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- $Unique_ID{BRK00322}
- $Pretitle{}
- $Title{Treatments for Dermatitis}
- $Subject{dermatitis atopic child rash Skin disease diseases atopic eczema
- children allergy asthma runny nose allergic conjunctivitis hydrocortisone
- Stress emotional upset antihistamine allergies}
- $Volume{L-20}
- $Log{}
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- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
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- Treatments for Dermatitis
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- QUESTION: Our young son, age 9, suffers with a terrible, itchy rash, that our
- doctor calls a dermatitis. We have been using creams and salves which work
- sometimes, but the rash keeps returning. I want to be sure I am doing
- everything I can. Can you please tell me what to do?
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- ANSWER: It sounds like you are on the right path, combatting the chronic and
- difficult to manage skin disease that from your description I believe falls
- into the classification of an atopic dermatitis. Sometimes called eczema, it
- is one of the most common skin disorders affecting children, with from 3% to
- 5% of all children in the United States affected. Generally there is a
- history of allergy, either in the child or family, problems such as asthma,
- allergic runny noses and allergic conjunctivitis. The skin tends to be dry
- and scaly, and of course the itch is ever present. The use of emollient
- creams or skin softeners can be combined with hydrocortisone that is useful in
- reducing both the rash and itch. The medicines to be effective must be
- applied frequently (as many as 5 to 6 times a day) and regularly. Skipping an
- application or two, or forgetting to apply medications regularly, is a most
- common reason for treatments to fail. A few other precautions may help.
- Don't use harsh or drying soap, but try Dove or Neutrogena instead. Be
- careful in the choice of clothing as wool and some synthetic fibers may
- irritate sensitive skin. Observe carefully to see if particular foods, such
- as eggs, milk or peanuts may be causing allergic reactions that increase the
- rash problem. Stress and emotional upset can also trigger an acute episode.
- When the itch is so severe that sleep is disturbed, the use of an
- antihistamine as bedtime medication is indicated, and can be most helpful.
- But the good news is that about 80% of patients with this affliction are
- symptom free by age 20. Until then your care, understanding of the proper
- usage of medications, and consultations with your physician when flare ups
- occur can make the course of the disease easier and more bearable.
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- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
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