Eczema Diagnosis

The diagnosis of Atopic dermatitis is largely done on the basis of history and physical examination. For identifying a skin lesion as Atopic dermatitis at least 3 major features and 3 minor features should be present.

Major features:
  • Itching (that is severe at times)
  • Chronic and recurring (repeatedly occurring symptoms) .
  • Typical distribution of the Atopic dermatitis rash:
  • Infants and young children - Scalp, face (chin and cheeks) and extensor surfaces of extremities.
  • Older children and adults - Flexor surface of elbow and knee, neck, wrist and ankles.
  • Past/Family history of Atopic diseases like asthma, rhinitis, etc
Minor features:
  • Dryness of Skin
  • Thickening of palm skin with an increase in lines .
  • Dry, thick and scaly skin
  • Small and pointed rough bump
  • Elevated serum IgE (Immunoglobulin E) level
  • Facial pallor (around the mouth)
  • Food intolerance
  • Impaired immunity