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Early diagnosis of infantile seborrheic dermatitis and atopic dermatitis clinical features

Early diagnosis of infantile seborrheic dermatitis and atopic dermatitis clinical features

British Journal of Dermatology 108(6): 633-638

In a prospective study of 37 infants presenting with dermatitis in early infancy, pruritus, a positive family history of atopy, and the age of onset of skin lesions were of little value in distinguishing atopic dermatitis from infantile seborrheic dermatitis. The most useful distinguishing features were the increased incidence of lesions on the forearms and shins in atopic dermatitis, and in the axillae in infantile seborrheic dermatitis. The onset of skin lesions solely in the napkin [diaper] area favored a diagnosis of infantile seborrheic dermatitis, but when more than 1 site was involved the distinction was less clear. Infantile seborrheic dermatitis carried a much better prognosis than atopic dermatitis. In 36/37 infants the definitive diagnosis could be made with confidence on clinical grounds by the age of 1 yr, but was often difficult at 1st presentation in early infancy.

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Accession: 005204849

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PMID: 6222751

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