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Auxiliary criteria (most common): the onset of the disease at an early age (up to 2 years); fungal and frequent purulent and herpetic skin lesions; positive reactions to allergen testing, increased blood levels of general and specific antibodies; drug and / and food allergy, occurring in an immediate or delayed (up to 2 days) type; Quincke's edema, recurrent rhinitis and/or conjunctivitis (80%).
Typical for adults are frequent recurrences of atopic dermatitis under the influence of many external factors, moderate and severe course.
The disease can gradually move into a more or less long-term remission, but almost always the skin tends to itching, excessive peeling and inflammation. Atopic dermatitis on the face in adults is localized in the periorbital zone, on the lips, in the region of the wings of the nose, eyebrows (with hair loss).
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In addition, the favorite localization of the disease is in the natural folds of the skin on the neck, on the back surface of the hands, feet, fingers and toes, and flexion surfaces in the joints. The main diagnostic criteria for skin manifestations of atopic dermatitis in adults: Severe itching in areas of sildenafil pills. Skin thickening. Dryness, peeling and weeping. Strengthening the picture. Papular rashes, eventually transforming into plaques. Detachment of significant limited areas of the skin (in the elderly).
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Skin lesions in atopic dermatitis are often complicated by lymphadenitis, especially inguinal, cervical and axillary, purulent folliculitis and furunculosis, skin lesions with herpes virus and papillomaviruses, fungal infection. Often develop blanching, softening and loosening of the lips with the formation of transverse cracks (cheilitis), conjunctivitis, periodontal disease and stomatitis, pallor of the skin in the eyelids, nose and lips (due to impaired capillary contractility), depression.
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