JBN Medical Diagnostic Services Inc
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What is atopic dermatitis?
How common is atopic dermatitis and can my child outgrow it?
Is my child at risk for other diseases due to their atopic dermatitis?
How can atopic dermatitis be treated?
Moisturizing the skin – THIS IS THE MOST IMPORTANT STEP IN
CONTROLLING ECZEMA Moisturizers are most effective when applied directly after bathing (within three minutes after finishing baths) so that the moisture from the bath is "locked in." We recommend Glaxal base with 10% glycerin (pharmacist will mix it up for you) or HYDROLATUM (hydrated petrolatum). For patients who may not tolerate occlusive ointments like Hydrated Petrolatum or during the summer months when sweating becomes an important trigger, non-perfumed skin creams can also be effective. Examples include EUCERIN (contains lanolin) or GLAXAL BASE or CUREL. Lotions contain water and alcohol, which can actually dry the skin and are usually inadequate for the dry skin of patients with AD.
For stubborn areas, wet dressing can help. For example, leaving a wet sock on for two hours, covered by a dry sock can help the thickened areas on the ankle and foot. After removing the wet dressing, moisturizers and ointments need to be applied.
Bathing and shampoo
· Use warm, not hot, water for 10 to 15 minutes until the skin "prunes"
· Add Oilatum or Keri Oil to the bath
· Do not allow your child to play with soap during the bath; use it at the end and rinse thoroughly
· When bathing, use a mild moisturizing soap such as Dove or Cetaphil
· Use only mild shampoos such as JOHNSON'S BABY SHAMPOO and rinse thoroughly.
· Avoid excessive scrubbing and towelling
· Apply a moisturizer to the skin within three minutes after bathing
Other dust mite prevention measures include changing all bed linens, dusting your home, vacuuming carpets with vacuums that use 2-ply vacuum bags and removing rugs and drapes. These measures will reduce dust exposure, which not only triggers the itch of some patients, but also decreases the chance of developing allergy to the dust mite — the most common allergic cause of asthma and hay fever later in life.
The only completely effective measure for eliminating animal dander is removal of the animal from the home.
Environmental pollens are difficulty to avoid. The indoor environment should be kept free of pollen by using air conditioners and closing the windows during pollen season. If your child is exposed to allergens on a daily basis, bathe daily.
Avoid sudden changes in temperature or humidity
It also helps to keep your child's fingernails short! If scratching at night is a problem, try covering the hands with a soft pair of socks or cotton gloves.
Emotions and Stress
Topical immunomodulators (TIMs) are new and have been approved for used since February 2000.These include Tacrolimus (PROTOPIC) and Pimecrolimus (ELIDEL). Studies have shown that this new class of drugs will improve or completely clear eczema in 60 to 80 percent of treated patients. The major side effect seen in these medications is some itching or burning in the first week of use. There may be long term side effects from extended use . This website can give you more information regarding safety of these products: http://www.dermatology.ca/english/public-patients/positions_e.html#calcineurin
Topical corticosteroids range in strength from mild to very potent. Low potency topical steroids like hydrocortisone do not have the side effects seen in high potency topical steroids. The more potent ones can cause thinned skin, stretch marks and other problems if used for too many days in the same areas of the body. To prevent side-effects, such as the skin thinning seen in high potency steroids, your doctor may limit the length of treatment time and locations where your child can apply these ointments. In general, only mild topical corticosteroids should be used on the face and in the groin area.
ECZEMA (current allergy shots calendar)
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