Differenzialdiagnose des atopischen Ekzems in der Kindheit

Abstract

Atopic eczema (AE) is a chronic inflammatory skin disease which affects 10 to 20% of children and 1 to 3% of adults. AE is usually diagnosed based on standard criteria such as those of Hanifin and Rajka, whereby the age-related variation must be considered. There are numerous other diseases which go along with AE or show a very similar clinical picture and represent important differential diagnostic considerations including parasitic diseases, immunodeficiency, nutritional diseases, certain neoplastic disorders and various corneal abnormalities. Additionally, it is important to consider diseases which can occur in association with AE, such as keratosis pilaris, alopecia areata or sweat disturbances.

S2k guideline on diagnosis and treatment of atopic dermatitis — short version

“…Particularly in infancy, seborrheic eczema must be distinguished from atopic dermatitis in the differential diagnosis when this is suggested by the history. Rarer differential diagnoses include scabies, psoriasis and syndromes and immune deficiency syndromes that can be associated with eczematous skin changes [ 11 ].…”