Atopic Dermatitis – Information for Patients and Families – The Children’s Hospital of Philadelphia
13
December

By Adem Lewis / in , , , , , /


ATOPIC DERMATITIS. INFORMATION FOR PATIENTS AND FAMILIES. THIS IS AN INTRODUCTION TO ATOPIC DERMATITIS FOR PATIENTS AND FAMILIES. THIS PRESENTATION WILL REVIEW THE BACKGROUND OF ATOPIC DERMATITIS, FOLLOWED BY THE MANAGEMENT OF ATOPIC DERMATITIS, INCLUDING BATHING PRACTICES, HOW TO APPLY MEDICATION, AND HOW TO APPLY MOISTURIZERS. WHAT IS ATOPIC DERMATITIS? ATOPIC DERMATITIS, ALSO KNOWN AS ECZEMA, LOOKS LIKE DRY, ITCHY, RED PATCHES OF SKIN THAT ARE INFLAMED. ATOPIC DERMATITIS TENDS TO RUN IN FAMILIES WITH DRY SKIN, ASTHMA, OR ENVIRONMENTAL ALLERGIES. THERE IS NO CURE FOR ATOPIC DERMATITIS, ALTHOUGH IT USUALLY CAN BE CONTROLLED WITH GOOD SKIN CARE AND BY AN AVOIDING ENVIRONMENTAL TRIGGERS. THERE ARE TWO TYPES OF BATHING CARE, THE “DRY” METHOD AND THE “WET” METHOD. THE WET METHOD IS MOST OFTEN RECOMMENDED FOR CHILDREN WITH ATOPIC DERMATITIS TRIGGERED BY ENVIRONMENTAL ALLERGIES. YOUR HEALTHCARE PROVIDER WILL RECOMMEND WHICH BATHING PRACTICE IS BEST FOR YOU. FOR THE DRY BATHING CARE METHOD, LIMIT BATHING TO ONE TO THREE TIMES A WEEK OR AS DIRECTED. BATHING SHOULD LAST NO MORE THAN 5 TO 10 MINUTES. USE A MOISTURIZING CLEANSER SUCH AS DOVE SENSITIVE SKIN BAR SOAP OR ANOTHER GENTLE CLEANSER THAT HAS NO FRAGRANCES. DO NOT RUB THE SKIN AND DO NOT USE A WASHCLOTH. WHEN DONE, PAT THE SKIN DRY WITH A TOWEL GENTLY. APPLY TOPICAL MEDICATION TO THE FLARED AREAS FIRST. THEN, WAIT 30 TO 60 MINUTES AFTER APPLYING THE MEDICATION TO APPLY THE MOISTURIZER. THIS IS KNOWN AS THE “SINK AND SEAL” METHOD. FOR THE WET BATHING CARE METHOD, BATHE NIGHTLY USING LUKEWARM WATER. THIS HELPS TO REMOVE ALLERGENS AND BACTERIA. USE A MOISTURIZING CLEANSER SUCH AS DOVE SENSITIVE SKIN BAR SOAP OR ANOTHER GENTLE CLEANSER THAT HAS NO FRAGRANCES. DO NOT RUB THE SKIN AND DO NOT USE A WASHCLOTH. WHEN DONE, PAT THE SKIN DRY WITH A TOWEL GENTLY. APPLY TOPICAL MEDICATION TO FLARED AREAS FIRST. THEN, IMMEDIATELY MOISTURIZE ALL OVER. YOUR HEALTHCARE PROVIDER WILL DETERMINE WHICH METHOD IS BEST FOR YOUR CHILD. APPLYING TOPICAL MEDICATIONS. APPLY A THIN LAYER TWICE DAILY. IF THERE IS IMPROVEMENT, YOU CAN USE THE MEDICATION ONCE DAILY OR LIMIT IT TO THREE TIMES PER WEEK. APPLY ONLY TO THE AFFECTED AREAS AS NEEDED AND AVOID THE NORMAL SKIN. DISCONTINUE THE MEDICATION WHEN THE REDNESS, SCALE, AND ITCH RESOLVE. RESTART THE MEDICATION IF REDNESS, SCALE OR ITCH RETURN. DISCUSS THIS WITH YOUR CHILD’S HEALTHCARE PROVIDER. APPLYING MOISTURIZERS. MOISTURIZERS ARE THE MAIN TREATMENT FOR ATOPIC DERMATITIS. MOISTURIZERS SHOULD BE APPLIED 30 TO 60 MINUTES AFTER THE TOPICAL MEDICINE IS APPLIED, UNLESS THE WET METHOD HAS BEEN RECOMMENDED. THIS METHOD ALLOWS TIME FOR THE MEDICINE TO BE ABSORBED BEFORE THE MOISTURIZERS SEALS IN THE MEDICATION. OINTMENTS AND CREAMS ARE THE RECOMMENDED MOISTURIZERS. DO NOT USE MOISTURIZERS THAT COME IN PUMP BOTTLES AS THESE ARE USUALLY LOTIONS. AVOID SCENTED AND ALCOHOL-CONTAINING MOISTURIZERS AS THEY MAY FURTHER IRRITATE THE SKIN. WHAT ARE TOPICAL MEDICATIONS? TOPICAL MEDICATIONS ARE CREAM OR OINTMENTS THAT ARE APPLIED TO THE SKIN. THESE INCLUDE TOPICAL STEROIDS AND TOPICAL CALCINEURIN INHIBITORS. TOPICAL STEROIDS HELP TO DECREASE REDNESS, SCALE AND ITCHING. THERE ARE SEVEN LEVELS OF STEROID STRENGTH. YOUR HEALTHCARE PROVIDER WILL INFORM YOU WHICH ONE IS BEST FOR YOUR CHILD. IF YOU USE THE MEDICATION AS PRESCRIBED AND FOLLOW UP WITH YOUR HEALTHCARE PROVIDER, SIDE EFFECTS CAN USUALLY BE AVOIDED. AS WILL ALL LONG-TERM MEDICATIONS, REGULAR CHECKUPS WITH YOUR HEALTHCARE PROVIDER ARE IMPORTANT. YOUR HEALTHCARE PROVIDER MAY RECOMMEND AN ALTERNATIVE TO TOPICAL STEROIDS CALLED TOPICAL CALCINEURIN INHIBITORS. EXAMPLES OF THESE MEDICATIONS INCLUDE ELIDEL CREAM AND PROTOPIC OINTMENT. THESE ARE SAFE TO USE ON THE FACE, AROUND THE EYES AND IN THE FOLDS, SUCH AS THE ARMPITS OR THE GROIN. THEY CAN ALSO BE USED AS A LONGER-TERM MEDICATION ELSEWHERE. TAKE HOME POINTS. ATOPIC DERMATITIS CAN BE CONTROLLED BUT NOT CURED WITH PROPER USE OF MOISTURIZERS AND MEDICATIONS. SOME CHILDREN OUTGROW THIS CONDITION AS THEY GET OLDER. WORK WITH YOUR HEALTHCARE PROVIDER TO FIND THE BEST REGIMEN FOR YOUR CHILD. WE HOPE THIS VIDEO HAS BEEN INFORMATIVE AND WILL HELP YOU FEEL CONFIDENT CARING FOR YOUR CHILD WITH ATOPIC DERMATITIS. ADDITIONAL QUESTIONS MAY BE DIRECTED TO YOUR HEALTHCARE PROVIDER.


4 thoughts on “Atopic Dermatitis – Information for Patients and Families – The Children’s Hospital of Philadelphia

  1. why does atopic eczema go away when the baby grows? Like whats the story behind that? do the filaggrin genes start coding properly or what? What causes the xerosis to go away.

  2. I had been suffering from an annoying allergy under my eyes. Later to uncover that it’s currently an eyelid eczema. Nevertheless thanks to eczema guide “Rαsοkο Kuzo” (Gοοgle it), I was able to ease my trouble within one day of utilizing the guide. I am incredibly contented to state, it continued to enhance and right after 2 weeks of application, I definitely feel quite comfortable that it truly is extremely treated.. .

  3. I have been combating eczema all my life, recently my eczema flared up so bad on almost 10 of my fingers and on my right palm. It was very painful each time I take a shower or something as simple as washing my hands. My skin is so thin from all those years of steroid cream usage, and whenever I scratch them, they cracked open. My hands are in constant itch. I couldn't sleep at night and I was very depressed. It made my eczema problem even worse due to stress. Long story short, after many failed SELF-attempts to cure my eczema, finally I consulted a skin specialist, and the doctor advised me to take allergen-specific Immunoglobulin E (IgE) antibody test. The test is to screen for an allergy to a specific allergen. It can be from certain food, cat or dog dander, certain type of grass, etc. The result shown from the test, apparently I am allergic to 2 types of dust mites (Mite Farinae d2 and Mite Pteronyssinus d1), commonly found in our household. Since then, I have been taking active and preventive measures to mitigate this problem, like changed out old mattress and pillows, use new anti dust mite mattress, use anti dust mite mattress and pillow casing, spray on anti dust mite solution on sofa, chairs, bed, and even in my car. On top of that, I try my best to exercise regularly and eating healthy. You might want to avoid eggs or dairy products, because they have inflamatory effect, might not be allergic effect. Oh  ya, it reduces my asthma attack too. I strongly advice for those who suffer from Eczema, go out and do the test and find out what are the things/food you are allergic to. I hope this comment helps. Cheers!

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