atopic%20dermatitis
ATOPIC DERMATITIS
Atopic dermatitis or atopic eczema is a chronic, relapsing, familial, symmetric and pruritic inflammatory skin disease that commonly presents during early infancy and childhood, but can persist or start in adulthood.
It is commonly associated with elevated serum immunoglobulin E levels and a personal or family history of allergies, allergic rhinitis and asthma.
It is one of the most common skin diseases afflicting both children and adults.

Prevention

  • Identification and elimination of triggering factors are the mainstay for prevention of flares as well as for the long-term treatment of atopic dermatitis
  • Breastfeeding or feeding with hypoallergenic hydrolyzed formula milk was shown to be beneficial
    • If the patient with atopic dermatitis is also diagnosed with food allergy, the mother should be advised to eliminate all identified food allergen from her diet
  • Immunization against varicella-zoster virus infection should be encouraged to prevent secondary local or systemic bacterial infection in children with atopic dermatitis 
  • Probiotics may also reduce the incidence or severity of atopic dermatitis, however, more studies are needed to prove this benefit

Follow Up

Proactive Therapy

  • In patients with moderate atopic dermatitis, intermittent application of a class II-III topical corticosteroid (1-2 times/week) or calcineurin (eg Tacrolimus) (2-3 times/week) as maintenance therapy on areas that commonly flare may help prevent disease relapse
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