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.

Patient Education

  • Discuss the chronic nature of atopic dermatitis, exacerbating factors and appropriate treatment options
    • Emphasize that atopic dermatitis tends to decrease with increase in age
  • Convey the goal of treatment is control rather than “cure”
  • Discuss that many factors probably contribute to flare-ups and usually a specific cause cannot be found
  • Educate the patient about proper skin care (eg bathing, hydration and use of moisturizers)
    • Patient/caregiver should be instructed to apply emollients liberally 3 minutes after taking a bath 2-3 times daily or frequently as the skin gets dry even in the absence of symptoms
    • Studies showed that correct and adequate instructions for use and application of moisturizers when done properly reduces disease severity and overall topical corticosteroids use
  • Explain potential side effects of medications when used over extended periods of time
    • Apply topical steroid 10-15 minutes after application of emollients
  • Keep fingernails trimmed short
  • Use of cotton gloves at night to limit scratching
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.