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 w/ 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
Editor's Recommendations
Most Read Articles
26 Nov 2017
Patients with psoriasis or psoriatic arthritis appear to be at greater risk of developing serious liver disease compared with those who have rheumatoid arthritis, as shown in a study.
Audrey Abella, 04 Feb 2020
Repetitive, daily, high-frequency emollient therapy enhanced skin barrier integrity and function of premature and full-term neonates in communities with high relative humidity and temperature conditions, with sunflower seed oil (SSO) exhibiting a potential protective effect, according to a Nepalese study.