Dermatitis Atrophic Spotted Chronic

Chronic atrophic macular dermatitis (dermatitis atrophica maculosa chronica) is a chronic inflammatory skin disease characterized by the formation of atrophic, spotty changes on the surface of the skin. This condition usually appears as patches of varying sizes and shapes that may be red, purple, or brown.

Chronic atrophic macular dermatitis usually develops on certain areas of the skin, such as the arms, legs, back or abdomen. This disease can be caused by a variety of factors, including genetic predisposition, autoimmune disorders, skin damage, or chronic inflammatory response.

The main symptoms of chronic macular dermatitis are skin atrophy, changes in its texture and color, dryness, peeling and itching. The spots may have jagged edges and vary in size from a few millimeters to several centimeters. In some cases, they may become more noticeable when the skin is exposed to sunlight.

The diagnosis of chronic atrophic macular dermatitis is usually based on clinical examination of the skin and the patient's medical history. Additional tests, such as a skin biopsy, may be performed to confirm the diagnosis and rule out other possible causes of patchy skin changes.

Treatment of chronic atrophic macular dermatitis is aimed at relieving symptoms and controlling the inflammatory process. This may include applying topical anti-inflammatory creams or ointments, using moisturizers to soften and hydrate the skin, and using sunscreen to protect against exposure to ultraviolet rays.

Severe or persistent cases of chronic atrophic macular dermatitis may require systemic treatment, including oral anti-inflammatory drugs or immune system-regulating drugs. It is also important to avoid irritants or substances that may worsen symptoms, such as harsh detergents, chemicals, or heat irritants.

Overall, chronic macular dermatitis is a chronic condition that requires long-term management and skin care. Regularly following your doctor's recommendations and using appropriate skin care products can help reduce symptoms and prevent flare-ups. If you suspect chronic atrophic macular dermatitis, it is important to consult a dermatologist to receive an accurate diagnosis and develop an individual treatment plan.

Chronic dermatitis atrophic macular (DAM) is a chronic skin disease manifested by symmetrical patches that occur due to atrophy or necrosis of the stratum corneum. They appear mainly on the extensor surfaces of the limbs, less often on the torso.

Historical information The disease is named based on the combination of the appearance of the rash and the results of a biopsy from skin manifestations of the skin disease, namely when the skin of the lower parts of the body and external genitalia is affected, and was later also called pemphigoid dermatopathy. Burkard (1887) called it Koebner's disease, associating it with an exacerbation of the tuberculosis process (fomites). Klebs (1905) suggested that the non-atrophic form of the disease is observed in indolent lupus erythematosus, Hilgers suggested the presence of a tuberculotic process at the heart of this disease (Hilgers, 1911). Levy suggested calling the disease atrophic pemphigum dermatopapaea (Levy, 1938). Griess (1941, 586) and Schnitzler (1952) identified a monomorphic form of the disease affecting only the lower extremities. The etiological factor began to be considered early lung disease (formerly tuberculosis). Siebel (1966, 709) substantiated the occurrence of lesions of the legs in pressure zones (Morton zones), and also proposed an “island” picture of focality, but for the first time proposed the concept of the existence of one of the forms of skin disease, which is based on various viral pathogens. Jansen (2002) expressed the opinion that the course of the disease