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Head‐and‐neck dermatitis: Diagnostic difficulties and management pearls
Author(s) -
Maarouf Melody,
Saberian Chantal,
Lio Peter A.,
Shi Vivian Y.
Publication year - 2018
Publication title -
pediatric dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 73
eISSN - 1525-1470
pISSN - 0736-8046
DOI - 10.1111/pde.13642
Subject(s) - medicine , dermatology , atopic dermatitis , rosacea , head and neck , irritation , surgery , acne , immunology
Head‐and‐neck dermatitis is a variant of atopic dermatitis ( AD ) often seen in children and is challenging to diagnose, as it frequently overlaps with other eczematous dermatoses. Successful head‐and‐neck dermatitis ( HND ) treatment requires identification of common triggers and clinical mimickers, such as airborne dermatitis, periorificial dermatitis, and steroid‐induced rosacea. Head‐and‐neck involvement negatively impacts quality of life and is often harder to treat than other body parts , as long‐term topical corticosteroid use carries higher risks for skin atrophy on the face. Heating and flushing associated with HND further exacerbate the itch‐and‐scratch‐cycle and disrupt sleep. We aim to address diagnostic gaps, identify clinical mimickers, and share clinical pearls in managing HND , including cooling pillows, thermal water sprays, rice starch paper facial masks, and tips to minimize food and saliva‐induced facial irritation.