What Is Eczema? (Series 1)
Kristin Blake, MOM, LAc +1

What Is Atopic Dermatitis?

One of the earliest and most used diagnostic criteria for AD is the Hanifin and Rjaka criteria:[16]

Major criteria (must have 3)

  1. Pruritus
  2. Dermatitis affecting flexural surfaces in adults or face and extensor surfaces in infants
  3. Chronic or relapsing dermatitis
  4. Personal or family history of skin or respiratory allergy

Minor criteria (must have 3)

  1. Facial features: pallor, erythema, hypopigmented patches, infraorbital darkening, cheilitis, infraorbital fold (Dennie Morgan lines), recurrent conjunctivitis, anterior neck folds
  2. Triggers: emotional, environmental, food, skin irritants
  3. Complications: susceptibility to skin infections, impaired cell-mediated immunity, predisposition to keratoconus and anterior subscapular cataracts, immediate skin reactivity
  4. Others: early age of onset, dry skin, ichthyosis, hyperlinear palms, keratosis pilaris, hand and foot dermatitis, nipple eczema, white dermatographism, perifollicular accentuation

Additional grading criteria for AD clinical severity and symptom severity include

  • SCORAD (Scoring atopic dermatitis)[17]
  • EASI (Eczema area and severity index)[18]
  • PO-SCORAD (Patient-oriented SCORAD)[19]
  • POEM (Patient-oriented eczema measure)[20]
  • Itch Severity Scale[21]

 

In 2004, the American Academy of Dermatology came out with their own consensus guidelines for the diagnosis of AD.[22] These guidelines are overall comparable.

Faculty

Kristin Blake
Kristin Blake
MOM, LAc

Kristin is currently a medical student at the University of Wisconsin School of Medicine and Public Health. Prior to going back to school, Kristin received her Master of Oriental Medicine degree and trained as a birth doula in Minneapolis. She then worked in private practice as a licensed acupuncturist and Chinese medicine practitioner. She has been involved in research on the antimicrobial properties of Chinese herbs and she looks forward to being back in practice with a larger toolbox of treatments available for her patients. Kristin is passionate about patient education and hopes to help patients transform their health using ancient wisdom that is supported and informed by modern knowledge of science and medicine.  www.kblake.com

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User: Vivian Shi
Vivian Shi
MD

Dr. Vivian Shi, MD is an Associate Professor of the Department of Dermatology at the University of Arkansas for Medical Sciences (UAMS), where she directs the Eczema Clinic and Hidradenitis Suppurativa Clinic.

Dr. Shi received her undergraduate degree in physiological sciences from UCLA, and
subsequently spent a year performing research on gene regulation in pathogenic bacteria in the department of microbiology at UCLA. She learned her medical degree from the University of Illinois at Chicago. During that time, she also completed a fellowship in the Skin Immunology Laboratory. She was an integral part of the team characterizing the pathophysiology of atopic dermatitis. She then completed her internship in Internal Medicine at the University of Chicago – NorthShore Health System, followed by a dermatology residency at the University of California, Davis, where she also served as chief resident.

Dr. Shi’s research and clinical interests are in complex inflammatory skin conditions (such atopic dermatitis, hidradenitis suppurativa, and psoriasis), skin barrier repair, transepidermal drug delivery, and integrative dermatology. She has served as the principal investigator for numerous industry-sponsored and investigator-initiated clinical and translational studies. She has published over 150 peer-reviewed articles and is the editor for two reference dermatology textbooks on atopic dermatitis and hidradenitis suppurativa. She is on the Board of Directors for the Hidradenitis Suppurativa Foundation, advisory board of the National Eczema Association, and is a member of the International Eczema Council.

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Editors

User: Raja Sivamani
Raja Sivamani
MD MS AP

Dr. Raja Sivamani is a board-certified dermatologist and practices as an integrative dermatologist at Pacific Skin Institute. He is an Adjunct Associate Professor of Clinical Dermatology at the University of California, Davis and Director of Clinical Research and the Clinical Trials Unit.He is also an Adjunct Assistant Professor in the Department of Biological Sciences at the California State University, Sacramento and an Associate Professor of Dermatology at California Northstate University, College of Medicine.He engages in clinical practice as well as both clinical and translational research that integrates bioengineering, nutrition, cosmetics, and skin biology. With training in both Allopathic and Ayurvedic medicine, he takes an integrative approach to his patients and in his research.He has published over 100 peer-reviewed research manuscripts, 10 textbook chapters, and a textbook entitled Cosmeceuticals and Active Cosmetics, 3rd Edition with a passion for expanding the evidence and boundaries of integrative medicine for skin care.

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