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Dermatitis: Definition

Dermatitis is an inflammatory skin condition caused by external or internal factors. Acute dermatitis shows erythema, edema, vesicles and crusting, while chronic dermatitis displays hyperkeratosis and thickened skin. Dermatitis is classified as exogenous (contact, photodermatitis) or endogenous (atopic, seborrheic). Treatment involves homeopathic remedies like Graphites for moist, fissured eruptions, Arsenicum Album for burning/itching dry skin, and Sulphur for erythematous rashes aggravated by washing.

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Suhas Ingale
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366 views

Dermatitis: Definition

Dermatitis is an inflammatory skin condition caused by external or internal factors. Acute dermatitis shows erythema, edema, vesicles and crusting, while chronic dermatitis displays hyperkeratosis and thickened skin. Dermatitis is classified as exogenous (contact, photodermatitis) or endogenous (atopic, seborrheic). Treatment involves homeopathic remedies like Graphites for moist, fissured eruptions, Arsenicum Album for burning/itching dry skin, and Sulphur for erythematous rashes aggravated by washing.

Uploaded by

Suhas Ingale
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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DERMATITIS

Definition :
Dermatitis is defined as a series of inflammatory changes in the
skin induced by external or internal or internal ( constitutive)
factors.
Morphological features :
Acute stage : Erythema, oedema, papules, vesicles,oozing &
crusting.
Subacute stage : Scaling, Lichenification, fissuring and
hyperpigmentation .
Histologically :
Determatitis reaction may be acute, subacute or chronic
Acute determatitis is charactrised by considerable spongiosis
( interacellular oedema ) that may lead to formation of
intraepidermal vesicles or bullas.
Chronic dermatitis shows hyperkeratosis with elongation of the
rete ridges and broadened dermal papillae.
A combination of those two patterns is seen in the subacute stage.
Classification :
A ] Exogenous Dermatitis
i. Contact dermatitis
ii. Photollergic dermatitis
iii. Photocontact dermatitis
iv. Infectious Dermatitistoid
B] Endogenous Dermatitis :
i. Atopic dermatitis
ii. Seborrhoec dermatitis
iii. Discoid eczma
iv. Pompholyx
v. Stasis dermatitis
vi. Lichen Simplex
A] Exogenous Dermatitis :
i. Irritant contact dermatitis :
It occurs as a result of the skin coming in contact with irritants
which cause an altered state of sensation (burning, stinging) and
some morphologic changes.
eg. : Cleansers, soaps, detergents, organic solvents etc.
ii. Allergic contact dermatitis :
It is a disorder of the skin resulting from a delayed
hypersensitivity reaction mediated by T-lymphocytes against
certain chemicals causing sensitization on coming in contact with
the skin
iii. Photoallergy and phototoxity :
For Photoallergy and Phototoxity reactions an interaction
between the chemical and solar radiation is required.
B] Endogenous Dermatitis :
i. Atopic Dermatitis :
It is a chronic relapsing pruritic skin disorder of unknown
aetiology, associated with personal & or family history of atopy
& a typical distribution and morphology.
It is characterised by itchy lichenified lesion in the cubital of
popliteal fossae, sides of the neck, wrist and ankles.
ii. Seborrhoeic determatitis :
It is a chronic dermatitis with a typical distribution in the areas
with a rich supply of sebaceous glands & erythematous
papulosquamous lesions with greasy scales.
iii. Discoid or nummular Dermatitis :
It is characterised by pruritic circular or oval lesions with closely
set papulovesicles on an erythematous base.
iv. Pompholyx :
Type of vesicular Dermatitis with chronic & recurrent lesions
affecting palms, soals & sides of fingers .Lesions are deep seated,
sago like vesicles which are intensly pruritic.
v. Stasis dermatitis :
It occurs in middle – aged or elderly patients around the ankles as
a result of venous hypertension.
vi. Lichen Simplex Chronicus :
Termed nuerodermatitis, lichen simplex chronicus is caused by a
vicious circle involving an itch – scratch – itch response.

 Homoeopathic Approach to Dermatitis


1] Graphites :
- Indicated for Dermatitis of lids, eruption moist and
fissured.
- Lids red and margins covered with scales or crusts.
- Unhealthy skin
- Erruptions oozes a watery, transparent, sticky fluid.
2] Arsenicum Album :
- It is the best remedy for the chronic form of Dermatitis
with the great burning and itching.
- Skin dry and scaly, cold blue and wrinkled with cold,
clammy perspiration like parchment, white and pasty, black
vesicles and burning pain
3] Sulphur :
- Well indicated for Dermatitis erythematosam
- Complaints are aggravated from washing
- With scratching makes the parts burn intensely.
- Dryness and heat of scalp.
- Eruptions at the margin of hair.
- Intense itching especially at night.
4] Petroleum :
- Petroleum pictures pure Dermatitis with its thick, scabs,
oozing pus and rhagades. The skin is harsh and dry, the
finger toes crack and the hands chap.
- It is especially suitable to Dermatitis behinds the ears.
5] Vinca minor :
- Dermatitis of scalp and face matted hair and offensive
odour.
- A crust is formed, the discharge is retained underneath and
causes the hair to fall out or to mat together, forming the
plica polonica.

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