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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

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Last updated: 05/25/2018 9:32 AM,

PATIENT RATINGS

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definitely
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Compare our service to other similar practices

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Overall doctor performance

excellent
94.2%
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The doctor listened to you attentively

excellent
93.9%
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The doctor took time to answer your questions

excellent
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The doctor explained treatment options

excellent
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The doctor explained treatment options

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Front desk performance

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Aesthetician performance

excellent
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Office comfort

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Parking

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Friendliness of the staff during appointment

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What WE DID WELL

(Answers:674)

thoroughness and timeliness of the doctor

#12018-06-04

the doctor was comprehensive, concerned and frank

#22018-03-21

relaxing decor, classical music

#32018-09-04

Seeing Dr. Ringpfeil again!

#42018-07-23

i was seeing the docter at my appointment time

#52018-10-12

Office was very nice, comfortable atmosphere.

#62018-11-17

Everything was great. See you in 1 year. The office was super clean and nice.

#72018-03-07

Everything was great!

#82018-07-25

dr and med asst. made me very comfortable instead of the traditional white coat syndrome

#92011-06-02 13:39:55

interaction with staff

#102018-07-29

What can we do better?

(answers:373)

With such excellent service, there's nothing I can add to it. I am a very satisfied patient.

#12010-09-09 11:12:17

all good

#22010-10-14 12:21:49

Everything is just great!

#32018-03-19

So far, everything is great. Looking forward to future visits.

#42018-08-25

keep on on trying to do your best

#52018-11-28

please make a reminder call. I checked my cell for one and you hadn't.

#62018-02-11

The entire visit was just perfect so I had no suggestions at this time.

#72010-10-05 12:14:11

Keep doing what you're doing.

#82018-03-20

My next appointment could not be scheduled for 6 weeks. I wish I could be seen sooner!

#92010-12-16 10:06:03

everything was great.

#102011-03-18 11:09:57
Customer Rating : 4.8

Based on 4 ratings