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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

# of surveys: 3750
Last updated: 05/25/2018 9:32 AM,

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%
very poor
0%

The doctor listened to you attentively

excellent
93.9%
very good
4.97%
good
1.05%
poor
0.05%
very poor
0%

The doctor took time to answer your questions

excellent
94.0%
very good
4.66%
good
1.27%
poor
0.02%
very poor
0%

The doctor explained treatment options

excellent
94.3%
very good
4.16%
good
1.25%
poor
0.14%
very poor
0.02%

The doctor explained treatment options

excellent
92.0%
very good
5.69%
good
2.18%
poor
0.11%
very poor
0.0%

Front desk performance

excellent
85.6%
very good
10.2%
good
3.66%
poor
0.31%
very poor
0.08%

Aesthetician performance

excellent
88.6%
very good
7.61%
good
3.39%
poor
0.24%
very poor
0.08%

Office comfort

excellent
90.9%
very good
6.93%
good
2.08%
poor
0.05%
very poor
0.05%

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
7.23%
good
1.85%
poor
0.05%
very poor
0%

What WE DID WELL

(Answers:674)

the fact that the garbage cans in the bathroom opened electronically.

#12012-10-16 11:13:16

Very little wait time, which is so appreciated! Very comfortable atmosphere. Really a wonderful appointment.

#22011-06-02 16:32:12

Being explained about shopping around at diff. pharmacies for pricing of prescriptions.

#32019-02-11

The doctor was very thorough.

#42019-10-15

I like that you can schedule and access info by computer. The office is beautiful, very relaxing and staff is wonderful. The nicest doctors office I have ever been too

#52011-10-19 12:56:42

The office staff is extremely friendly and make you feel very comfortable, along with Dr. Ringpfeil.

#62011-05-05 14:42:55

I thought it was great, especially when compared to other dermatologists I have been to! Very professional and knowledgable.

#72019-05-18

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

#82019-09-01

The ambiance, staff and physician

#92018-12-02

Thoroughness of exam.

#102011-01-12 12:33:33

What can we do better?

(answers:373)

Please send out paperwork in advance for pediatric patients

#12019-09-01

I'm speechless!! I make a living at answering this very question but I can't recommend anything you can do to provide better service. You deserve a high score in all aspects of the practice. One minor detail - I have not yet seen the aesthetician and I have limited experience with you. Maybe patients could complete a survey after they've had a couple of appointments and contact with others. Some valuable feedback may be provided. Oops....I just heard an administrator use the word "cancellation" with a patient. May I suggest other terms like "change in the schedule" or "we'll make time for you". Wouldn't want to give patients the idea that it's ok to cancel. :-) Can you recommend a vascular specialist closer to the area than in Center City?

#22011-06-02 14:18:32

All fine

#32018-12-28

Service was fantastic. No suggestions.

#42011-11-29 13:58:45

Stay the same.

#52019-04-02

Everything was excellent

#62019-03-14

Continue with the excellent treatment

#72019-03-21

I checked off compimentary consultation with aesthetician on the intake forms, but it wasn't mentioned and I forgot to ask during the examination.

#82019-03-05

Send the paperwork to my home address in advance of appointment. Provide better reading material in the reception area.

#92019-04-04

Everything was great!

#102019-04-03
Customer Rating : 4.5

Based on 110 ratings