Rashes Approach to diagnosis A skin rash generally poses more problems in

diagnosis than a single, well defined skin lesion such as a wart or tumour. As in all
branches of medicine a reasonable diagnosis is more likely to be reached by
thinking firstly in terms of broad diagnostic categories rather than specific
conditions. There may have been previous episodes because it is a constitutional
condition, such as atopic eczema. In the case of contact dermatitis, regular
exposure to a causative agent leads to recurrences that fit with the times of
exposure and this is usually apparent from the history. Endogenous conditions such
as psoriasis can appear in adults who have had no previous episodes. If there is no
family history and several members of the household are affected, a contagious
condition, such as scabies, should be considered. A common condition with a
familial tendency, such as atopic eczema, may affect several family members at
different times. A simplistic approach to rashes is to clarify them as being from
inside or outside. Examples of inside or endogenous rashes are atopic eczema
or drug rashes, whereas fungal infection or contact dermatitis are outside rashes.
Symmetry Most endogenous rashes affect both sides of the body, as in the atopic
child or a man with psoriasis on his knees. Of course, not all exogenous rashes are
asymmetrical. A seamstress who uses scissors in her right hand may develop an
allergy to metal in this one hand, but a hairdresser or nurse can develop contact
dermatitis on both hands
Pendekatan terhadap diagnosis. Sebuah lesi kulit umumnya mempunyai lebih
banyak masalah dalam diagnosis daripada sendiri, lesi kulit seperti