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- $Unique_ID{BRK01129}
- $Pretitle{}
- $Title{Treatments for Chronic Atopic Dermatitis}
- $Subject{dermatitis rash atopic Skin reddened inflamed inflammation scales
- crusts intense itching pustules pustule blister blisters allergic allergies
- allergy topical corticosteroids ultraviolet light Antihistamines}
- $Volume{L-20,U-20}
- $Log{
- Skin Testing for Allergens*0001301.scf
- Reactions From an Allergy Scratch Test*0001302.scf}
-
- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
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- Treatments for Chronic Atopic Dermatitis
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- QUESTION: My question may be more than you care to take on, but I am always
- on the lookout for something new. My five year old son has a bad case of
- chronic atopic dermatitis, and we have made the rounds of almost all the
- doctors in town. All the treatments are somewhat effective for short periods
- of time, but the itching is enough to drive him crazy. Can you offer any
- suggestions that might help?
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- ANSWER: There are a few new ideas to report that may be helpful and I am
- happy to share them with you. About 0.5 to 1 percent of the general
- population suffer with this annoying skin disease that is characterized by
- reddened inflamed skin, scales and crusts, and intense itching. When in the
- acute stage, the affected areas may be covered by pustules and blisters, as
- well as a serous liquid. It is easy to see how scratching may bring about
- additional infections, which further complicate the symptoms and the
- treatments. But it is the persistent and intense itching that makes this rash
- so hard to put up with, and for which all patients request some type of help.
- It now seems clear that in the majority of cases there is an additional
- history of allergic disease. Discovering the allergic substance through skin
- testing and eliminating it from the environment may lead to a lessening of
- itching and a reduction in the severity of the rash. Treatments that may
- help include techniques to keep the skin well hydrated, tepid water soaks or
- baths, followed by medications and dressings that prevent evaporation of the
- moisture. A wet garment such as a sock, covered by a dry one, may serve for
- feet, ankles and legs, while wet gauze dressings covered by Ace bandages may
- serve well in other areas. When at its acute stage, topical corticosteroids
- may be prescribed by your physician, but oral medications are not generally
- used. Though there is a dramatic improvement with these oral medications, the
- rash and discomfort return just as rapidly when the medication is
- discontinued. In chronic cases that do not respond well, ultraviolet light my
- be a useful addition to the treatment, and can be helpful when administered
- three or four times a week. Antihistamines may also be quite effective in
- reducing the intensity of itching and may reduce the irresistible urge to
- scratch. The good news is that for most, atopic dermatitis tends to improve
- as the child grows older, and may disappear completely.
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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.
-