Book
Appt
Philadelphia and Mainline Center of Dermatology and Cosmetic Surgery

Written by Dr. Ringpfeil

Eczema (Atopic Dermatitis)

Atopic dermatitis is a chronic, very itchy skin condition that can affect people of all ages. Eczema is its common name. Children are most likely to develop atopic dermatitis, which is associated with a family history of asthma, seasonal allergies, and penicillin allergy. While atopic dermatitis may resolve over time, some individuals still experience flares into adulthood.

atopic dermatitis
Picture 1: Wide spread Alopecia Areata

Diagnosis

Actinic keratoses develop on sun-exposed skin. There may be a single or multiple lesions. The signs and symptoms of actinic keratosis include a rough or scaly, flat or slightly raised bump that ranges in color from red to brown. The affected area may occasionally be itching, burning, or feel tender. The condition is easily diagnosed after a professional examination. Occasionally, a skin biopsy, in which a small piece of skin is taken and analyzed under a microscope, is necessary.

Management

When atopic dermatitis is active, topical steroids are often needed to control it. Topical steroids should not be used for prolonged periods of time or to prevent flare-ups. Two weeks should suffice to calm a flare. It is also possible to control itching with an oral antihistamine. A course of oral steroids (prednisone) may be required for very severe widespread flares.

Proper daily skincare is essential for the management of atopic dermatitis. After bathing, it is important to apply a moisturizer liberally and to use gentle soap in cooler water.

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

SAtopic dermatitis flares can be triggered by extreme heat or cold, rapid temperature fluctuations, and sweating, so maintaining the proper temperature without excessive humidity or dryness is ideal. Clothing should be made from breathable, non-irritating material and washed 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. It is important to use a gentle soap, cool water, and moisturize liberally every day to prevent dry skin. Bubble baths should be avoided since the detergent can be drying to the skin.

Atopic dermatitis can also be triggered by stress. Getting adequate rest can help. The management of stressful life situations should be done with professional guidance or relaxation techniques, such as yoga.

By seeking medical attention at the onset of symptoms, you can prevent widespread flares.

How can we help you?

SKIN

# of surveys: 3921
Last updated: 1/13/2021 4:54 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
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 openness and friendliness. The doctor was very careful to make sure I understood. Thanks. The fact that you urged me to come back for an annual exam I consider very kind and caring.

#12010-11-29 11:47:11

Everyone is very nice.

#22021-07-04

Very professional and thorough.

#32021-10-28

Physician was very excellant in explaining treatment and cause of skin problem.

#42021-05-10

The treatments that are on display in the lobby. Also, the fact that the dermatologist told me the truth about commercial face cleansers.

#52021-09-01

Linda and the medical assistant were wonderful

#62011-09-16 11:42:32

We liked everything. Great experience, and we've been to many dermatologists in the past. You are the best!

#72011-05-26 09:34:01

Dr. was very informative. Everyone was very nice. Please give all the ladies here a raise..

#82022-01-09

The doctor is exceptionalyy easy to talk to. Excellent people skills!

#92021-09-25

Everyone was very friendly and considerate. I did have to wait a little longer for the doctor to come in but the medical assistant was so polite and came in to offer me a magazine.

#102022-01-09

What can we do better?

(answers:373)

Completely satisfied

#12010-10-20 09:59:20

everything was wonderful

#22010-08-25 12:47:35

It was a perfect experioence, I wouldn't change a thing!

#32021-09-14

Everything was outstanding

#42011-11-18 16:18:36

While I totally understand the late policy, unfortunately my daughter and I drove 1.5 hrs to the facility and given the weather and errorous directions, we ended up being 7 mins late. I immediately called the office while on route to explain that we were lost and sought correct directions. The receptionist was very curt, short and condesending. Upon our arrival, there was no warm greeting and very limited eye contact. Again,as a heath care provider myself, I appreciate the need to follow a schedule, however, our appointments were in direct succession and I do not think it would have had a significant impact on the work schedule, given our special circumstance.

#52011-03-24 10:10:11

I think everything was wonderful. Keep up the good work!

#62011-02-22 09:25:17

Lollipops if I don't cry.

#72021-11-27

Everything was great thanks!

#82011-02-25 11:46:15

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

#92010-10-12 10:33:59

maybe offering a bit more evaluation of options -that I haven't already thought of or asked about- for skin care and amelioration, as I am not certain what exists

#102021-08-09

Customer Rating : 4.5

Based on 275 ratings
Send us a message!

Enter your information, and we will text you shortly.