Atopic dermatitis--more than a simple skin disorder.
OBJECTIVE
To describe atopic dermatitis (AD) in relation to a case study, the diagnostic criteria, complications, prevalence, future implications, and management for the primary care provider.


METHODS
Extensive literature review on the condition, supplemented with an actual case study.


CONCLUSIONS
Although there are many scientific studies done on AD, the exact pathogenesis and cure for this condition are still to be discovered. It is usually chronic and has some fatal sequelae in those who have been exposed to viral infections. Asthma, allergic rhinitis (AR), and AD are considered the atopic triad. Further studies that may help improve medical providers' understanding of AD are going on and offer hope to those afflicted by this disorder.


CONCLUSIONS
Children over 5 years old may have outgrown their symptoms, so it is best to diagnose this condition at an early age to provide better management outcomes. Because it is part of an atopic triad, the nurse practitioner must think beyond the presenting skin condition to consider possible respiratory system conditions. AD may herald the onset of asthma and AR.
MeritCare Health System, Fargo, ND, USA. miriam.anderson@meritcare.com
Miriam Lim
ML
Anderson
D002675:Child, Preschool; D003876:Dermatitis, Atopic / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology / Q000628:therapy; D003937:Diagnosis, Differential; D006801:Humans; D015994:Incidence; D008297:Male; D008487:Medical History Taking; D009722:Nurse Practitioners; D024802:Nurse's Role; D010290:Parents / Q000193:education / Q000523:psychology; D010353:Patient Education as Topic; D010808:Physical Examination; D015995:Prevalence; D011320:Primary Health Care / Q000379:methods*; D011379:Prognosis; D012017:Referral and Consultation; D012307:Risk Factors; D017592:Skin Care / Q000379:methods / Q000451:nursing