Atopic dermatitis may appear different in adults. The skin is often more dry and thickened than in children. Commonly adults have persistent localized eczema, possibly confined to the hands, eyelids, joints or all of these areas. Recurrent staphylococcal infections may be a concern.

In more mature, skin poor circulation can often lead to dry skin and dermatitis conditions particularly in the lower legs.

Irritant or allergic contact dermatitis is much more common in adults then children. Certain occupations such as farming, hairdressing, domestic or industrial cleaning may expose the skin to various irritants that can aggravate the skin

This most often affects hands that are frequently exposed to irritants such as detergents or solvents. Hand dermatitis in adult atopics tends to be dry and thickened but may also be blistered.

Treatment

• Reduction of exposure to trigger factors (where possible)
• Emollient creams such as exederm intensive moisture cream
• Topical steroids such as exederm flare control cream