Paeds Vivas · allergy-and-immunology
Atopic dermatitis and the atopic march — viva
Branching clinical structured oral on the assessment, barrier-and-Th2 pathophysiology and stepwise management of an infant with atopic dermatitis and the atopic march.
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Target exams
Opening (2 minutes)
The candidate should recognise the classic picture of infantile atopic dermatitis in a child with a strong atopic family history, apply the UK Working Party diagnostic criteria, and commit to excluding alternative diagnoses. The intensely itchy rash on the cheeks, scalp and extensor surfaces, the nocturnal scratching and sleep disturbance, the sparing of the nappy area, and the bilateral parental atopy together make atopic dermatitis the leading diagnosis. [1]
You have read the opening of this viva. The complete unit — every section and its primary-source references — is part of the Paediatrics Fellowship fellowship atlas.
References3Show ledgerHide ledger
- [1]Williams HC Clinical practice. Atopic dermatitis. N Engl J Med, 2005.PMID 15930422
- [3]Palmer CN, Irvine AD, Terron-Kwiatkowski A Common loss-of-function variants of the epidermal barrier protein filaggrin are a major predisposing factor for atopic dermatitis. Nat Genet, 2006.PMID 16550169
- [6]Sidbury R, Alikhan A, Bercovitch L Executive summary: American Academy of Dermatology guidelines of care for the management of atopic dermatitis in adults with topical therapies. J Am Acad Dermatol, 2023.PMID 36623556