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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: 3781
Last updated: 04/01/2019 1:44 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
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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
94.0%
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The doctor explained treatment options

excellent
94.3%
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The doctor explained treatment options

excellent
92.0%
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Front desk performance

excellent
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Aesthetician performance

excellent
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Office comfort

excellent
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Parking

excellent
66.4%
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Friendliness of the staff during appointment

excellent
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What WE DID WELL

(Answers:674)

The Dr. listened and was patient. I was nervous!

#12020-01-04

That was the most thorough appointment I have had in a very long time. I was given numerous options that were tailored for my skin needs.

#22011-12-06 10:16:06

The reassurance that my concerns were addressed.

#32010-11-09 11:24:08

This is an amazingly professional as well as patient-oriented practice. Thank you! I will highly recommend your practice to everyone.

#42012-08-31 09:32:27

Doctor made eye contact while talking - this is truly the sign of a caring person. Thank you.

#52019-10-31

NO WAITING,THANK YOU !

#62020-01-10

Dr. Ringpfeil was very friendly & took time to answer all my questions. Very attentive & knowledgable!

#72019-11-02

The Dr. wanted to start with the simpliest treatment before jumping into medicated treatment.

#82019-11-17

the Dr

#92020-01-21

Everything was great.

#102010-11-10 10:00:27

What can we do better?

(answers:373)

Everything was great! and everyone was very nice.

#12010-10-19 10:16:48

Everything was great!

#22020-02-06

Everything was great.

#32020-02-23

Keep it up!

#42019-04-24

I was dissapointed when my appointment was cancelled because of the snow. I had to wait 6 weeks to get another appointment. I wish that I could have been worked in sooner.

#52011-03-11 14:29:03

I couldn't find any parking.

#62019-05-09

don't change a thing, you guys are the best! Please send me Real Estate Referrals, thanks

#72010-09-30 09:51:55

let people know about opportunity for free consultation with Jill(?) when making appointment.

#82010-09-13 11:24:22

everything was great, i don't have any suggestions

#92010-10-25 11:08:34

The restroom could be cleaner.

#102011-01-19 08:56:51