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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: 3853
Last updated: 2/11/2021 4:23 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
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Overall doctor performance

excellent
94.2%
very good
4.89%
good
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poor
0.03%
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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%
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4.66%
good
1.27%
poor
0.02%
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The doctor explained treatment options

excellent
94.3%
very good
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good
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poor
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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
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good
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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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poor
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very poor
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Office comfort

excellent
90.9%
very good
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Parking

excellent
66.4%
very good
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good
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poor
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Friendliness of the staff during appointment

excellent
90.9%
very good
7.23%
good
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poor
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What WE DID WELL

(Answers:674)

I liked that Dr.Ringpfeil answered all of my questions, and spent time with me going over all the problems.She is very helpful and knowlegable.

#12020-07-02

The staff was thorough and extremely friendly, I felt welcomed and well informed.

#22011-12-01 14:56:48

Didn't have to wait long to see to get into the room, or for the doctor to come in. The doctor & medical assistant took the time to explain the medications, when I should take them, how much I should use and what they would do to my skin.

#32020-02-28

The doctor answered all of my questions and concerns

#42021-02-04

The office ambiance is exceptional! Since I am a musician, I really enjoyed the soothing, classical music playing softly in the background. The fresh flowers also add a nice touch. I was extremely impressed by the cleanliness of the facilities and the professional and thorough treatment I received by Dr. Ringpfeil. The technological efficiency of the office was also very impressive!

#52021-01-20

i would like to think more about that

#62021-02-08

Friendliness of everyone.

#72020-10-28

The friendliness of everyone I came in contact with

#82020-07-14

I really liked all aspects of my visist. I feel as though I have finally found a dermatologist. She and her staff were willingly to listen and give me their professional opinion and hopefully find a treament that will work longterm.

#92021-02-07

Everyone was incredibly kind, informative and helpful. It was one of the best doctor office experiences I've ever had.

#102020-11-13

What can we do better?

(answers:373)

Service was fantastic. No suggestions.

#12011-11-29 13:58:45

The service is wonderful nothing needs to be changed.

#22020-09-22

How about a smile to greet a brand new patient? How about explaining that I need to go and fill out info on the computer instead of pointing over there you need to complete things. I felt like walking out by the rudeness. The medical assistant and phys asst were extremely kind, thorough and helpful. I realized that I was here to seek help for my child and received amazing medical help. Thank you.

#32011-07-11 11:52:49

keep on what you are doing because you are doing a good job

#42020-05-16

I am completely satisfied with the current level of service and really can't think of anything that you could improve upon. This survey is a good thing.

#52010-10-13 09:38:13

Everything was excellent.

#62020-05-10

no complaints

#72020-03-30

Information for patients to take on latest findings/research in the field

#82020-06-18

I think I was served most excellently. I cannot thing of anything to add.

#92020-07-06

The service was great I don't see anything better u can do!

#102020-08-25
Customer Rating : 4.5

Based on 178 ratings
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