Dermatology Online

Atopic dermatitis



Diagnostic criteria for Atopic Dermatitis*

*Hanifin and Rajka diagnostic schemes

At least 3 of:
Major Clinical Features


1-Itching/pruritus
2-Typical morphology and distribution.
3-Chronic or chronically relapsing dermatitis.
4-Personal or family history of atopy.

And at least 3 of:
Minor Clinical Features


1. Xerosis 2. Ichthyosis/palmar hyperlinearity/keratosis pilaris
3. Immediate (type I) skin test reactivity
4. Elevated serum IgE
5. Early age of onset
6. Tendency toward cutaneous infections/impaired cell-mediated immunity
7. Tendency toward nonspecific hand or foot dermatitis
8. Nipple eczema
9. Cheilitis
10. Recurrent conjunctivitis
11. Dennie-Morgan infraorbital fold
12. Keratoconus
13. Anterior subcapsular cataracts
14. Orbital darkening
15. Facial pallor/facial erythema
16. Pityriasis alba
17. Anterior neck folds
18. Itch when sweating
19. Intolerance to wool and lipid solvents
20. Perifollicular accentuation
21. [IgE-mediated] Food [allergy]
22. Course influenced by environmental/emotional factors
23. White dermographism/delayed Blanch
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