| History |
- Duration of current symptoms
- Prior history of atopic dermatitis
- Last flare, regions of body usually affected
- Current medications for AD
- Prescribed, OTC, herbal, natural
- Routine skin care
- Bathing, shampoo, lotions, detergents
- Exposures, environment
- Pet dander, new environment, season change, etc.
- Sleep disturbance, behavioral changes
- History of
- Skin infections
- Allergies (food, seasonal, other environmental)
- Asthma
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| Physical Exam |
- Total skin examination
- General Findings
- Keratosis pilaris on the upper arms, thighs and cheeks
- Hyperlinear palms
- Darkening around eyes or scaling
- Lesions
- Note color, size, shape, texture, location
- Distribution of lesions
- Infants, toddlers: cheeks, extensor surfaces
- Older children: flexural creases
- Severity
- Mild: pink lesions with thin scale
- Moderate: thicker, more scale, skin may be darker in these areas, often widespread
- Severe: lichenified lesions, often on neck, wrists, ankles
Child may look red head to toe
- Sign of infection
- Crusting, scaling, weeping, erythema, increased pain
- Systemic symptoms
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