Atopic Eczema Dermatitis

Atopic Eczema Dermatitis: Simply called atopic eczema or atopic dermatitis, it is an acute or sub acute, pruritic, chronic inflammation of the epidermis and the area below, dermis. Atopic eczema is also called by other names like "neurodermitis," "endogenous eczema," "flexural eczema," "infantile eczema", "prurigo Besnier," and "prurigo diathsique".

Causes of atopic eczema:
Atopic eczema is believed to be inherited and is aggravated by being in contact with or due to intake of allergens. It can also be influenced by factors like stress and fatigue. It has been seen that atopic eczema assumes the role of chronic inflammation in people who are affected by hay fever or asthma. There is no specific cause for atopic eczema.

It has been noticed that food allergy is a common factor in people who have been affected by atopic eczema.  Common food allergens for atopic eczema are milk, egg, peanuts, shellfish and egg .

Histamine Tolerance: Histamine means an organic nitrogen compound involved in local immune responses as well as regulating physiological function in the gut. 33 percent of the people who suffer from atopic eczema dermatitis have seen that their condition have improved after taking a histamine free diet. This means removing foods that are high in histamine like fermented foods, cheese, sausages and alcohol.

Atopic Eczema Treatment: The best way to treat atopic eczema is getting the skin rid of its dryness. by using mild moisturizing soaps, frequent emollient creams, lotions, and body/bath oils.

Treating dry skin of atopic eczema :

Topical treatments for atopic eczema dermatitis focus on reducing both the dryness and inflammation of the skin. To battle the severe dryness associated with atopic dermatitis, a high-quality, dermatological moisturizer should be used daily. Moisturizers should not have any ingredients that may further aggravate the condition. Moisturizers are especially effective if applied 5–10 minutes after bathing. As a rule of thumb the thicker the moisturizer the better it is at retaining moisture. Petroleum jelly is considered one of the most effective moisturizers by reducing transepidermal water loss by up to 98%

A doctor might prescribe lotion containing sodium hyaluronate to improve skin dryness. One brand of sodium hyaluronate lotion is Hylira

Most commercial soaps wash away all the oils produced by the skin that normally serve to prevent drying. Using a soap substitute such as aqueous cream or Aquasoft helps keep the skin moisturized. A non-soap cleanser can be purchased usually at a local drug store. Showers should be kept short and at a lukewarm/moderate temperature.

Medications for Atopic Eczema Dermatitis
Diphenhydramine 25 to 50 mg every 6 to 8 hr. as required for itching for adults. Children 12.5mg/5 ml solution V2 to 3 tsp pending weight every 6 to 8 hr. Hydroxyzine HCL 10 to 50 mg every 6 to 8 hr. depending on weight and side-effects, for adults. A liquid form is made for pediatrics and should be dosed according to weight schedule.

Other HI antihistamines from other classes may be added or tried (e.g., chlorpheniramine, trimeprazine, cyproheptadine, and the tricyclic antidepressant doxepin). All of the above may have a sedative side-effect.
Astemizole and loratadine twice a day have shown Some usefulness and are nonsedating. The mainstay of significantly erupted dry, lichenified skin is the topical corticosteroids.

Choose a medium to high potency ointment (ointments more effective in this dry condition) except for the thin-skin areas (e.g., face, axillae, groin). For these areas, use a low to medium, nonfluorinated ointment such as hydrocortisone 1 percent, Desonide .05 percent or Aclovate, Locoid or Westcort. Medium to high potency include triamcinolone 0.1 percent to clobetasol .05 percent. These topicals should be used twice daily and are best after shower or bath.

For chronic and/or severe disease parenteral corticoids may be necessary (e.g., triamcinolone, betamethasone inject able or prednisone tablets). Doses may vary by patient weight, condition, and severity of the condition. For the excoriated, weepy, crusty secondarily infected cases an antibiotic is important. Erythomycin is the first choice, but may necessitate theophylline monitoring in asthmatics. Dose in adults 500 mg 3 or 4 times daily for 2 to 4 weeks. If resistant, then dicloxacillin may be used, with note as to increased risk of allergy in these patients.

Clindamycin 300 mg twice a day is another alternative.Ultraviolet (UV) radiation may be helpful from increased planned sun exposure short of burning or treatments in UVB or UV A cabinets under professional supervision, adding oral or topical psoralens or PUVA.No astemizole, loratadine, or terfenadine should be used with erythromycin.

Prevent Atopic Eczema Dermatitis
1. Go for histamine free diet: Avoid fish, shellfish, tomatoes, eggplant, tomatoes, cheese, cured sausages, fermented foods, oily food and alcohol.
2. Stay away from dust, because it is a common allergen that can trigger atopic ezema easily. Dander from dog fur and cats can also trigger an inflammatory response. Simply removing the animal from the remove will not treat atopic eczema. The room has to be totally free from animal dander to stop the allergic trigger.
3. Be stress and anger free: If you are exposed to stress, lack of sleep , feeling nervous, angry or simply being in an area that fosters too much heat, expect aggravation of eczema. So prevent atopic eczema by staying clear of these factors

Check out the home remedies for Atopic Eczema Dermatitis


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