atopic eczema


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a·top·ic der·ma·ti·tis

dermatitis characterized by the distinctive phenomena of atopy, including infantile and flexural eczema.
Synonym(s): atopic eczema

atopic dermatitis

A chronic immune-mediated dermatopathy affecting 1–3% of children, which is characterised by severe pruritus of early (usually in infancy) onset and a familial tendency; it may be associated with IgE-mediated skin reactions, allergic rhinitis and/or asthma.

Aetiology
Idiopathic in children; in adults, hypersensitivity to chemicals (e.g., detergents or soaps), metals (e.g., nickel) or plants (e.g., poison ivy, poison oak).
 
Clinical findings
In infancy, atopic dermatitis tends to be weeping, papulovesicular (which rupture and ooze) and intensely pruritic inflammation of cheeks and inguinal region; in later childhood, it is more lichenified and is more prevalent over antecubital, popliteal and collar regions.
 
Exacerbating factors
Anxiety, stress, depression.
 
Lab
Eosinophilia.
 
Management
• Control pruritus (antihistamines, prevent scratching); 
• Identify/avoid allergens (e.g., milk, eggs, wheat, peanuts, legumes, fish); 
• Anti-inflammatories (especially corticosteroids);
• Keratolytics to manage lichenification; 
• Topical immunosuppressants (e.g., topical tacrolimus/FK-506 ointment).

atopic eczema

A common form of dermatitis caused by allergy to an ALLERGEN operating at a site remote from the affected area. See also ATOPY.

Patient discussion about atopic eczema

Q. I have atopic dermatitis and its been out of control : ( i was wondering any suggestions what to do? This past year i have experienced 2 bacterial infections due to my open soars as well as a viral infection in which i was hospitalized. im so fusterated and scared i dont know what to do.. i personally dont think that creams and ointments work all that well. From what i have gathered eczema comes from the inside out? :S i also have allergies i tend to be allergic to everything environmental, animals dust, mold, as well as oral allergy syndrom to alot of foods. which is very difficult. i have been to numerous doctors and specialsist and they dont know what to do. the next step is to put me on an oral medication, sure it prevents it from coming but there are also alot of disadvantages to taking the pill. They also wanted me to go for uvb lights which are knowen to treat psriosis, which personalyy i dont feel it helps me ..realie.. eczema and psriosis are 2 totally diff skin diseases.. someone . PLEASEE HELP .. : )

A. I like the apple cider idea and hope that works for you. But I have a client who has suffered the same as you with her dermatitis and was also hospitalized with mirca staph infection. Her dr. has agreed to refer her to a mayo clinic I will come back and let you know what they do and if it works. God bless you hun and stay strong!!
it might be a while but I will come bk and let u know what they say :)

Q. My son has atopic dermatitis that is treated with topical cream. Is he in a greater risk for other diseases? My 1 year old son has atopic dermatitis. We treat him with topical cream and he is getting better. What kind of a diseases is this? Is he in a greater risk for other diseases because of his skin lesions?

A. Atopic dermatitis is an immunological disease. As a guy that has many allergies I can say that i believe the best treatment is not topical cream. You need to find what causes the allergy and to exclude it from your life. This way you prevent the disease not just treat its symptoms.

More discussions about atopic eczema
References in periodicals archive ?
Meta-analysis of placebo-controlled studies of the efficacy of Epogam in the treatment of atopic eczema. Relationship between plasma essential fatty acid changes and clinical response.
Overall, atopic eczema contributed around 2.4% of the population-attributable risk for unstable angina, and 1.9% for heart failure (the highest population attributable risks).
Atopic Eczema. In: Griffiths CEM, Barker J, Bleiker T, Charmers R, Creamers D, Eds.
Soaps and detergents can increase skin pH, disrupting the SC and inducing irritant contact eczema and pruritus, which seem to be worse during winter, particularly in patients with atopic eczema and those with dry and sensitive skin.
Mast cells generated from patients with atopic eczema have enhanced levels of granule mediators [18], and elevated levels of tryptase a mast cell unique product were observed in children with nummular eczema [19], indicating the involvement of mast cells in eczema.
The questionnaire consisted of two main items: (1) sociodemographic and physical characteristics including daycare-center or school, residential address, sex, age, height, weight, household monthly income, and history of breastfeeding and (2) allergic symptoms related to atopic eczema, asthma, allergic rhinitis, and food allergy based on the modified International Study of Asthma and Allergies in Childhood (ISAAC) questionnaire.
Guidelines for treatment of atopic eczema (atopic dermatitis) part I.
These dietary changes are said to parallel the increase of allergic and atopic disease, including atopic eczema, IgE-mediated rhino-conjunctivitis, and IgE-mediated allergic asthma, raising the hypothesis that this imbalance may have a causal role.
Dr Meggitt has a particular interest in atopic eczema, which often runs in families and results from an interaction between the person's genes and environmental factors.
Ethan was born prematurely at 27 weeks and has since been diagnosed with chronic lung disease, various allergies as well as atopic eczema - which all blight his young life.
[USPRwire, Mon Nov 09 2015] Atopic dermatitis or atopic eczema is the most common type of eczema.
Failure of oral zinc supplementation in atopic eczema. Eur J Clin Nutr.