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Atopic Dermatitis

Atopic dermatitis is a disease that affects the skin. The word "atopic" means there is a tendency for excess inflammation in the skin and linings of the nose and lungs. It cannot be passed from one person to another. It is very common in children but may occur at any age. Children affected by AD may suffer from asthma and hay fever at the same time, or one or both of these conditions may develop later. It affects 10% to 20% of infants in the United States. Atopic dermatitis is the eighth most common disease in people under 25 years of age. Originally controversial, the association of food allergy with atopic dermatitis has now been clearly demonstrated, especially in severe disease of infancy. Atopic dermatitis refers to a wide range of diseases that are often associated with stress and allergic disorders that involve the respiratory system, like asthma and hay fever. Atopic dermatitis may also affect the skin around the eyes, the eyelids, and the eyebrows and lashes. Scratching and rubbing the eye area can cause the skin to redden and swell.

Atopic Dermatitis Causes

There is no known single cause for atopic dermatitis. Atopic dermatitis can erupt on any part of the skin, and crusted, thickened patches on the fingers, palms, or the soles of the feet can last for years. Probably it represents more than one condition. It is believed to be a combination of environmental and genetic factors. The exact cause of AD is not known. Research has shown that a person is more likely to have AD if parents or other family members have ever had AD, hayfever, asthma, or food allergies. In the past, doctors thought that atopic dermatitis was caused by an emotional disorder. We now know that emotional factors, such as stress, can make the condition worse, but they do not cause the disease. Atopic dermatitis is not contagious. The skin cells seem to lose their barrier function so that water is lost from the skin and irritants can penetrate into it. Bacteria, yeasts and viruses on the skin surface can either cause eczema or provoke allergy. Many workers are at an increased risk for allergic dermatitis because they are exposed to many known allergens and irritants.

Atopic Dermatitis Symptoms

AA is not a symptom of a serious disease and usually occurs in otherwise healthy individuals. Persons with AA may have a higher risk of atopic eczema, asthma, and nasal allergies, as well as other autoimmune diseases such as thyroid disease (Hashimoto's thyroiditis), and vitiligo. Atopic dermatitis is very common. It affects males and females equally and accounts for 10 to 20 percent of all referrals to dermatologists. Atopic dermatitis occurs most often in infants and children and its onset decreases substantially with age. The main symptom of atopic dermatitis is itching. The itching can be start in night. The extreme itchiness of the skin causes the person to scratch, which in turn worsens the itch, and so on. Itching is particularly a problem during sleep, when conscious control of scratching decreases and the absence of other outside stimuli makes the itchiness more noticeable. Symptoms of atopic dermatitis include the following:

  • an itchy rash and dry, thickened skin on areas of the body where moisture can be trapped
  • continual scratching
  • chronic fatigue, caused when itching disrupts sleep

Atopic Dermatitis Treatment

Treatment of atopic dermatitis is dependent mainly on reduction of itching and scratching through moisturizing the skin. Topical steroids prescribed to reduce skin itching. Topical steroids come in four strengths: mild, moderately potent, potent, and very potent. To use these types of steroid firstly you have to go to your nearest doctor who prescribe you these medicine, depends on several factors, including the severity of the condition. Atopic dermatitis cannot be cured, but the severity and duration of symptoms can be controlled. A dermatologist should be consulted when symptoms first appear, and is likely to recommend warm baths to loosen encrusted skin, followed by applications of petroleum jelly or vegetable shortening to prevent the skin's natural moisture from escaping.

Vaseline and cortisone compounds applied to the skin are the best medicines for controlling eczema. Most cortisone salves can be used safely for years. When large areas of the body are treated with strong cortisone preparations, periodic medical check ups are necessary. Strong cortisones shouldn't be applied to the face, armpits, groin, or rectal area. Medications for atopic dermatitis include:

  • Skin creams or ointments that control swelling and lower allergic reactions
  • Corticosteroids
  • Antibiotics to treat infections caused by bacteria
  • Antihistamines that make people sleepy to help stop nighttime scratching
  • Drugs that suppress the immune system
 
 

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