{"id":1673,"date":"2020-02-26T10:04:36","date_gmt":"2020-02-26T09:04:36","guid":{"rendered":"http:\/\/www.atopika.org\/diagnosis-atopic-dermatitis\/"},"modified":"2020-04-23T16:59:42","modified_gmt":"2020-04-23T15:59:42","slug":"diagnosis-atopic-dermatitis","status":"publish","type":"page","link":"https:\/\/www.atopika.org\/en\/atopic-dermatitis\/diagnosis-atopic-dermatitis\/","title":{"rendered":"Diagnosis atopic dermatitis"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"1673\" class=\"elementor elementor-1673 elementor-104\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-47d10e81 elementor-section-stretched elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"47d10e81\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-692121a8\" data-id=\"692121a8\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-58e7dd9 elementor-widget elementor-widget-template\" data-id=\"58e7dd9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"template.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-template\">\n\t\t\t\t\t<div data-elementor-type=\"section\" data-elementor-id=\"645\" class=\"elementor elementor-645\" data-elementor-post-type=\"elementor_library\">\n\t\t\t<div class=\"elementor-element elementor-element-4b12155 e-flex e-con-boxed e-con e-parent\" data-id=\"4b12155\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section data-dce-background-image-url=\"https:\/\/www.atopika.org\/wp-content\/uploads\/2020\/03\/ikona_diagnoza_2.svg\" class=\"elementor-section elementor-top-section elementor-element elementor-element-5faf4c16 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5faf4c16\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-30dceafc\" data-id=\"30dceafc\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6c2e8efa elementor-widget elementor-widget-text-editor\" data-id=\"6c2e8efa\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div>\n<div>\n<p>The diagnosis of atopic dermatitis can be made by a GP, a paediatrician and\/or a dermatologist.\u00a0 The main symptom of the condition is the severely itchy skin accompanied by the following symptoms:<\/p>\n<ul>\n<li>Dry, pale and inflamed skin.<\/li>\n<li>Typical distribution of the inflammatory hotspots on the body. In the severe cases, the inflammation can cover the entire surface of the skin.<\/li>\n<li>A chronic course: the illness goes into remission but flares up again periodically.<\/li>\n<li>Family history of atopy.<\/li>\n<li>White dermographism (a local skin reaction in the form of a white stripe that becomes visible on the skin after stroking with a finger or a blunt objects), the Dennie-Morgan fold (a fold in the skin below the lower eyelid) and orbital darkening, dark circles around the eyes caused by hyperpigmentation after an inflammation.<sup>6<\/sup><\/li>\n<\/ul>\n<\/div>\n<\/div>\n<p>It\u2019s not easy to be diagnosed with atopic dermatitis because the \u201cskin\u201d condition is one of the severest of its kind. There are different criteria used for making the diagnosis. The internationally most recognised are the ones put forward by Jon Hanifin and Georg Rajka in 1980. The patient with atopic dermatitis must have 3 basic and 3 minor features associated with the condition.<sup>5,13,23<\/sup><\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c353cc5 elementor-widget elementor-widget-heading\" data-id=\"c353cc5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-heading-title elementor-size-default\">Table: The Hanifin and Rajka diagnostic criteria for atopic dermatitis.<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-faf59a7 elementor-widget elementor-widget-jet-table\" data-id=\"faf59a7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"jet-table.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-jet-table jet-elements\">\n\t\t<div class=\"jet-table-wrapper jet-table-responsive-mobile\">\n\t\t\t<table class=\"jet-table jet-table--fa5-compat\">\n\t\t\t\t<thead class=\"jet-table__head\"><tr class=\"jet-table__head-row\"><th class=\"jet-table__cell elementor-repeater-item-2cca1b0 jet-table__head-cell\" scope=\"col\"><div class=\"jet-table__cell-inner\"><div class=\"jet-table__cell-content\"><div class=\"jet-table__cell-text\">Basic features:<\/div><\/div><\/div><\/th><th class=\"jet-table__cell elementor-repeater-item-b8215ed jet-table__head-cell\" scope=\"col\"><div class=\"jet-table__cell-inner\"><div class=\"jet-table__cell-content\"><div class=\"jet-table__cell-text\">Minor features:<\/div><\/div><\/div><\/th><\/tr><\/thead>\n\t\t\t\t\t\t\t\t<tbody class=\"jet-table__body\"><tr class=\"jet-table__body-row elementor-repeater-item-a5aacd9\"><td class=\"jet-table__cell elementor-repeater-item-8318dbe jet-table__body-cell\"><div class=\"jet-table__cell-inner\"><div class=\"jet-table__cell-content\"><div class=\"jet-table__cell-text\"><li>Itchy skin<\/li><li>Typical morphology and distribution of the skin changes<\/li><li>Chronic or chronically relapsing dermatitis<\/li><li>Personal or family history of atopy<\/li><\/div><\/div><\/div><\/td><td class=\"jet-table__cell elementor-repeater-item-1eb2d67 jet-table__body-cell\"><div class=\"jet-table__cell-inner\"><div class=\"jet-table__cell-content\"><div class=\"jet-table__cell-text\"><li>Dry skin.<\/li><li>Cracked skin below the ear lobes.<\/li><li>Ichthyosis.<\/li><li>The Dennie-Morgan fold.<\/li><li>Elevated levels of serum IgE antibodies.<\/li><li>Early age of onset.<\/li><li>Tendency towards secondary skin infections.<\/li><li>Itchy skin when sweating. <\/li><li>Intolerance to wool and food.<\/li><li>White dermographism.<\/li><li>Positive skin prick tests for food and\/or inhaled allergens. <\/li><li>Worsening of the condition in the presence of stress.<\/li><li>Hand and foot dermatitis. <\/li><li>Orbital darkening.<\/li><\/div><\/div><\/div><\/td><\/tr><\/tbody>\n\t\t\t<\/table>\n\t\t<\/div>\n\n\t\t<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5e8fe80 elementor-widget elementor-widget-text-editor\" data-id=\"5e8fe80\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>The Hanifin and Rajka criteria suggest that atopic dermatitis may not manifest itself as itchy skin (only 3 major features are necessary for the diagnosis), but it is exactly this symptom as well as the typical distribution of eczema that are the hallmarks of the condition and should never be neglected.<sup>8,12<\/sup> For this reason, other criteria that focus on itchy skin as the primary symptom, such as the criteria of the British Association of Dermatologist<sup>5<\/sup> and the Japanese Dermatological Association,<sup>12<\/sup> should also be considered when making the diagnosis.<\/p>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"alignnone size-full wp-image-707\" src=\"https:\/\/www.atopika.org\/wp-content\/uploads\/2020\/03\/ad_srbenje.jpg\" alt=\"\" width=\"500\" height=\"333\" \/><\/p>\n<p>After receiving the diagnosis, patients must also undergo <em>in vitro<\/em> (the serum IgE antibody levels test and other tests) and <em>in vivo <\/em>(PRICK, PATCH, provocation and other tests) diagnostic procedures and have their family history examined for the presence of atopic conditions.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-263b0e2f elementor-hidden-tablet elementor-hidden-phone\" data-id=\"263b0e2f\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-733d0dde elementor-widget elementor-widget-template\" data-id=\"733d0dde\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;sticky&quot;:&quot;top&quot;,&quot;sticky_offset&quot;:120,&quot;sticky_parent&quot;:&quot;yes&quot;,&quot;sticky_on&quot;:[&quot;desktop&quot;,&quot;tablet&quot;,&quot;mobile&quot;],&quot;sticky_effects_offset&quot;:0,&quot;sticky_anchor_link_offset&quot;:0}\" data-widget_type=\"template.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-template\">\n\t\t\t\t\t<div data-elementor-type=\"section\" data-elementor-id=\"635\" class=\"elementor elementor-635\" data-elementor-post-type=\"elementor_library\">\n\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-f97f3ae elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"f97f3ae\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-898de85\" data-id=\"898de85\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c0c0816 elementor-widget elementor-widget-nav-menu\" data-id=\"c0c0816\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;layout&quot;:&quot;dropdown&quot;,&quot;submenu_icon&quot;:{&quot;value&quot;:&quot;&lt;i aria-hidden=\\&quot;true\\&quot; class=\\&quot;\\&quot;&gt;&lt;\\\/i&gt;&quot;,&quot;library&quot;:&quot;&quot;}}\" data-widget_type=\"nav-menu.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t<nav class=\"elementor-nav-menu--dropdown elementor-nav-menu__container\" aria-hidden=\"true\">\n\t\t\t\t<ul id=\"menu-2-c0c0816\" class=\"elementor-nav-menu\"><li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-2773\"><a href=\"https:\/\/www.atopika.org\/en\/atopic-dermatitis\/the-history-of-atopic-dermatitis\/\" class=\"elementor-item menu-link\" tabindex=\"-1\">History<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-2774\"><a href=\"https:\/\/www.atopika.org\/en\/atopic-dermatitis\/what-is-atopic-dermatitis\/\" class=\"elementor-item menu-link\" tabindex=\"-1\">About AD<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-2775\"><a href=\"https:\/\/www.atopika.org\/en\/atopic-dermatitis\/atopic-dermatitis-triggers\/\" class=\"elementor-item menu-link\" tabindex=\"-1\">Triggers<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-2776\"><a href=\"https:\/\/www.atopika.org\/en\/atopic-dermatitis\/diagnosis-atopic-dermatitis\/\" class=\"elementor-item menu-link\" tabindex=\"-1\">Diagnosis<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-2777\"><a href=\"https:\/\/www.atopika.org\/en\/atopic-dermatitis\/treatment-for-atopic-dermatitis\/\" class=\"elementor-item menu-link\" tabindex=\"-1\">Treatment<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-2778\"><a href=\"https:\/\/www.atopika.org\/en\/atopic-dermatitis\/mental-health-problems\/\" class=\"elementor-item menu-link\" tabindex=\"-1\">Mental health problems<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-2779\"><a href=\"https:\/\/www.atopika.org\/en\/atopic-dermatitis\/red-skin-syndrome\/\" class=\"elementor-item menu-link\" tabindex=\"-1\">Red skin syndrome<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-2780\"><a href=\"https:\/\/www.atopika.org\/en\/atopic-dermatitis\/atopic-dermatitis-research\/\" class=\"elementor-item menu-link\" tabindex=\"-1\">Research<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-2781\"><a href=\"https:\/\/www.atopika.org\/en\/atopic-dermatitis\/frequently-asked-questions\/\" class=\"elementor-item menu-link\" tabindex=\"-1\">FAQ<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-2782\"><a href=\"https:\/\/www.atopika.org\/en\/atopic-dermatitis\/references\/\" class=\"elementor-item menu-link\" tabindex=\"-1\">References<\/a><\/li>\n<\/ul>\t\t\t<\/nav>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>The diagnosis of atopic dermatitis can be made by a GP, a paediatrician and\/or a dermatologist.\u00a0 The main symptom of the condition is the severely itchy skin accompanied by the following symptoms: Dry, pale and inflamed skin. Typical distribution of the inflammatory hotspots on the body. In the severe cases, the inflammation can cover the [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"parent":2473,"menu_order":4,"comment_status":"closed","ping_status":"closed","template":"","meta":{"site-sidebar-layout":"no-sidebar","site-content-layout":"page-builder","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-1673","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Diagnosis atopic dermatitis - Atopika<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.atopika.org\/en\/atopic-dermatitis\/diagnosis-atopic-dermatitis\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Diagnosis atopic dermatitis - Atopika\" \/>\n<meta property=\"og:description\" content=\"The diagnosis of atopic dermatitis can be made by a GP, a paediatrician and\/or a dermatologist.\u00a0 The main symptom of the condition is the severely itchy skin accompanied by the following symptoms: Dry, pale and inflamed skin. 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