Differential Diagnosis for Skin Conditions

Differential Diagnosis for Skin Conditions
In this Discussion, you will examine several visual representations of various skin conditions,
describe your observations, and use the techniques of differential diagnosis to determine the
most likely condition.


Just like any other part of the human organic system, diagnosis of different skin
conditions often involves a history, examination and additional tests of the skin. The more
the skin is visible to the naked eye, the easier it will be for the diagnosis to be made. This will
also allow the skin specialist to label the type of disease process being considered (LeBlond,
Brown, & DeGowin, 2009). Skin diagnosis will also involve the use of different visual clues
that include; individual lesion morphology, body color, site distribution, arrangement of
lesions and body scaling. At some point the recognition of the skin pattern may become
complex especially when the skin components are analyzed separately (Seidel, Ball, Dains,
Flynn, Solomon, & Stewart, 2011). Other factors that the skin specialist will also look at will
be the histopathology examination of skin biopsies and the causes. Most skin conditions rely
on the presence of a constellation of histopathological, immunopathological or clinical
genetic features. This is even common in diseases such as psoriasis.

Case analysis

The skin condition that has been illustrated in the picture attached is known as
Eczema. The most possible type of this skin condition atopic Eczema due to the fact that the
condition may have been caused by other underlying illnesses such as hay fever or asthma
(Seidel, Ball, Dains, Flynn, Solomon, & Stewart, 2011).
Graphic classification of the skin condition will look at the type of lesion being
treated. For example, if the skin condition has moist weeping lesions then wet dressing
changes or lotions will be of good help due to the fact that it will assist in drying up the

Differential Diagnosis for Skin Conditions 2

dermatitis as it provides for a cool and soothing relief. However if the graphic presents acute
exudative dermatoses, then bland treatment in liquid vehicles will be most recommended
(Dains, Baumann, & P.Scheibel, 2012). If the graph presents chronic psoriasis then a lot of
therapy involving creams and ointments will be vital to retaining native moisture and provide
relief to the pruritic and dry skin condition.
Atopic Eczema of this kind came about due to genetic defect in proteins that support
the epidermal barrier. During treatment, the patient will have to undergo a process that is
aimed at reducing pruritus and dermatitis from spreading, reduction of excerbations and also
reduce the risk of the whole therapy. Usually the treatment will be centered on the use of
topical anti-inflammatory moisturization of the skin (LeBlond, Brown, & DeGowin, 2009).
However, if the condition is more serious than the patient will require phototherapy.
Eczema skin condition is usually caused by various factors, however the most known
is the overactive response to the body immune system to an irritant which eventually causes
the skin condition. Also families that have a history of a person suffering from eczema are
most likely to contact the skin condition too. Other symptoms may include ‘flare-ups’ of an
itchy rash due to irritation of a certain substance. Other people contact the skin condition due
to the weather or being exposed to certain house hold products (LeBlond, Brown, &
DeGowin, 2009).


Up to this moment there is no cure for the eczema skin condition, however the disease
can be well managed through a proper medical treatment plan. The condition is not also
contagious meaning it cannot spread from one person to the other. In addition the person also
needs to stay away from irritating places as this could make it worse.

Differential Diagnosis for Skin Conditions 3


Dains, J., Baumann, L., & P.Scheibel. (2012). Advanced health assessment and clinical
diagnosis in primary care . St. Louis: MO: Mosby, Elsevier.
LeBlond, R., Brown, D., & DeGowin, R. (2009). DeGowin’s diagnostic examination (9th
ed.). New York, NY: McGraw Hill Medical.
Seidel, H., Ball, J., Dains, J., Flynn, J., Solomon, B., & Stewart, R. (2011). Mosby’s guide to
physical examination. St. Louis, MO.

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