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Monday, April 27, 2015

About atopic eczema

Atopic Eczema

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It is a prolonged skin disorder (chronic) consisting of itchy, scaly rash.

Other forms of eczema include:

Contact Dermatitis
Nummular eczema
Seborrheic dermatitis

About atopic eczema


Atopic dermatitis is caused by a reaction (similar to an allergy) in the skin, which leads to swelling and redness continuous. People with atopic dermatitis may be more sensitive because their skin lacks certain proteins.

Atopic dermatitis is more common in infants and can begin even now at the age of 2-6 months. Many people outgrow it by early adulthood.
Atopic dermatitis in an infant

People with atopic dermatitis often have asthma or seasonal allergies. Often there is a history of allergic conditions such as asthma, allergic rhinitis or eczema. People with atopic dermatitis often test positive skin tests for allergies; However, this dermatitis is not caused by allergies.

The following factors can worsen the symptoms of atopic dermatitis:

Allergies to pollen, mold, dust mites or animals
Cold, dry air in the winter
Colds or flu
Contact with irritants and chemicals
Contact with rough materials like wool
Dry skin
Emotional distress
Dry skin to take many baths or showers or swimming very often
Chilled or overheated, like rapid changes in temperature
Perfumes or dyes added to lotions or skin soaps

Know more about atopic eczema Treatment 


The skin changes may include:

Blisters that ooze and crust.
 Dry skin all over the body or skin areas with bumps on the back of the arms and front        of the thighs.
Discharge or bleeding from the ear.
Areas of skin raw from scratching.
Changes in skin color: more or less coloring than the normal tone of it.
Redness or swelling of the skin around the blisters.
Thick or leathery, areas called lichenification, which can occur after prolonged scratching or irritation.

Atopic dermatitis legs

Both the type of rash appears as a place where they can rely on the patient's age:

In children under 2, skin lesions begin on the face, scalp, hands and feet. Often it is an itchy rash that is exudative, frothy or form crusts.
In older children and adults, the rash is more commonly seen on the inside of the knees and elbows, as well as the neck, hands and feet.
During an intense outbreak, rashes may occur anywhere on the body.

Intense itching is common and can begin even before the rash appears. Atopic dermatitis is often called "itchy rash that occurs" because the itching begins and then the rash or rash appears as a result of scratching.
Exams and Tests

The doctor will examine you and look at your skin. A physical examination performed. You may need a skin biopsy to confirm the diagnosis and rule out other causes of dry and itchy skin.

The diagnosis is based on:

The way you look skin
Personal and family history

Allergy skin testing may be helpful for people with:

Difficult to treat atopic dermatitis
Other symptoms of allergies
Eruption (rash) on the skin that form in certain areas of the body only after exposure to a specific chemical



Daily skin care can reduce the need for medications.
Atopic dermatitis

Avoid scratching the rash or skin:

Use a moisturizer, topical steroid cream or other medication prescribed by the doctor.
Take antihistamines to reduce severe itching.
Keep nails well trimmed. Use soft to sleep if nighttime scratching is a problem gloves.

Keep the skin moist (called lubricating or moisturizing the skin). Use ointments (such as petroleum jelly), creams or lotions 2 to 3 times a day. Choose skin care products that are free of alcohol, scents, dyes, fragrances or other chemicals. A humidifier in the home will also serve.

Avoid factors that worsen the symptoms, including:

Foods that may cause an allergic reaction, such as eggs in very young children (always talk to your doctor).
Irritants such as wool and lanolin.
Strong soaps or detergents, as well as chemicals and solvents.
Sudden changes in body temperature and stress, which can cause sweating.
Triggers that cause allergy symptoms.

When washing or bathing:

Skin exposed to water for the shortest time possible. Short, cooler baths are better than long, hot baths.
Use gentle cleansers and body instead of the regular soaps bathrooms.
Do not scrub or dry the skin too hard or for too long.
Apply lubricating creams, lotions or ointments on the skin after a bath while wet. This will help trap moisture in the skin.


At this time, no allergy shots to treat atopic dermatitis are used.

Antihistamines taken by mouth may help with itching or allergies. Often, you can buy without a prescription.

Most causes of atopic dermatitis are treated with medications that are applied directly to the skin or scalp (called topical medicines):

At first, you will probably be prescribed a cortisone cream or ointment (or steroid) soft. If this fails, you may need a stronger steroid medicine.
Medicines called topical immunomodulators (TIMs) may be prescribed to anyone over two years old. TIMs include tacrolimus (Protopic) and pimecrolimus (Elidel). Ask your doctor about concerns over a possible cancer risk from the use of these drugs.
You can use creams or ointments that contain coal tar or anthralin for thickened areas.
They can use protective creams containing ceramides.

Treatment of moisture conservation with topical corticosteroids may help control the condition, but can lead to an infection is present.

Other medications that may be used include:

Antibiotic creams or pills if the skin becomes infected.
Drugs that suppress the immune system such as cyclosporine, methotrexate or mycophenolate mofetil.
Phototherapy, a medical treatment in which your skin is carefully exposed to ultraviolet light (UV).
Use of systemic steroids for a short time.

Expectations (prognosis)

Atopic dermatitis is a chronic condition, but you can control it with treatment, by avoiding irritants, and by keeping skin well moisturized.

In children, it often begins to disappear around the age of 5-6 years, but relapses are often present. In adults, the problem is usually a prolonged or recurring condition.

Atopic dermatitis may be more difficult to control if:

Begins at an early age.
Committed a large part of the body.
It occurs with asthma and allergic rhinitis.
It occurs in someone with a family history of eczema.


Skin infections caused by bacteria, fungi or viruses
Permanent scars
Side effects of prolonged use of drugs to control eczema

Call your health care provider

Call your doctor if:

Atopic dermatitis does not improve with home care.
Symptoms worsen or treatment is not working.
Signs of infection (such as fever, redness or pain).


Children who are breastfed until the age of four months are less likely to have atopic dermatitis.

If the child is breastfed, the use of an infant formula containing cow's milk protein (called partially hydrolyzed infant formula) may decrease the chances of developing atopic dermatitis.



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