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Table 1. Main clinical signs of atopic dermatitis. skin itching; typical morphology and location of the rash; tendency to chronic relapsing course; personal or family history of atopic disease; white dermographism Concomitant diseases and complications. Other manifestations of atopy, such as respiratory allergy, are found in most patients with atopic dermatitis. Cases of a combination of respiratory allergy with atopic dermatitis are distinguished as skin-respiratory syndrome, atopic major syndrome, etc.
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From a clinical point of view, pyoderma is of the greatest importance. More than 90% of patients with atopic dermatitis have skin contamination with Staphylococcus aureus, and its density is most pronounced in the localization of lesions. Pyoderma is usually represented by pustules localized in the limbs and trunk. In childhood, pyococcal infection can manifest itself in the form of otitis media and sinusitis.
keflex Drug allergies, reactions to insect bites and stings, food allergies, and urticaria are the most common symptoms in patients with AD. Skin infections. Patients with atopic dermatitis are prone to infectious skin diseases: pyoderma, viral and fungal infections. This feature reflects the immunodeficiency characteristic of patients with atopic dermatitis.
Patients with atopic dermatitis, regardless of the severity of the process, are prone to be affected by a viral infection, more often by the herpes simplex virus. In rare cases, a generalized "herpetiform eczema" (Kaposi's varioliform rash) develops, reflecting a lack of cellular immunity.
The diagnosis of "atopic dermatitis" in typical cases does not present significant difficulties (see Table 1). In addition to the main diagnostic signs of atopic dermatitis, additional signs are of great help in the diagnosis, which include the above-described skin status of an asymptomatic atopic patient (xerosis, ichthyosis, hyperlinearity of cephalexin, cheilitis, seizures, Keratosis pilaris, Pityriasis alba, pallor of the skin of the face, periorbital darkening and etc.), eye complications and a tendency to infectious skin diseases.
