In atopic dermatitis (eczema), the rash often has a pattern following the hair follicle. This image displays large, crusted lesions with erosions in a severe case of atopic dermatitis (eczema).  Atopic dermatitis (eczema) can have fine pink to red bumps and slightly elevated lesions. This image displays symmetric scaling, red, slightly elevated lesions typical of atopic dermatitis (eczema). This image displays scaling, dry, slightly elevated lesions typical of atopic dermatitis (eczema). This image displays small, separate bumps with red lesions (due to scratching) from atopic dermatitis (eczema). Atopic dermatitis (eczema) in patients with darker skin often has prominent, small bumps that join to form larger areas of dry, scaling skin. Atopic dermatitis (eczema) can involve the face and scattered body areas, as in this child. This image displays severe atopic dermatitis (eczema) on a child's eyelids.
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Picture of Eczema (Atopic Dermatitis): In atopic dermatitis (eczema), the rash often has a pattern following the hair follicle. Divider line
In atopic dermatitis (eczema), the rash often has a pattern following the hair follicle.
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Signs and Symptoms
The most common locations for eczema are, in general, the face, neck, in front of the elbows, behind the knees, and on the extremities. The first location in an infant is usually the cheek area.
  • Thickened, scaly, pink to red bumps (papules) and slightly elevated lesions (plaques) are seen in these areas.
    • Mild eczema – few, scattered areas of involvement, which are easily treated with self-care measures
    • Moderate eczema – more extensive involvement, which is more difficult to control with self-care measures and may require prescription therapy
    • Severe eczema – diffuse involvement, which is difficult to treat even with prescription therapy
  • Infants with eczema may have prominent involvement of the face, scalp, and the skin on the arms and legs overlying the elbows and knees.
  • Areas with superimposed infection can develop thick crusts.
  • Blacks frequently have extensive accentuation of the hair follicles and shininess without obvious thickened, raised areas.
Last Modified: 29 Jan 2008
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