ABSTRACT
The interrelation between eczematous dermatoses and sensitive skin is complex and can be discussed from various perspectives. This chapter discusses the pathomechanism, clinical features, diagnosis, and management of sensitive skin and eczematous dermatoses. The most common type of eczematous dermatitis is atopic dermatitis (AD). Other common eczematous dermatoses are allergic contact dermatitis (ACD), irritant contact dermatitis (ICD), and seborrheic dermatitis (SD). Principles of treatment of eczematous dermatoses include general skin care, patient education about avoidance of irritants, skin hydration, and the use of topical corticosteroids as and when necessary. The main pathophysiological changes are skin barrier disruption, epidermal cellular changes, and cytokine release. The eczematous skin of ACD is more susceptible to various environmental influences, such as chemical or mechanical irritation, climatic conditions, and skin care products. Some in vivo tests similar to patch tests are in use for the detection of sensitive skin.
