Fig. 6.1 Distribution patterns of atopic dermatitis in infancy. Courtesy, Julie V Schaffer, MD. From Bolognia JL, Schaffer JV, Duncan KO, Ko CJ. Dermatology Essentials, 1e. Philadelphia: Saunders, 2014, with permission.
Fig. 6.2 Atopic dermatitis, infancy. Acute lesions involving the lower cheek. Courtesy, Julie V Schaffer, MD. From Bolognia JL, Schaffer JV, Duncan KO, Ko CJ. Dermatology Essentials, 1e. Philadelphia: Saunders, 2014, with permission.
Childhood:
Distribution – favors flexural surfaces (see Fig. 4.18 ; Fig. 6.3 )
Fig. 6.3 Atopic dermatitis, childhood. Acute to subacute lesions in the popliteal fossa. Courtesy, Julie V Schaffer, MD. From Bolognia JL, Schaffer JV, Duncan KO, Ko CJ. Dermatology Essentials, 1e. Philadelphia: Saunders, 2014, with permission.
Atopic Dermatitis Clues:
Keratosis pilaris, xerosis, ichthyosis, pityriasis alba – see Chapter 4
Seborrheic Dermatitis, Infant
Moist, scaly plaques involving the folds (see Fig. 2.14C ; Fig. 6.4 )
Fig. 6.4 Infantile seborrheic dermatitis. Moist, ill-defined plaques favoring the body folds but also involving other sites in this case. Courtesy, Robert Hartman, MD. From Bolognia JL, Schaffer JV, Duncan KO, Ko CJ. Dermatology Essentials, 1e. Philadelphia: Saunders, 2014, with permission.
Seborrheic Dermatitis, Adult
Predilection for the scalp, posterior ears, central face, upper chest and back
Variably colored papules and plaques with flaking and/or greasy scale ( Fig. 6.5 )
Fig. 6.5 Seborrheic dermatitis, adult. A Erythema and flaky white scale behind the ear. B Purplish papules and plaques in a typical distribution over the central face. C Parakeratosis adjacent to follicles with intercellular edema (spongiosis). A, Courtesy, Norbert Reider, MD and Peter O Fritsch, MD; B, Courtesy, Jeffrey P Callen, MD. A,B, From Bolognia JL, Schaffer JV, Duncan KO, Ko CJ. Dermatology Essentials, 1e. Philadelphia: Saunders, 2014, with permission.
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