1st Edition

An Atlas of Atopic Eczema

By Lionel Fry Copyright 2004

    Atopic eczema is the most common and persistent dermatological condition seen in general practice. Over the last few years, advances have been made in the genetics of atopy in general, newer treatments have been introduced for topical use, and new concepts suggested in the etiology. Thus, a new text on atopic eczema is both timely and useful. Written by one of the world's most distinguished dermatologists, An Atlas of Atopic Eczema provides full coverage of this skin disorder, including new information on calcineurin inhibitors and their therapeutic options. Extensively illustrated in color, the atlas explores topics such as genetics, etiology, pathogenesis, prognosis, clinical features, differential diagnosis, relationships to other types of eczema, and treatment. The author lifts the veil of confusion and helps physicians stay on top of the challenge the increased incidence of eczemas present.

    Foreword
    Preface
    DEFINITIONS
    Dermatitis versus Eczema
    Atopic
    Infantile Eczema

    EPIDEMIOLOGY
    Place of Domicile
    Incidence of Atopic Eczema Related to Age
    Increasing Incidence of Atopic Eczema

    NATURAL HISTORY

    GENETICS
    Family Studies
    Twin Studies
    Human Lymphocyte Antigen System
    Genome Screens
    Maternal Effect
    Summary

    PATHOGENESIS
    Histology
    Findings in the Blood
    Immunopathogenesis
    Inflammatory Cells
    Immunoglobulin E
    Summary

    ETIOLOGY
    Genetics: Possible Candidate Genes
    Abnormal Skin Barrier
    Allergens
    Aeroallergens
    Autoantigens
    Bacteria
    Fungi
    Environmental Pollution
    Hygiene Hypothesis
    Pharmacological and Vascular Abnormalities
    Emotional Factors
    Neuropeptides
    Summary

    CLINICAL FEATURES
    Age of Onset
    Sex
    Clinical Features of Eczema per se
    Age-related Features
    Non-age-related Features
    Atopic Eczema at Specific Sites
    Other Eczematous Skin Disorders in Atopic Individuals
    Non-eczematous Cutaneous Features of Atopy
    Other Disorders Associated with Atopic Eczema
    Infections

    DIFFERENTIAL DIAGNOSIS
    Other Eczematous Conditions
    Syndromes with Eczematous Eruptions
    Non-eczema Disorders

    MANAGEMENT
    Emollients
    Bathing
    Clothing
    Climate
    Diet
    Breast-feeding
    Delayed Introduction of Solid Foods
    Avoidance of Food Antigens in Pregnancy
    Probiotics
    Aeroallergens
    Animals
    Psychotherapeutic Measures
    Investigations
    Topical Drugs
    Antistaphylococcal Treatment
    Antiviral Treatment
    Antifungal Treatment
    Ultraviolet Light
    Systemic Treatment
    Biological Agents
    The Future
    References
    Index

    Biography

    Fry, Lionel

    "In this slim but focused book, Professor Lionel Fry has captured all we need to know about eczema. …replete with diagrams, helpful reminders in illustrative form, and plenty of pictures of the many expressions of eczema. The teachings of the renowned Professor Fry are delightfully presented in both word and illustration."
    -From the Foreword by Charles N. Ellis, MD, University of Michigan