<\/span><\/h2>\nSecondary disseminated eczema is a acute<\/span>, generalized<\/span> eczema\/dermatitis<\/span> that arises in response to a previous located<\/span> inflammatory<\/span> Skin illness.<\/p>\nAlso called id reaction, autosensitization dermatitis and autoeczematization.<\/p>\n\n<\/span>Disseminated secondary eczema<\/span><\/h5>\n<\/section>\n\n\n
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Disseminated secondary eczema<\/p>\n
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Disseminated secondary eczema<\/p>\n<\/p><\/div>\n<\/section>\n
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<\/span>What causes secondary disseminated eczema?<\/span><\/h2>\nThe cause of secondary disseminated eczema is unknown. Theories have suggested that it is an immune response to some component of the skin and\/or to circulating infectious agents or cytokines<\/span> (messenger proteins).<\/p>\n\n
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<\/span>Who gets secondary disseminated eczema?<\/span><\/h2>\nSecondary disseminated eczema can occur in children and adults, but is most often diagnosed in the elderly with carelessness. primary<\/span> eruption<\/span> in the lower leg<\/p>\nThe most common types of eczema\/dermatitis that precede secondary disseminated eczema, an eczematide, are:<\/p>\n
\n- \nChronic<\/span> venous<\/span> eczema\n<\/li>\n
- Acute contact eczema\n<\/li>\n
- Acute or chronic discoid<\/span> eczema\n<\/li>\n<\/ul>\n
Infections that precede secondary disseminated eczema include:<\/p>\n
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Mushrooms infection<\/span>, for example, inflammatory tinea pedis or animal kerion: a dermatophytid\n<\/li>\n- \nBacterial<\/span> infection, for example, wound infection or thermal burn, a bacteria<\/li>\n
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Viral infection, e.g. Ex. Molluscum contagiosum\n<\/li>\n
- \nArthropod<\/span> infestation<\/span> p. e.g. scabies or lice: a pediculide<\/li>\n<\/ul>\n
<\/span>What are the clinical characteristics of secondary disseminated eczema?<\/span><\/h2>\nSecondary disseminated eczema presents as an acute, symmetrical<\/span>, acute generalized eczema. It tends to itch extremely, disturbing sleep.<\/p>\n\n- The forearms, legs, thighs, and trunk are commonly affected.<\/li>\n
- Appearance varies and includes blisters, bumps, scabs plates<\/span> (discoid eczema), follicular<\/span> papules<\/span>, morbilliform<\/span> eruption<\/span>, targettoid<\/span> lesions and pompholyx (blisters on palms and soles).<\/li>\n
- Occasionally, the patient may feel unwell with fever<\/span> and loss of appetite.<\/li>\n<\/ul>\n
Not-eczematous<\/span> identification reactions include erythema<\/span> noddy, sweet syndrome<\/span>, guttate psoriasis and blisters.<\/p>\n<\/span>How is secondary disseminated eczema diagnosed?<\/span><\/h2>\nThe clinical features of secondary disseminated eczema are characteristic. Finding the cause depends on taking a careful history of the initial site of a skin problem. Sometimes the patient does not associate a minor chronic rash with his current extended<\/span> and symptomatic rash.<\/p>\nAdditional investigations that may be considered include:<\/p>\n
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Dermoscopy of hair<\/span> Shafts for nits (lice) and burrows for scabies Mites<\/span>\n<\/li>\n- Swabs from crusty areas or pustules<\/span> for bacteriology<\/li>\n
- Scrapping of scaly<\/span> cancel<\/span> or hairless plates for mycology\n<\/li>\n
- Skin biopsy<\/span> from elementary school injury<\/span> and\/or secondary rash (histology<\/span> it is spongy<\/span> dermatitis)<\/li>\n
- Blood count in a sick patient<\/li>\n
- Reference for patch<\/span> tests, if there is suspicion of contact allergy<\/span>\n<\/li>\n<\/ul>\n
Patch testing should not be performed during the acute phase of secondary disseminated eczema, but can be planned in several months when it has resolved.<\/p>\n
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<\/span>What is the treatment for secondary disseminated eczema?<\/span><\/h2>\nThe primary rash should be treated vigorously. This may require systemic<\/span> therapy, p. e.g. antibiotics for bacterial or oral antifungals for confirmed dermatophytids.<\/p>\nSecondary eczema is often extensive and highly symptomatic. Treatment may involve:<\/p>\n
\n- Referral for specialist evaluation and treatment, including hospital admission.<\/li>\n
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Wet wraps or dressings for weeping eczematous plaques<\/li>\n
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Potassium permanganate 1:10,000 dips for localized exudation, infected areas<\/li>\n
- Powerful current<\/span> corticosteroid creams for 1-3 weeks<\/li>\n
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Systemic corticosteroids, for example prednisone or prednisolone for several weeks.<\/li>\n
- Oral sedative antihistamines at night<\/li>\n<\/ul>\n<\/section>","protected":false},"excerpt":{"rendered":"
Que es diseminado secundario eczema? El eccema secundario diseminado es un agudo, generalizado eczema\/dermatitis que surge en respuesta a un previo localizado inflamatorio enfermedad de la piel. Tambi\u00e9n se llama…<\/p>","protected":false},"author":8,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"categories":[204],"tags":[],"class_list":["post-7405","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/7405","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/comments?post=7405"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/7405\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/media?parent=7405"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/categories?post=7405"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/tags?post=7405"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}