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Eczema (Atopic Dermatitis)

Atopic dermatitis is a very itchy chronic skin condition that can affect people of all ages. It is commonly known as eczema. Atopic dermatitis is most prevalent in childhood and is associated with a family history of asthma, seasonal allergies and pencillin allergy. Although atopic dermatitis may resolve over time, many individuals experience occasional flares into adulthood.

atopic dermatitis
Picture 1: Wide spread Alopecia Areata

Diagnosis

Actinic keratoses develop in sun-exposed areas. A single or several lesions may be present. The signs and symptoms of an actinic keratosis include a rough or scaly, flat to slightly raised bump that ranges in color from red to brown. Intermittent itching, burning or tenderness in the affected area can occur. Actinic keratoses are readily diagnosed upon professional evaluation. Rarely, further testing is needed, such as a skin biopsy, where a small sample is collected and sent for microscopic analysis.

Management

When atopic dermatitis is active treatment with a topical steroid is often needed to achieve control. A topical steroid is not to be used for extended periods of time or to prevent flares. A two week course should be sufficient to quiet a flare. Taking an oral antihistamine can also be effective in controlling itch. For very severe widespread flares a course of oral steroid (prednisone) may be needed.

The key to managing atopic dermatitis is proper daily skin care. It is important to bathe with a gentle soap in cooler water and to apply a moisturizer liberally after bathing. Avoiding irritating fabrics such as wool can also be helpful. In some children food allergies may play a role and evaluation by an allergist may be necessary.

Prevention

Since atopic dermatitis flares can be triggered by extremes in heat or cold, rapid temperature fluctuations and sweating, maintaining environmental temperature without excessive humidity or dryness is ideal. Clothing should be constructed of non-irritating absorbent material. Clothing should be laundered in fragrance-free and dye-free detergent and rinsed well. The use of dryer fabric softener sheets should be avoided.

Excessive bathing should be avoided. Excessive washing can strip the skin of oils. Key to prevention is the use of gentle soap, cooler water and liberal daily application of moisturizer. Bubble baths should be avoided since the detergent can be drying to the skin.

Stress can also sometimes stimulate an atopic dermatitis flare. Ensuring opportunity for adequate rest can be helpful. Stressful life situations should be managed with professional guidance or relaxation techniques such as yoga.

Seeking treatment from a qualified health care provider at the onset of activity can prevent widespread flares.

How can we help you?

SKIN

# of surveys: 3749
Last updated: 05/18/2017 4:45 PM,

PATIENT RATINGS

Would you recommend us?

definitely
93.1%
probably
6.16%
maybe
0.58%
not likely
0.08%
no
0.02%

Compare our service to other similar practices

excellent
87.9%
very good
10.1%
good
1.8%
poor
0.06%
very poor
0%

Overall doctor performance

excellent
94.2%
very good
4.89%
good
0.80%
poor
0.03%
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0%

The doctor listened to you attentively

excellent
93.9%
very good
4.97%
good
1.05%
poor
0.05%
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The doctor took time to answer your questions

excellent
94.0%
very good
4.66%
good
1.27%
poor
0.02%
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The doctor explained treatment options

excellent
94.3%
very good
4.16%
good
1.25%
poor
0.14%
very poor
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The doctor explained treatment options

excellent
92.0%
very good
5.69%
good
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poor
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Front desk performance

excellent
85.6%
very good
10.2%
good
3.66%
poor
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very poor
0.08%

Aesthetician performance

excellent
88.6%
very good
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good
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Office comfort

excellent
90.9%
very good
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Parking

excellent
66.4%
very good
14.4%
good
15.7%
poor
2.49%
very poor
0.9%

Friendliness of the staff during appointment

excellent
90.9%
very good
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good
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What WE DID WELL

(Answers:674)

The doctor took a lot of time explaining my treatment and making sure I was comfortable.

#12017-05-30

knowledge and friendly

#22017-09-02

The doctor was very thorough.

#32017-06-10

I didn't feel rushed and felt like I was really listened to and taken seriously. I didn't feel like someone was just throwing ointments at me to get me out the door. I really appreciate the care I received here. Thank you.

#42016-11-24

Friendliness of everyone.

#52017-03-10

Friendly faces pleasant people wonderful and comfortable atmosphere.

#62017-09-15

The atmosphere was relaxed and pleasant. I especially liked having a nice big clock in the waiting room.

#72017-01-16

Liked the all the friendliness of the doctor's assistants and the doctor as well. also loved the brightness and colors of the waiting room.

#82017-04-09

I have to say this was the most comfortable experience at any doctor office I have ever been to in my life. Dr. Ringpfeil is incredibly nice and compassionate. Lauren was super. The receptionists are very friendly. I now have a new dermatologist. Thanks!

#92012-12-13 10:14:16

Using a computer to fill out the new patient forms!

#102017-09-01

What can we do better?

(answers:373)

Coffee, Tea? only kidding. Hope I gave the reader a smile today.

#12011-02-21 10:56:55

frankly, everything was excellent

#22011-08-01 16:26:25

Talk a little slower

#32011-09-12 11:44:23

Service was excellent, keep up your service as is.

#42017-06-04

A sign in front of office to locate parking for first timers would be helpful.

#52017-02-24

NO COMMENT AT THIS TIME.

#62017-08-21

keep doing what u doing keep up the good work!!!!

#72017-08-16

No complaints - overall best experience at any dermatologist.

#82011-09-27 12:59:17

I am new here, so I don't have any suggestions at this time

#92017-04-11

i was completely satisfies with everything and everyone. Even my lateness was not held against me.

#102017-05-21
Customer Rating : 4.3

Based on 33 ratings