Table 1.
A proposed systematics of skin diseases from the spectrum of dermatitis and eczema (SoDE).
Etiopathology Classes | Examples of Clinical Diagnoses 1 |
---|---|
No known/detectable triggers | Intrinsic atopic dermatitis (endogenous eczema) |
Triggered by exogenous factors without the involvement of specific hypersensitivity | Irritant contact dermatitis Winter dermatitis (hand, foot, and generalized) Microtrauma dermatitis Friction dermatitis Phototoxic dermatitis Radiodermatitis (radiation dermatitis) Seborrheic dermatitis |
Triggered by exogenous factors with the involvement of specific immunological hypersensitivity | Extrinsic atopic dermatitis (exogenous eczema) Allergic contact dermatitis SDRIFE/SRACD 2 Photoallergic dermatitis Protein contact dermatitis |
Autoimmune reactions | Autoimmune dermatitis, including: Autoimmune progesterone dermatitis Autoimmune estrogen dermatitis |
Homeostatic imbalance | Stasis dermatitis Deficiency dermatitis |
1 Some clinical diagnoses may overlap, while others may be divided between classes because of their heterogeneity. 2 SDRIFE (symmetric drug-related intertriginous and flexural exanthema) and SRACD (systemic reactivation of allergic contact dermatitis) are both variants of ACD in which haptens enter the body through a non-cutaneous route (ingestion, inhalation, or injection) and are further distributed via blood circulation into the skin where they ultimately cause an allergic reaction [17,20,21].