Atopic Dermatitis

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Atopic dermatitis facts

  • Atopic dermatitis is a type of eczema.
  • The skin sensitivity of this disease may be inherited and genetically determined.
  • The patient's skin may be "super sensitive" to many irritants.
  • Dry scaly patches develop in a characteristic distribution.
  • Itching varies but may be intense and scratching hard to resist.
  • Scratching can cause skin thickening and darkening and lead to further complications, including bacterial infection.
  • Extremely dry skin can break down and ooze or weep.
  • If the itch can be controlled, the rash (which is aggravated by vigorous scratching) may be more readily contained.
  • Treatment of atopic dermatitis is centered around rehydrating the skin with rich moisturizers like Vaseline and cautious use of topical steroids to reduce inflammation and itching.
  • Oral antihistamines are often necessary to break the "itch-scratch" cycle.
  • Since secondary infections can aggravate the rash, topical or oral antibiotics may also be occasionally indicated.

What is atopic dermatitis?

Atopic dermatitis is a very common, often long-lasting skin disease that affects a large percentage of the world's population. It is a special type of allergic hypersensitivity that includes a triad of conditions that includes asthma, inhalant allergies (hay fever), and a chronic dermatitis (eczema). There is a known hereditary component of the disease, and it is more common in affected families. Criteria that enable your doctor to diagnose it include the typical appearance and distribution of the rash in a patient with a personal or family history of asthma and/or hay fever.

The term atopic is from the Greek meaning "strange." The term dermatitis means inflammation of the skin.

In atopic dermatitis, the skin becomes extremely itchy and inflamed, causing redness, swelling, vesicle formation (minute blisters), cracking, weeping, crusting, and scaling. This type of eruption is termed eczematous. In addition, dry skin is a very common complaint in almost all those afflicted with atopic dermatitis.

Although atopic dermatitis can occur in any age, most often it affects infants and young children. Occasionally, it may persist into adulthood or may actually appear at that time. Some patients tend to have a protracted course with various ups and downs. In most cases, there are periods of time when the disease is worse, called exacerbations or flares, which are followed by periods when the skin improves or clears up entirely, called remissions. Most children with atopic dermatitis enter into a permanent remission of the disease when they get older, although their skin may remain somewhat dry and easily irritated.

Multiple factors can trigger or worsen atopic dermatitis, including low humidity, seasonal allergies, exposure to harsh soaps and detergents, and cold weather. Environmental factors can activate symptoms of atopic dermatitis at any time in the lives of individuals who have inherited the atopic disease trait.

Medically Reviewed by a Doctor on 8/3/2012

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Soaps, detergents and eczema

Can Soaps or Detergents Aggravate Eczema or a Rash?

Medical Author: Alan Rockoff, MD
Medical Editor: Frederick Hecht, MD, FAAP, FACMG

Patients often come into my office frustrated, because they have changed their expensive soaps, detergents, fabric softener, shampoo, makeup, etc., yet their skin rash has not gone away. Their first question is, "Is this a rash, or eczema (dermatitis)?"

There are many types of eczema. Atopic dermatitis, seborrheic dermatitis, contact dermatitis, allergic contact eczema, etc. The signs and symptoms of eczema vary depending on the type of eczema. The skin can be red, itchy, appear as scaly patches on the body, or patches of skin may be crusted, scaling, and very itchy.

So, can expensive soaps, detergents, make-up, fabric softeners, and fragrant soaps "cause" a rash, eczema, or aggravate an existing skin condition?


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