DESCRIPTION OF MINOR CRITERIA
6. Hand/foot dermatitis
This is a recurring or persistent localization of dermatitis to the
wrists, palms, or fingers of the hand, or the soles of the feet. It can
be exacerbated by contact with offending allergens, e.g., soaps,
solvents, or metals for the hands, dyes for the feet. It is usually
associated with atopy and xerosis. One form, called "winter feet,"
usually affects older children and has a clinical picture of painful,
mildly erythematous, dry scaling and fissuring of the sole, particularly
the toes and ball, of the foot.
7. Nipple eczema
When seen in AD patients, this is usually a chronic bilateral condition
characterized by a moist patch of dermatitis localized to the nipple and
areola area. It responds to glucocorticoid treatment. It is important
because the appearance can mimic Paget's disease of the nipple, a
serious condition which is usually unilateral and associated with a
small but chronic discharge, and indicative of an underlying ductal
carcinoma of the mammary gland. Paget's does not respond to
corticosteroid therapy.
8. Conjunctivitis
The recurring irritation seen in the skin is often reflected in the
eyes.
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