Asteatotic eczema
The medical term which talks about a type of eczema is known as Xerotic, as well as Asteatotic eczema. We can see this type of Asteatotic skin disorder mainly in the older generations. This skin disease makes the skin drier. When there is the elevation in the intensity of the dryness, the skin starts to crack. Normally people who have less oil- secreting glands in their skin areas, like lower legs, suffer from Asteatotic eczema. This is particularly common in the winter when older people spend most of the day indoors in low humidity. This skin disease causes difficulties such as pain from burning, and irritation in the skin parts which are very dried out, split and spotty. If we consider the clinical depiction of this disease, we can see the skin which is extremely dried out and dull looking. It also has a certain scaly texture to some extent. In some cases, we can see the prototype of cracks which are very shallow, and there is a high incidence of the cracks on the outer layer. These cracks of possibly come with erythema, oozing and crusting. A gentle xerosis is asymptomatic, whilst burning of the skin and severity may be present in more apparent injuries.
The shins can be affected by this type of eczema. However, injury may also take place on the body parts like arms, thighs and torso. As far as a diagnosis of this disease is concerned, a lot of focus is based around the case history of the patient, the clinical portrayal, and elimination of any other possible diseases.
You can diagnose this condition using several techniques. The diagnosis of this disease is separate from the diagnosis of Atopic dermatitis, Stasis dermatitis, allergic contact dermatitis, scabies and nummular eczema.
First described by Brocq in 1907, using the term eczema craquelé also known as the asteatotic dermatitis which can be identified by irregular scaling, dry & cracked skin, as well as polygonally fissured skin. It most commonly occurs on the shins of elderly patients, but it may occur on the hands and the trunk.
Domonkos described this form of dermatitis as being similar to the appearance of cracked porcelain, in 1971. This pattern of cracks may resemble the cracks in a pavement to anyone who views them. Caplan figured out that as the skin loses water, fissures and superficial bleeding can occur, along with intermittent splits that can be profound enough to disrupt papillary dermal capillaries. The irritation is caused by asymmetric leg edema. Eczema that exhibits lichenification can occasionally be worsened if the patient scratches the area.
The eruption can either be localised or generalised. The widespread form of asteatosis is an unusual feature that provokes a search for other related ailments. Guillet had set the localised variety into four different types: Asteatotic eczema of the lower extremities in elderly persons secondary to ageing, dehydrated skin, and malnutrition. Cracked erythema,secondary to touching an irritant, with dermatitis from soaps or detergents. Eczema craquelé in areas in which corticosteroid treatment was stopped asteatotic eczema in neurological disorders.
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