Erosion Pictures

Allergic Contact Dermatitis Baby

Tue 28 Feb 2017 06:07:00 +0200

With contact dermatitis, a patch of tiny, scaly blisters crops up in an area that tends to rub against clothing or jewelry (like the neck, waist, groin or wrist). It can also show up on the hands or face (where the skin may have been touched by a new lotion, cream, plant, chemical, or food), although the rash often starts in skin folds and joints. Contact dermatitis can be very mild and disappear quickly, or produce large, oozing blisters that last for days. In both cases, it can be very itchy but isn’t contagious. Diaper rash, drool rash, and poison ivy are two common examples of contact dermatitis.

The rash should disappear on its own within two to four weeks. In the meantime, a thin layer of over-the-counter 1% hydrocortisone cream (only use as directed) will help relieve itchiness for small patches, but a doctor might prescribe an oral steroid such as Prednisone for severe cases affecting large areas of skin.

Stasis Dermatitis

Fri 24 Feb 2017 09:57:06 +0200

Stasis dermatitis is a common inflammatory skin disease that occurs on the lower extremities. It is usually the earliest cutaneous sequela of chronic venous insufficiency with venous hypertension and may be a precursor to more problematic conditions, such as venous leg ulceration and lipodermatosclerosis.

Pruritus - Patients with stasis dermatitis typically present with an insidious onset of pruritus affecting 1 or both lower extremities.
Discoloration - Reddish-brown skin discoloration is an early sign of stasis dermatitis and may precede the onset of symptoms.
Ankle involvement - The medial ankle is most frequently involved, with symptoms progressing to involve the foot and/or calf.
Edema - Stasis dermatitis patients may offer a prior history of dependent leg edema.

Physical examination in stasis dermatitis patients reveals erythematous, scaling, and eczematous patches affecting the lower extremity.

The medial ankle is most frequently and severely involved, a result of the fact that it represents a watershed area with relatively poor blood flow compared with the rest of the leg. In advanced cases of stasis dermatitis, the inflammation may encircle the ankle and extend to just below the knee; this is sometimes referred to as stocking erythroderma. The dorsal part of the foot may be involved in severe cases.

Secondary infection can cause typical honey-colored crusting due to bacteria or can produce monomorphous pustules due to cutaneous candidiasis.

Venous Eczema on Legs

Sat 18 Feb 2017 14:54:08 +0200

Varicose eczema, also known as venous, gravitational or stasis eczema, is a long-term skin condition that affects the lower legs. It's common in people with varicose veins.

Like all types of eczema, the affected skin becomes:

itchy
red and swollen
dry and flaky
scaly or crusty

There may be periods when these symptoms improve and periods when they become more severe.

Your legs may become swollen, especially towards the end of the day or after long periods of standing. Varicose veins (swollen and enlarged veins) are often visible on the legs.

Some people also have other symptoms, such as:

brown discolouration of the skin
red, tender and tight skin that can eventually become hardened (lipodermatosclerosis)
small, white scars (atrophie blanche)
pain
eczema affecting other parts of the body

Left untreated, leg ulcers can develop. These are long-lasting wounds that form where the skin has become damaged.

Venous Eczema

Sun 12 Feb 2017 12:16:46 +0200

Venous eczema is a common form of eczema / dermatitis that affects one or both lower legs in association with venous insufficiency.

Venous eczema can form discrete patches or become confluent and circumferential. Features include:

Itchy red, blistered and crusted plaques; or dry fissured and scaly plaques on one or both lower legs
Orange-brown macular pigmentation due to haemosiderin deposition
Atrophie blanche (white irregular scars surrounded by red spots)
“Champagne bottle” shape of lower leg (narrowing at the ankles) and induration (lipodermatosclerosis)

Treat the eczema

Dry up oozing patches with Condy's solution (potassium permanganate) or dilute vinegar on gauze as compresses.
Oral antibiotics such as flucloxacillin may be prescribed for secondary infection.
Apply a prescribed topical steroid: start with a potent steroid cream applied accurately daily to the patches until they have flattened out. After a few days, change to a milder steroid cream (eg. hydrocortisone) until the itchy patches have resolved (maintenance treatment). Check with your doctor if you are using steroid creams for more than a few weeks. Overuse can thin the skin, but short courses of stronger preparations can be used from time to time if necessary to control the dermatitis. Coal tar ointment may also help.
Use a moisturising cream frequently to keep the skin on the legs smooth and soft. If the skin is very scaly, urea cream may be especially effective.
Protect your skin from injury: this can result in infection or ulceration that may be difficult to heal.

Stasis Dermatitis on Legs

Tue 07 Feb 2017 11:22:26 +0200

Stasis dermatitis is skin inflammation that develops in people with poor circulation. It most often occurs in the lower legs because that’s where blood typically collects.

When blood collects or pools in the veins of your lower legs, the pressure on the veins increases. The increased pressure damages your capillaries, which are very small blood vessels. This allows proteins to leak into your tissues. This leakage leads to a buildup of blood cells, fluid, and proteins, which causes your legs to swell. This swelling is called peripheral edema.

People with stasis dermatitis usually experience swollen legs and feet, open sores, or itchy and reddish skin. A protein called fibrinogen may be responsible for the changes you see in your skin. When fibrinogen leaks into your tissues, your body converts it to the active form of the protein, which is called fibrin. As it leaks out, the fibrin surrounds your capillaries, forming what are known as fibrin cuffs. According to the Cleveland Clinic, these fibrin cuffs may prevent oxygen from entering your tissues. When your cells don’t receive enough oxygen, they can become damaged and die.

The symptoms of stasis dermatitis include:

skin discoloration
itching
scaling
ulcers

You may also experience symptoms of venous insufficiency, including:

leg swelling
calf pain
calf tenderness
a dull ache or heaviness in your legs that gets worse when you stand

In the early stages of stasis dermatitis, the skin on your legs may look thin. Your skin may also itch, but try not to scratch it. Scratching can cause the skin to crack and fluid to seep out.

Simple Dermatitis

Sun 05 Feb 2017 10:50:46 +0200

Simple Dermatitis is an inflammation of the skin. Contact dermatitis is a localized rash or irritation of the skin caused by contact with a substance that is foreign to the body.

Substances that commonly cause contact dermatitis include plant sap, metals, cleaning solutions, cosmetic additives, perfumes, industrial chemicals, topical antibiotics, and latex rubber additives.

A red rash is the usual reaction. It appears immediately in irritant contact dermatitis, but in allergic contact dermatitis, the rash does not appear for one to two days after the exposure.

Your skin may develop small fluid filled structures (vesicles) that can cause weeping, a characteristic of these sorts of eruptions. This condition is distinguished from hives (urticaria) that produce short-lived itchy welts (wheals). Hives are most often induced by allergic reactions to orally ingested foods and drugs.

Your skin will itch and perhaps burn. Irritant contact dermatitis can be more painful than itchy.
Irritant contact dermatitis often affects the hands, which have been exposed by resting in or dipping into a container (sink, pail, tub) containing the irritant.

Once a reaction starts, it may take as long as four weeks to resolve completely.

Shoe Contact Dermatitis

Thu 02 Feb 2017 16:55:42 +0200

Shoe contact dermatitis can be defined as skin manifestations on the feet caused by the wearing of shoes, boots and/or sandals. This often occurs because the skin on the feet reacts to particular substances (allergens) found in footwear.

Shoe contact dermatitis usually begins on the top surface of the big toe and spreads to the upper surfaces of the foot. Dermatitis may also be found on the sole of the foot, the side of the feet and heels and the legs.

Symptoms of contact allergic dermatitis may include swelling, redness, blisters or cracks in the skin, burning, itchiness and pain. The allergy can develop over a long period of time as the skin on the feet is repeatedly exposed to a certain allergen found in the shoe. However, it is not unusual to suddenly become allergic to a substance after months or years of exposure.

Shoe contact dermatitis should clear rapidly once the offending allergen is removed. This will mean not being able to wear the offending shoes ever again unless the allergen can be removed, e.g. allergy to a nickel buckle could be resolved by replacing with a non-nickel buckle.

Over-the-counter creams and ointments containing mild topical steroids, such as hydrocortisone, may be used to help control itching, swelling, and redness. In more severe cases, a prescription topical steroid may be required, as well as antibiotic medication if the skin becomes blistered, painful and infected.

Contact Dermatitis in Adults

Thu 02 Feb 2017 00:42:43 +0200

Contact dermatitis is a red, itchy rash caused by a substance that comes into contact with your skin. The rash isn't contagious or life-threatening, but it can be very uncomfortable.

Contact dermatitis usually occurs on areas of your body that have been directly exposed to the substance — for example, along a calf that brushed against poison ivy or under a watchband that triggers an allergy. The reaction usually develops within minutes to hours of exposure to an irritating substance or allergen. The rash can last two to four weeks.

Signs and symptoms of contact dermatitis include:

Red rash or bumps
Itching, which may be severe
Dry, cracked, scaly skin, if your condition is chronic
Blisters, draining fluid and crusting, if your reaction is severe
Swelling, burning or tenderness

The severity of the rash depends on:

How long you're exposed
The strength of the substance that caused the rash
Environmental factors, such as temperature, airflow and sweating from wearing gloves
Your genetic makeup, which can affect how you respond to certain substances

Key treatments for contact dermatitis include:

Avoiding the irritant or allergen.
Applying prescription steroid creams
Applying medications to repair the skin
Using oral medications