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Written by Dr. Ringpfeil

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

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Last updated: 08/27/2020 2:06 PM

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The doctor listened to you attentively

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The doctor explained treatment options

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The doctor explained treatment options

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Front desk performance

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Aesthetician performance

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Office comfort

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What WE DID WELL

(Answers:674)

I like the waiting room.

#12019-10-26

thoroughness of staff

#22020-02-05

I liked the fact that I could enter my information on a computer and I was not asked to provide the same more than once on the informational forms!

#32020-03-28

The professionalism of the staff and doctor. Everyone was easy to talk to and my questions were answered.

#42019-10-13

Staff & Doctor were very friendly.

#52019-10-11

The medical assistant was very helpful.

#62020-06-01

After meeting the doctor I felt very comfortable. When I first came in I was very nervous

#72020-03-03

I go away feeling like my concerns have been heard and taken seriously. I liked the music too. Good choices!

#82020-06-12

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.

#92020-08-01

It's great that you're using electronic means to capture patient information. Everyone is very friendly and competent and the doctor was wonderful to talk to.

#102020-02-01

What can we do better?

(answers:373)

The lock on the door of the unisex bathroom is a little challenging in that you don't know whether it is locked or not. This was a little unnerving.

#12010-10-28 10:21:25

Just do the same good job

#22020-04-27

everything was great! as always nothing i can say to improve on! jill is always attentive and very thorough:)

#32010-10-27 12:20:56

I wish there is a more flexible schedule for the morning visit.

#42010-12-16 12:15:00

I have nothing to add, everyone was superb, made you feel right at home and insanely knowledgable. I am beyond happy.

#52010-09-28 11:03:56

More upbeat music! The warm temperature and the John Mayer-esque music made me feel as if it were bedtime =)

#62011-09-16 11:42:32

music in office was just okay

#72020-02-06

Talk a little slower

#82011-09-12 11:44:23

Can't imagine any better first impression.

#92011-02-24 14:49:37

nothing everything is fine as is.

#102019-11-10
Customer Rating : 4.5

Based on 178 ratings