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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: 3885
Last updated: 7/21/2021 11:52 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
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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
7.61%
good
3.39%
poor
0.24%
very poor
0.08%

Office comfort

excellent
90.9%
very good
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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
7.23%
good
1.85%
poor
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What WE DID WELL

(Answers:674)

Novel use of computers

#12020-08-08

Thoroughness of exam.

#22011-01-12 12:33:33

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.

#32020-09-18

So much better then other doctors offices, very very friendly, Love it.

#42011-04-05 09:29:32

The doctor was very thorough.

#52021-06-24

i was pleased that she knew the italian language,it helped me a lot!!!!

#62020-08-22

The electronic registration.

#72021-01-16

Yes, the doctor listened attentively to my description of symptoms and was authentically interested in helping me to resolve a skin issue that numerous specialist have not been able to identify.

#82021-02-21

Friendly staff and atmosphere

#92010-11-15 14:39:37

Dr. Heckman gave me a lot of information and listened and answered all of my questions.

#102011-11-17 15:30:47

What can we do better?

(answers:373)

Too Early

#12020-09-14

uhmm.. you're office was too nice. It made me jealous.

#22020-10-13

I can't think how anything could have been better.

#32020-08-16

it's a little thing, but when you enter an office and ask the receptionist attending to you how are you, she say fine, but does not inquire how you are, and is not engaging, I just think its rude.

#42020-11-18

Just do the same good job

#52021-02-17

Just continue your good work to keep your credibility in place.

#62010-10-12 10:33:59

tell the Dr. to stop snowboarding and come back to skiing..;-)

#72011-12-07 10:55:46

There is nothing I can even think of! Wonderful Staff!!

#82011-09-09 15:04:20

Thank you

#92011-02-23 17:11:29

I would have liked to pay in cash but the receptionist had no change.

#102020-09-27
Customer Rating : 4.5

Based on 238 ratings
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