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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.

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SKIN

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What WE DID WELL

(Answers:674)

very comfortable, but classy environment. Gave the feeling that the practice was upscale and therefore service would be quality

#12011-12-22 16:04:37

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

#22011-11-17 15:30:47

I especially enjoyed the atmosphere and the music. It made my visit very enjoyable.

#32011-04-15 08:36:16

The dr was very thorough and explained everything to me. She was also knowledgable about pricing.

#42018-10-25

You people are superb. The doctor and the assistant understand what they are doing. The doctor really talks like a professional - she knows it for sure.

#52018-11-05

Punctuality - Perfect Sense of humor of staff

#62018-11-12

I normally am turned off by palatial offices, but the office is so aesthetically beautiful, the fittings and art work so exquisite, that I am filled with admiration.

#72019-04-27

Very friendly staff. Made the experience easy and comfortable.

#82018-11-10

From the moment I walked in the great experience started for me.

#92018-09-09

The entire visit was a calming and pleasurable experience. The Dr. was superb. She was knowledgeable, attentive and genuinely listened. Jill is very personalble. The staff was very friendly. Melissa was really great. Truly the best experience that I have had in a Dr's office.

#102010-11-08 14:00:01

What can we do better?

(answers:373)

There is a problem with availability of parking during busy week days.

#12019-06-14

I really can't think of anything to add

#22010-11-24 09:41:39

So far so good!

#32011-01-04 10:23:13

Everything was great.

#42019-05-19

excellent service

#52019-04-28

Can't everything was excellent!!!

#62011-12-06 11:22:30

I would like to get in with the doctor. I also would like more than one option presented to me. Also, it would be nice to be offered more natural alternatives, or integrative treatments.

#72011-08-10 15:47:37

Nothing I can think of

#82019-04-05

I'm sending my whole family here. It's wonderful.

#92019-07-02

I am very satisfied now.

#102019-03-31
Customer Rating : 4.5

Based on 110 ratings