In atopic dermatitis, the skin is often dry with elevated hair follicles. This image displays a close-up of brown, scaly, elevated follicles typical of atopic dermatitis (eczema). This image displays atopic dermatitis (eczema) in the body folds of the back of the legs coupled with staph bacteria. In atopic dermatitis (eczema), chronic itch and associated rubbing of the skin leads to skin thickening and the increased prominence of normal skin markings, as displayed in this image. In atopic dermatitis (eczema), the rash often is seen as scaly bumps over each hair follicle. Inflammation around the hair follicles, giving a dotted appearance, is typical to follicular eczema. Atopic dermatitis (eczema) that has been present for an extended period of time begins to looks thickened and darker. This image displays atopic dermatitis (eczema) on the back of the legs with erosions from scratching. This image displays severe atopic dermatitis (eczema) on a child's eyelids. This image displays the typical scaly and slightly pink lesions of atopic dermatitis (eczema) in a teenager. Atopic dermatitis (eczema) typically involves the folds of the elbows and knees. When longstanding, the skin can be very thickened (lichenified) from chronic scratching.
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Eczema (Atopic Dermatitis)  Teen information

Picture of Eczema (Atopic Dermatitis): In atopic dermatitis, the skin is often dry with elevated hair follicles. Divider line
In atopic dermatitis, the skin is often dry with elevated hair follicles.
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Signs and Symptoms
The most common locations for eczema include the face, neck, in front of the elbows, behind the knees, and the arms and legs (extremities). Adults with eczema may notice the most irritation on the arms and legs, particularly in front of the elbows and behind the knees.
  • Thickened, scaly, pink to red bumps and patches of skin are seen in these areas.
    • Mild – few, scattered areas of involvement, which are easily treated with self-care measures
    • Moderate – more extensive involvement, which are more difficult to control with self-care measures and may require prescription therapy
    • Severe – diffuse involvement, which is difficult to treat even with prescription therapy
  • Some adults may have primarily chronic hand involvement.
  • Areas of involvement that become infected can develop thick crusts.
  • Blacks with eczema frequently have extensive accentuation of the hair follicles and shininess without obvious thickened, raised areas.
Last Modified: 31 Aug 2009