Late-onset atopic dermatitis with nummular pattern
Background: Adults with atopic dermatitis have had a persistent form in childhood or with an onset after the age of eighteen years. Late-onset atopic dermatitis may present with clinical heterogeneity and it often lacks the classic pattern of flexural dermatitis. Clinical case: A 26-year-old man wi...
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Colegio Mexicano de Inmunología Clínica y Alergia, A.C.
2019-11-01
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doaj-5617ffec9682411aa3a3f9ff7f6294ad2020-11-25T02:05:09ZspaColegio Mexicano de Inmunología Clínica y Alergia, A.C.Revista Alergia México0002-51512448-91902019-11-0166448348710.29262/ram.v66i4.552442Late-onset atopic dermatitis with nummular patternEvelia Pautt-Lara0Laura Cala-Castro1Olga Harris2Ana Luiza Villarinho3Instituto de Ciências da Saúde Izamar Milidiú da Silva, Servicio de Dermatologia, Río de JaneiroInstituto de Ciências da Saúde Izamar Milidiú da Silva, Servicio de Dermatologia, Río de JaneiroInstituto de Ciências da Saúde Izamar Milidiú da Silva, Servicio de Dermatologia, Río de JaneiroFundação Oswaldo Cruz, Centro de Estudos da Saúde do Trabalhador e Ecologia Humana/ Escola Nacional de Saúde Pública, Dermatologia Ocupacional, Río de JaneiroBackground: Adults with atopic dermatitis have had a persistent form in childhood or with an onset after the age of eighteen years. Late-onset atopic dermatitis may present with clinical heterogeneity and it often lacks the classic pattern of flexural dermatitis. Clinical case: A 26-year-old man with allergic rhinitis, with late-onset eczema, and an atypical nummular pattern on his trunk and limbs. The skin biopsy showed eczema-like lesions which, together with the patient’s personal history and laboratory abnormalities, allowed the diagnosis of the adult’s late-onset atopic dermatitis. Treatment with methotrexate was started and there was no response, which is why phototherapy was prescribed due to the dependence on systemic corticosteroids. Conclusion: Atypical presentations of atopic dermatitis in adults represent a clinical challenge. A personal history of atopy, sensitivity to aeroallergens, eosinophilia, and a cutaneous biopsy are essential to establish the diagnosis.http://revistaalergia.mx/ojs/index.php/ram/article/view/552dermatitis atópicaheterogeneidad clínicadermatitis flexuraladultos |
collection |
DOAJ |
language |
Spanish |
format |
Article |
sources |
DOAJ |
author |
Evelia Pautt-Lara Laura Cala-Castro Olga Harris Ana Luiza Villarinho |
spellingShingle |
Evelia Pautt-Lara Laura Cala-Castro Olga Harris Ana Luiza Villarinho Late-onset atopic dermatitis with nummular pattern Revista Alergia México dermatitis atópica heterogeneidad clínica dermatitis flexural adultos |
author_facet |
Evelia Pautt-Lara Laura Cala-Castro Olga Harris Ana Luiza Villarinho |
author_sort |
Evelia Pautt-Lara |
title |
Late-onset atopic dermatitis with nummular pattern |
title_short |
Late-onset atopic dermatitis with nummular pattern |
title_full |
Late-onset atopic dermatitis with nummular pattern |
title_fullStr |
Late-onset atopic dermatitis with nummular pattern |
title_full_unstemmed |
Late-onset atopic dermatitis with nummular pattern |
title_sort |
late-onset atopic dermatitis with nummular pattern |
publisher |
Colegio Mexicano de Inmunología Clínica y Alergia, A.C. |
series |
Revista Alergia México |
issn |
0002-5151 2448-9190 |
publishDate |
2019-11-01 |
description |
Background: Adults with atopic dermatitis have had a persistent form in childhood or with an onset after the age of eighteen years. Late-onset atopic dermatitis may present with clinical heterogeneity and it often lacks the classic pattern of flexural dermatitis.
Clinical case: A 26-year-old man with allergic rhinitis, with late-onset eczema, and an atypical nummular pattern on his trunk and limbs. The skin biopsy showed eczema-like lesions which, together with the patient’s personal history and laboratory abnormalities, allowed the diagnosis of the adult’s late-onset atopic dermatitis. Treatment with methotrexate was started and there was no response, which is why phototherapy was prescribed due to the dependence on systemic corticosteroids.
Conclusion: Atypical presentations of atopic dermatitis in adults represent a clinical challenge. A personal history of atopy, sensitivity to aeroallergens, eosinophilia, and a cutaneous biopsy are essential to establish the diagnosis. |
topic |
dermatitis atópica heterogeneidad clínica dermatitis flexural adultos |
url |
http://revistaalergia.mx/ojs/index.php/ram/article/view/552 |
work_keys_str_mv |
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