Head-and-neck dermatitis: Diagnostic difficulties and management pearls.

Abstract:

:Head-and-neck dermatitis is a variant of atopic dermatitis (AD) often seen in children and is challenging to diagnose, as it frequently overlaps with other eczematous dermatoses. Successful head-and-neck dermatitis (HND) treatment requires identification of common triggers and clinical mimickers, such as airborne dermatitis, periorificial dermatitis, and steroid-induced rosacea. Head-and-neck involvement negatively impacts quality of life and is often harder to treat than other body parts, as long-term topical corticosteroid use carries higher risks for skin atrophy on the face. Heating and flushing associated with HND further exacerbate the itch-and-scratch-cycle and disrupt sleep. We aim to address diagnostic gaps, identify clinical mimickers, and share clinical pearls in managing HND, including cooling pillows, thermal water sprays, rice starch paper facial masks, and tips to minimize food and saliva-induced facial irritation.

journal_name

Pediatr Dermatol

journal_title

Pediatric dermatology

authors

Maarouf M,Saberian C,Lio PA,Shi VY

doi

10.1111/pde.13642

subject

Has Abstract

pub_date

2018-11-01 00:00:00

pages

748-753

issue

6

eissn

0736-8046

issn

1525-1470

journal_volume

35

pub_type

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