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Atopic Eczema — MRCGP AKT MCQ

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HardDermatology / PaediatricsAtopic EczemaMRCGP AKTUKMLAPARA

A 10-month-old has symmetrical itchy erythematous patches on the cheeks and extensor limbs, with a history of dry skin. Which diagnosis is most likely?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: C — Infantile atopic eczema

The best answer is “Infantile atopic eczema”. Infantile atopic eczema commonly affects the cheeks and extensor surfaces and is intensely itchy against a background of dry skin. Seborrhoeic dermatitis is greasier and often less itchy, while scabies usually affects contacts and characteristic sites. The alternatives may apply in related presentations, but they require different eligibility criteria, a different care setting, or clinical features not present here.

Reference: NICE CG57: Atopic eczema in under 12s: https://www.nice.org.uk/guidance/cg57/chapter/Recommendations