FootEczema

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   Diagnosing Eczema

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   Currently, there is no test to diagnose atopic dermatitis and no single symptom or feature used to identify the disease. Each patient experiences a unique combination of symptoms, and the symptoms and severity of the disease may vary over time. The doctor will base his or her diagnosis on the symptoms the patient experiences and may need to see the patient several times to make an accurate diagnosis. It is important for the doctor to rule out other diseases and conditions that might cause skin irritation. In some cases, the family doctor or pediatrician may refer the patient to a dermatologist or allergist (allergy specialist) for further evaluation.

   Several tools help the doctor better understand a patient’s symptoms and their possible causes. The most valuable diagnostic tool is a thorough medical history, which provides important clues. The doctor may ask about family history of allergic disease; whether the patient also has diseases such as hay fever or asthma; and about exposure to irritants, sleep disturbances, any foods that seem to be related to skin flares, previous treatments for skin-related symptoms, use of steroids, and the effect of symptoms on schoolwork, career, or social life. Sometimes it is necessary to do a biopsy of the skin or patch testing to see if the skin immune system overreacts to certain chemicals or preservatives in skin creams. A preliminary diagnosis of atopic dermatitis can be made if the patient has three or more features from each of two categories: major features and minor features. Some of these features are listed in the box below.

Last updated 03/31/2007 16:16 PM