis, eczema xerotic, pruritus hiemalis, eczema craquele, asteatotic eczema, dry skin dermatitis, xerotic eczema, Dry skin dermatitis, Winter itch, Asteatotic eczema, Eczema craquele, Pruritus hiemalis, Acquired xeroderma, Winter eczema, Dry skin dermatitis (disorder), Eczema craquelé, Asteatotic eczema (disorder), Winter itch (disorder), dry skin; eczema, eczema; dry skin, itch; winter, acquired; xeroderma, winter; itch, xeroderma; acquired, Eczema craquel, Prurigo hiemalis (disorder), Pruritus hiemalis (disorder) [Ambiguous], Pruritus hiemalis (disorder), Asteatotic eczema [Ambiguous], Pruritus, hiemalis
Dutch asteatose, xerotisch eczeem, winterjeuk, craquelé-eczeem, droge huid; eczeem, eczeem; droge huid, jeuk; winter, verworven; xerodermie, winter; jeuk, xerodermie; verworven, asteatotisch eczeem
French Astéatose, Prurit hivernal, Eczéma xérodermique, Eczéma astéatotique, ECZEMA SEC, Eczéma craquelé
Italian Asteatosi, Eczema asteatotico, Prurito invernale, Eczema asteatosico, Eczema escoriato, Eczema xerotico
Portuguese Asteatose, Prurido de Inverno, Eczema asteatótico, Eczema xerótico, ECZEMA ASTEATOTICO, Eczema esteatótico
Spanish Asteatosis, Eczema invernal, Eczema en craquelé, Eczema xerótico, Acquired xeroderma, Asteatotic eczema [Ambiguous], Asteatotic eczema, eccema asteatósico, eccema asteatótico, dermatitis de la piel seca (trastorno), dermatitis de la piel seca, dermatitis seca de la piel, eccema agrietado (trastorno), eccema agrietado, eccema craquelé (trastorno), eccema craquelé, eccema de invierno, eccema invernal, eccema xerótico, eczema asteatósico, eczema craquelé, eczema invernal, eczema xerótico (trastorno), eczema xerótico, piel ajada, prurigo invernal (trastorno), prurigo invernal, prurito invernal (concepto no activo), prurito invernal (trastorno), prurito invernal, xeroderma adquirido, Eczema esteatósico
German asteatotisches Ekzem, Winterjucken, xerotisches Ekzem, Eczema craquele, EKZEM ASTEATOTISCH, Ekzem asteatotisch, Asteatose
Japanese 皮脂欠乏性湿疹, 皮脂欠乏症, 乾燥性湿疹, 亀裂性湿疹, 冬期そう痒, ｷﾚﾂｾｲｼｯｼﾝ, ﾋｼｹﾂﾎﾞｳｾｲｼｯｼﾝ, ﾋｼｹﾂﾎﾞｳｼｮｳ, ﾄｳｷｿｳﾖｳ, ｶﾝｿｳｾｲｼｯｼﾝ
Czech Ekzém v chladném prostředí, Eczema craquele, Asteatotický ekzém, Xerotický ekzém, Asteatóza
Hungarian Téli viszketés, Eczema craquele, eczema, asteatoticus, Asteatotikus eczema, Asteatosis, Asteatoticus eczema
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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