Seborrhoic Dermatitis versus Atopic Dermatitis in Newborns - USMLE Forums
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Old 04-10-2011
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Skin Seborrhoic Dermatitis versus Atopic Dermatitis in Newborns

Hello,

I'm struggling to differentiate
seborrheic dermatitis
from atopic dermatitis in newborn baby!

Any tips?

Thanks in advance

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seborrheic dermatitis has waxy and adherent scaling patches that does not spare diaper,but atopic dermatitis spares diaper and hasnt waxy,adherent scaling.insted it has intensive pruritis...
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Old 04-10-2011
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Hi TA, I found the following article to be helpful: http://www.aafp.org/afp/2008/0101/p47.html

If you scroll down, there is a table on how to differentiate the two.

A couple of point to note:

*Seborrheic dermatitis classically presents over the scalp and is commonly know as "cradle cap."

*Seborrheic dermatitis is usually seen in the first month, where as atopic dermatitis is seen after three months of age.
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Thanks both

Very useful!
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Seborrheic dermatitis





Atopic dermatitis


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Default Seb dermatitis S.D, atopic dermatits AD

S.D & A.D are both endogenous eczema. S.D basically occur in the presence of the sebum. so S.D occurrence age is from birth to few months till mothers androgen support baby's body and after that it will reoccur in ado lances. In neonate it is present as a entity of cradle cap, it is basically umbrella term that shelters 3 diseases S.D,Psoriasis & Atopic dermatitis. major areas of SD is scalp, on face( forehead, nose, retroauricular, eyelashes), it could also involve napkin area of baby. if S.D is spread all over the body is known as Linear's diseases.
In Adult SD cant involve napkin area otherwise all ares same. SD is also a strong predictor of HIV means Linear's diseases ,mostly occur in AIDS


Atopic Dermatits is basically very wide term. basic defect is in this inc level of IgE antibodies occur. It is included in the endogenous eczema. it can occur in all ages. its clinical features starts after 3 months when maternal antibodies level start dec.. in AD type1 type of allergy is very high
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