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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?

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What WE DID WELL

(Answers:674)

nice music!

#12021-09-11

I thought the waiting area was decorated beautifully and made me feel relaxed and at home.

#22022-06-15

The Dr. was excellent in every way !

#32011-04-18 11:48:00

I was very please with the service when setting up my appointment, and when I called back with questions concerning my insurance. Very pleasant and accomodating staff!

#42011-01-04 10:23:13

I thought the staff and the Doctor was extremely proffesional and courteous. I had a positive first experience and will continue to visit.

#52022-03-24

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.

#62010-11-29 11:47:11

The prfessionalism of the staff and the attentiveness of the physician. Also the timliness of the staff.

#72011-01-26 08:55:26

The service was excellent. I really enjoyed my vist!

#82011-04-12 14:51:28

Friendly!

#92022-05-27

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

#102022-04-14

What can we do better?

(answers:373)

i work from 7:30 to 4:30, and i am very disappointed that you have no night hours......

#12010-10-12 12:10:30

Can't think of a way to better your service; it was excellent.

#22022-06-10

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

#32010-10-05 12:14:11

don't see how you could improve anything

#42011-01-12 08:19:57

So far so good!

#52011-01-04 10:23:13

Just don't change what you're doing

#62022-01-17

It would be helpful to have some later evening hours, but the early morning hours work for me too!

#72021-07-25

I have zero complaints--top notch service from booking of appointment to treatment to checkout.

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Always laugh at my jokes.

#92022-04-02

No major suggestions. I got all the answers I needed.

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Customer Rating : 4.6

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