Remissions

The clinical picture is shown usually at early children's age (on 2-3rd month of a life or a little bit later). Disease can proceed long years, being characterised by remissions basically in summer and relapses in autumn the periods of year.
Allocate some phases of development of process: infantile (till 3 years), a nursery (from 3 till 7 years), and (8 years also are more senior). According to this age Cipro 120 pills dynamics note some features in a clinical picture and localisation of lesions of the skin, however a leading constant symptom always there is an intensive, constant or paroxysmal itch of a skin.
In infantile and children's phases focal is erythematic-squamous rashes with predilection to an exudation with formation of vesicles and sites on a face skin, breeches, extremities that can correspond to eczematous process (a constitutional eczema) are observed. Further in and phases is erythematic-lichenoid rashes of is weak-pink colour with the tendency to a locating on surfaces of extremities and formation in ulnar folds, popliteal hollows, on a neck of zones and papular infiltration of a skin as a diffusive neurodermite dominate. Dryness, pallor with an earthy shade of an integument (hypocorticoidism), a white proof dermographism are characteristic.
The skin lesion can be localised, extended and universal (erythrosis). In a typical case the skin lesion is expressed on the person where are available symmetrically located not eritematozno-skvamoznye the centres with indistinct contours mainly in periorbital area, buy 120 pills Amoxil in a zone a triangle, round a mouth.
Eyelids are hydropic is expressed periorbital , labiums dry with fine cracks, in mouth angles - perleches (an atonic cheilitis). On a neck skin. Breasts, backs, mainly surfaces of extremities are available plural () elements of acyanotically pink colour, the part from them has pruriginous character (papules are covered in the central zone by a hemorrhagic punctual crust) against irregularly located focal erythema. In the field of lateral surfaces of a neck, ulnar folds, radiocarpal joints, popliteal hollows papular infiltration of a skin and is expressed: a skin rasping is congestive-red colour, with a dermal drawing.
In the lesion centres cracks are expressed an ecdysis, to an excoriation. In serious cases process differs persistence, the centres grasp the big areas, arising also on back of brushes, feet, anticnemions and other zones, the generalised lesion in the form of an erythrosis with augmentation of peripheric lymph nodes, subfebrile temperature and other general symptoms develops.
The Atopichesky dermatitis often becomes complicated and a virus infection, is combined with a vulgar fish-skin disease of various degree of expression. At patients the cataract (a syndrome Andogsky) can early develop. At patients a dermatitis and their relatives tap various other allergic diseases (a bronchial asthma, a pollinosis, etc.). : in a false skin the acanthosis, a parakeratosis, a hyperkeratosis is expressed, weakly expressed spongiosas.
In a derma - a trichangiectasia, round cialis drug online vessels of a papillary layer - infiltrates from lymphocytes. Laboratory researches allow to tap a characteristic pathology for an atonic dermatitis and include clinical analyses of blood and urine and a profile, an immunogram, research of a microflora of an intestine and enzymatic activity of a gastroenteric tract, feces research on eggs of worms amebas, and other helminthiases, research of function of a thyroid gland, adrenals, a liver, a pancreas.
The diagnosis is based on a clinical picture, anamnesis data (diseases, lives, family) and results of inspection of the patient.