Dermatitis

When dermatitis is an inflammatory reaction of the skin is called, which detects mainly the dermis ( corium ). A synonym for this is over wide ranges of the term " eczema". However, it is in the dermatitis to a broader definition and eczema would more accurately than eczematous dermatitis are named.

Thus, L20- L30 ( " dermatitis and eczema" ) are in the ICD -10 in the group, the two names are used interchangeably, and accordingly here first listed those diseases that do not fall into it because their essential features of a classification into different disease groups better and correspond precisely not an intolerance reaction is as in the eczema group in the foreground:

• Bathing dermatitis ( Cercaria Dermatitis ), infection by cercariae of various trematodes
• Dermatitis herpetiformis, a chronic relapsing autoimmune disease with subepidermal blistering
• Exfoliative dermatitis of the newborn ( Staphylococcal scalded skin syndrome, SSSS ), staphylogenes Lyell 's syndrome
• Dermatitis factitious, a factitious disorder (ICD -10: L98.1 ) due to self- damaging actions
• Ulcerative dermatitis, vasculitis with solitary ulcerations
• Perioral dermatitis (syn. rosacea -like dermatitis), an inflammation of the facial skin by excessive use of cosmetics
• Stasis dermatitis, due usually to start by venous circulation disorders such as chronic venous insufficiency
• Diseases of the skin by exposure to radiation, such as Photodermatoses due to excessive sun exposure ( as is the sunburn to a dermatitis solaris ), photoallergic or photoxischer reactions (eg Berloque dermatitis, Phytophotodermatitis, buckwheat disease) or
• Radiation dermatitis (Radio dermatitis) of ionizing radiation as a result

Synonym

Synonymous with the term dermatitis eczema according to ICD -10, among others, used for:

• Allergic contact eczema ( allergic contact dermatitis) and Irritant Contact Dermatitis ( Toxic contact dermatitis)
• Atopic eczema ( atopic dermatitis, neurodermatitis)
• Dyshidrotic eczema, sometimes referred to only as a manifestation of eczema on the hand or Fußinnenseiteflächen or the finger or toe webs
• Exfoliative dermatitis
• Numuläres Eczema
• Seborrheic eczema ( seborrheic dermatitis)
• Many dermatitis by oral, enteral or parenteral absorbed substances
• Diaper rash ( diaper dermatitis)

Diagnostics

To determine the above -mentioned diseases of the skin, you have to be versed in the Effloreszenzenlehre. The Effloreszenzenlehre allows the characteristics of all diseases appear on the skin visible.

The most popular are:

• The spot ( macula )
• The papule ( papules ), a survey is above the skin level. It is caused by a thickening of the epidermis.
• The bubbles ( vesicles ) and the bladder ( Bulla ), fluid-filled cavities that are beyond the skin level.
• The wheal (Urtica ), a circumscribed, acute edema in the dermis, which is due to plasma leakage from the vessels.
• The cyst
• The skin Scale ( squama )
• The rhagade or fissure, a gap-like skin tear.
• The ulcer ( ulcer)

Treatment

Topical medications

Many skin diseases can be treated with topical medications. The advantages are:

• Effect on disease stove with a higher concentration of the drug
• Side effects are reduced: e.g. of glucocorticoids

The three components of topical medications

• Raw material ( such as ointment bases, carriers )
• Active substance
• Additives

Local Therapeutic forms

• Application of creams, ointments, shaking mixture
• Applying a dressing
• Creating a damp envelope
• Accessories for corresponding full or partial baths

Systemic medication

Many diseases also require targeted drug treatment. Some of the main products are:

• Antibiotics (for bacterial superinfection or genesis )
• Antifungals ( in case of superinfection by fungi )
• Antihistamines ( symptomatic with itching)
• Glucocorticoids ( in severe cases )
• Retinoids ( psoriasis, acne, rosacea )
• Immunsuppressia (eg Delmitid ) (in the context of autoimmune diseases, including psoriasis)