Approach to atopic dermatitis in children by the Family Physician

Authors

  • Alysson Quitério Guilherme Universidade José do Rosário Vellano (UNIFENAS). Belo Horizonte, MG
  • Bárbara Couto Carvalho Universidade José do Rosário Vellano (UNIFENAS). Belo Horizonte, MG
  • Bernarlli Pinto Diniz Universidade José do Rosário Vellano (UNIFENAS). Belo Horizonte, MG
  • Bianca Ferreira Bianco Universidade José do Rosário Vellano (UNIFENAS). Belo Horizonte, MG
  • Talita Granero de Andrade Universidade José do Rosário Vellano (UNIFENAS). Belo Horizonte, MG
  • Liubiana Arantes Araújo Universidade Federal de Ouro Preto (UFOP). Ouro Preto, MG

DOI:

https://doi.org/10.5712/rbmfc9(31)846

Keywords:

Dermatitis, Atopic, Child, Clinical Diagnosis, Histamine Antagonists, Drug Therapy

Abstract

Atopic dermatitis (AD) is a chronic and inflammatory disease that affects the skin of children in their early stages of life. Its aetiology remains little understood, but it is known that there is a dysfunction of the skin barrier, which facilitates the penetration of allergens/irritants into the epidermis, causing an inflammatory response with a predominance of Th2 response relative to Th1. The diagnosis is clinical and may be associated with previous and family medical history of atopies such as rhinitis and asthma. AD manifests itself through eczematous, pruritic injuries with the presence of erythema, papules, vesicles, and scales. The main differential diagnoses of AD are seborrheic dermatitis, contact dermatitis, psoriasis and scabies. The treatment is based on the education of patients and their families, plus the control of pruritus with antihistamines and of inflammation with corticosteroids or calcineurin inhibitors. Given the high prevalence and impact of AD on the quality of life of paediatric patients, early diagnosis and an individualized approach are paramount.

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Author Biographies

Alysson Quitério Guilherme, Universidade José do Rosário Vellano (UNIFENAS). Belo Horizonte, MG

Departamento de Pesquisa da Universidade José do Rosário Vellano - UNIFENAS/BH

Bárbara Couto Carvalho, Universidade José do Rosário Vellano (UNIFENAS). Belo Horizonte, MG

Departamento de Pesquisa da Universidade José do Rosário Vellano - UNIFENAS/BH

Bernarlli Pinto Diniz, Universidade José do Rosário Vellano (UNIFENAS). Belo Horizonte, MG

Departamento de Pesquisa da Universidade José do Rosário Vellano - UNIFENAS/BH

Bianca Ferreira Bianco, Universidade José do Rosário Vellano (UNIFENAS). Belo Horizonte, MG

Departamento de Pesquisa da Universidade José do Rosário Vellano - UNIFENAS/BH

Talita Granero de Andrade, Universidade José do Rosário Vellano (UNIFENAS). Belo Horizonte, MG

Departamento de Pesquisa da Universidade José do Rosário Vellano - UNIFENAS/BH

Liubiana Arantes Araújo, Universidade Federal de Ouro Preto (UFOP). Ouro Preto, MG

Departamento de pediatria e pesquisa clínica

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Published

2014-05-03

How to Cite

1.
Guilherme AQ, Carvalho BC, Diniz BP, Bianco BF, Andrade TG de, Araújo LA. Approach to atopic dermatitis in children by the Family Physician. Rev Bras Med Fam Comunidade [Internet]. 2014 May 3 [cited 2024 Dec. 24];9(31):159-68. Available from: https://rbmfc.org.br/rbmfc/article/view/846

Issue

Section

Clinical Reviews

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