@entity11529 revisited: history of XXXX and response to topical corticosteroids.

@entity11529 @entity1 @entity1908
@entity11529 ( @entity11529 ) is a condition of young @entity1 characterized by recurrent episodes of pruritic vesicles and pustules in an acral distribution. Several reports describe @entity1 with @entity1908 prior to the diagnosis of @entity11529 , although the relationship between the two remains unclear. Furthermore, optimal therapy is controversial. We reviewed the history of @entity1908 and response to therapy in 21 @entity1 diagnosed with @entity11529 at two institutions between 1983 and 1997. A history of prior treatment for @entity1908 was noted in 14 @entity1 , although only two had mites, feces, or ova detected on microscopic examination for diagnostic verification. All @entity1 were treated with topical corticosteroids (4 with class I, 12 with class II, 3 with class III, 1 with class IV, and 1 with class VI). All 18 @entity1 who returned for follow-up experienced significant improvement or cleared completely with treatment. There were no observed cutaneous or systemic side effects from corticosteroid therapy. We conclude that a history of preceding @entity1908 is common in @entity1 with @entity11529 , but often this diagnosis is made without microscopic confirmation. We also demonstrate that mid- to high-potency topical corticosteroids are a safe and effective first-line therapy for @entity1 with @entity11529 .
