Biography
Biography: Regina Folster-Holst
Abstract
Eczematous lesions in childhood are very common and mainly related to atopic dermatitis (atopic eczema). However there are many differential diagnoses including other eczematous disorders than atopic dermatitis (AD) as contact dermatitis and seborrheic dermatitis, ichthyoses like ichthyosis vulgaris, parasitoses as scabies, and rare diseases due to immunodeficiency/immune defects including Netherton syndrome and Omenn syndrome, and nutritional deficiency (for example zinc, biotin). Interestingly, there are many different phenotypes of AD, not just age and race-dependent. In this context, the intrinsic and extrinsic form, as well as the classical flexural form and the nummular form have to be mentioned. In many cases the AD can be controlled by avoiding trigger factors and using topical treatment including emollients and anti-inflammatory drugs. However, a small subgroup of patients requires systemic drugs because of recalcitrant disease.