Differential Diagnosis > Morphology > Reaction Patterns > Eczematous

Eczematous

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A reaction pattern that exists “in between” the vesico-bullous and papulosquamous reaction pattern

•acute = vesicles
•subacute = papulosquamous
•chronic = lichenified

 

"Eczema" and "dermatitis" are synonyms. They are broad terms and the only meaning they imply is that the histology is "spongiotic", therefore it is always better to give a diagnosis of a specific type of eczema.  Use the following mnemonic to try to assign a specific diagnosis.

 

CANDID SCALES (mnemonic)

•Contact dermatitis
•Atopic dermatitis
•Nummular eczema
•Dishydrotic eczema
•Id reaction
•Drug (usually not eczematous, but possible)

 

 

•Seborrheic dermatitis
•CTCL
•Asteatotic eczema
•Lichen simplex chronicus
•Eczematoid (infectious;  e.g. pus dripping from the ear causing an eczematous reaction)
•Stasis dermatitis

 

•extended ddx:  actinic prurigo (photo-distributed),  autoimmune progesterone dermatitis