Atopic dermatitis, treatment


  • Signs of atopic dermatitis
  • The flow of atopic dermatitis
  • Treatment of atopic dermatitis
  • Diet with atopic dermatitis
  • Medical treatment of atopic dermatitis
  • Prevention of exacerbation of atopic dermatitis
  • Forecast of the flow of atopic dermatitis

  • Signs of atopic dermatitis

    Leading sign
    Atopic dermatitis is a strong itch. Skin with atopic
    dermatitis, especially in the period «Dormant current» (remissions),
    Differs dry and peeling. Skin skin and exclusive
    The surfaces of the limbs are covered with shiny, bodily color by plaques.
    During «Dormant current» Single minimal manifestations
    Atopic dermatitis can be barely peeling spots or cracks in
    Areas of attachment of the loss of ear shell. In addition, such
    Signs can be snaps in the corners of the mouth, the middle crack of the lower lip,
    as well as peeling and redness of the upper age. Blind under the eyes,
    The pallor of the skin of the face with the earthly tint can be important signs
    Atopic personality.

    The flow of atopic dermatitis

    During the atopic dermatitis (depending on the characteristics in
    Different age periods) Conditionally allocate three phases
    Diseases - Infant, Children and Adult.

    The infant phase of atopic dermatitis usually begins with
    7-8th of the child's life. Rashes are mainly located on
    face, hitting the skin of cheeks and forehead. Gradually appear changes on
    extensitive surface of the shins, shoulders and forearms. Often
    Brown leather buttocks and torso.

    Atopic dermatitis, treatment
    Children's phase of atopic dermatitis begins after
    18 months of age and continues until the adolescent period.
    The rashes of atopic dermatitis in the early stages of this phase
    represented by red, edema stains prone to education
    solid foci of lesions. As a result, combing lesions
    covered with crusts. Rashes are mainly located in
    elbow and populated bends, on the side surfaces of the neck, top
    Pieces of breast and brushes. Over time, most children are cleared by
    rashes, and only fallated and elbow sibbies remain amazed.

    Adult phase of atopic dermatitis comes in
    adolescence. Favorite location of atopic dermatitis
    - Top of the body, neck, forehead, leather around the mouth, bending
    The surface of the forearm and wrist. With severe current atopic
    Dermatitis can take a common nature (all over the body).

    Observations indicate the role of heredity in transmission
    painful signs from parents to children. So, from father–Allergy
    Signs of allergies in a child are developing in 40–50% of cases from mother – in
    60–70%. If both parents are carriers of atopy, then the frequency
    Development of the disease in a child reaches 80%..

    A certain number of children is formed hidden
    Allergyization that is implemented in the form of atopic dermatitis in
    Aged 19–20 years. It is not inherited illness, but a totality of genetic
    Factors of contributing to the formation of allergies in the body.

    In the formation of atopic dermatitis is of great importance
    Functional state of gastrointestinal–intestinal tract. Risk of development
    Food allergies increase due to non-compliance with rational
    food of a pregnant woman, children of the first months of life located on
    Artificial feeding. So, in the children of the first year of life frequent
    The reason for the development of atopic dermatitis are chicken eggs, proteins
    cow milk, cereals.

    The flow of atopic dermatitis by the development of the intestinal dysbiosis, due to the uncontrolled intake of antibiotics, hormones, the presence of foci of chronic infection, allergic diseases (asthma, rhinitis), dysmetabolic nephropathy, parasites.

    Treatment of atopic dermatitis

    An important direction in the treatment of atopic dermatitis is the creation
    Optimal psycho-emotional environment. It must be borne in mind that
    Emotional stress can provoke itch.

    Diet with atopic dermatitis

    Food with atopic dermatitis must first be excluded:
    Meat and Fish Broths, Roasted Meat, Chocolate, Cocoa, Citrus
    (lemons, tangerines, oranges, grapefruits), strawberries, black
    currants, melon, honey, pomegranates, nuts, mushrooms, fish caviar, spices,
    Smoked, canned and other products containing additives
    Preservatives and dyes.

    It is advisable to add vegetable oil to the food diet
    (Sunflower, Olive and DR.) up to 30 g per day in the form of seasonings to
    Salatam. Vitamin F-99 is assigned comprising a combination of linoleic and
    Linolenic acids, or high doses (4 capsules 2 times a day), or
    In the medium (1-2 capsules 2 times a day). The drug is especially effective in

    Medical treatment of atopic dermatitis

    Medicase treatment of atopic dermatitis should be held
    Strictly individually and may include tranquilizers,
    Antiallergic, anti-inflammatory and disintellation
    funds. It should be noted that in the treatment of atopic dermatitis
    A large number of methods and means (hormones, cytostatics have been proposed,
    Intal, Allergoglobulin, Specific GPSENSIBILIZATION, PUVA-therapy,
    Plasmapheresis, acupuncture, unloading and dietary therapy, etc.).
    However, the greatest importance in practice medicines that provide
    Anti-Disposal Effect, - Antihistamines and Tranquilizers.

    Antihistamines are prescribed for the removal of itching and swelling at skin manifestations, as well as with atopic syndrome (asthma, rhinitis).

    Applying the first generation antihistamines daily
    (Supratine, Tueva, Diazoline, Fercarol), it must be remembered that they
    Rapid addiction is developing. Therefore, these drugs should be changed
    Every 5-7 days. Penetrated through blood into brain tissue, preparations of the first
    generations cause soothing effect, so they should not
    appoint students, drivers and all those who should lead an active
    lifestyle, as the concentration of attention is reduced and disrupted
    Coordination of movements.

    Second-generation preparations - Laratodine (Claritin), Asthemisol, Ebostin, Cetirizin, Fexofenadine.

    Hormones apply limited and with common processes, and
    Also in disassemble, painful, not eliminated by other means.
    Hormones (better methipred or triamcinolone) are given for several days for
    Removing the sharpness of an attack with a gradual dose reduction.

    Atopic dermatitis, treatment
    In the prevalence of the process and phenomena of intoxication
    Intensive therapy applies using intravenous
    (hemodez, refooliglucin, polyonic solution, saline and
    Dr.). Well proved hemosorption and plasmapheresis
    (Special blood purification methods).

    In the treatment of persistent atopic dermatitis very useful
    The auxiliary method may be light therapy.
    Ultraviolet light requires only 3-4 procedures per week and has little
    Side Effects.

    When attaching an infection, the antibiotics are wide
    Spectrum. Erythromycin, rondomycin, vibreamicine for 6-7 are prescribed
    Days. In childhood, tetracycline preparations (tetracycline,
    Doxycycline) are appointed from 9 years. Complication of atopic dermatitis with herpes infection is an indication for the appointment of acyclovir or Famvira in age dosages.

    The therapy of atopic dermatitis must be included, especially in children,
    Enzyme preparations (Abomin, Festal, Mezim Forte, Panzinorm) and
    Various chisabiotics (bifidesbactery, bakyubyl, Linex and others.).
    Eubiotics are better to appoint the results of microbiological
    Calate studies on dysbacteriosis.

    A good effect also has the appointment of antioxidants, especially Aevit and Voice.

    Outdoor treatment is carried out taking into account the acuteness of the inflammatory response,
    prevalence of lesion, age and related complications
    Local infection.

    In the acute stage, accompanied by wet and crusts,
    Applied bonds containing anti-inflammatory, disinfectants
    Preparations (for example, brown liquid, chamomile infusion, tea). After
    Removal of acute inflammation phenomena apply creams, ointments and pastes,
    containing importation and anti-inflammatory substances
    (Naphthalan oil 2-10%, dispatch 1-2%, ichthyol 2-5%, sulfur, etc.).

    Widespread use in external therapy received hormone
    Preparations. Among them, you can call the acenderm (cream, ointment),
    Celenerm with Garamcin and Trieders (cream, ointment), Elokom and Advantan.

    Prevention of exacerbation of atopic dermatitis

    Skin leather with atopic dermatitis because of her dryness and elevated
    permeability becomes sensitive to moisturizing. In this regard
    Use of ordinary varieties of toilet soap undesirable.
    It is advisable to apply tender soap varieties (such as Dove, Dial, Lowila,
    Children's and T. D.). Washing powders, even in small quantities
    staying on freshly washed clothes and underwear, can also render
    Irritating effect. Therefore, some authors recommend using
    «Allergensvobody» Washing powders (type Tide Free) and repeated
    Lane rinsing cycles. Clothes should not be too close. except
    that is undesirable to wear wool.

    Sweat is able to irritate the skin of the patient with atopic dermatitis, and, therefore, it is necessary to change underwear more often.

    A microclimate in the house has a certain meaning. So, temperature and
    Room humidity in the room should be comfortable
    (Permanent temperature 20-24°C and humidity 45-55%).

    Patients with atopic dermatitis can be recommended classes
    Swimming. At the same time, however, it must be borne in mind that chlorine-containing
    Connections and other antiseptics used for disinfection
    pool, can cause skin irritation. Usually in order to remove
    This effect, sufficiently after classes to take a light shower.

    To eliminate dry skin need to use
    nutritious and softening agents, and apply them to the skin follows
    Frequently, the skin remains soft throughout the day.
    The skin treatment is also due to nutritional and softening agents
    After the shower, and before walking into windy and cold weather — Protective
    creams and ointments.

    Correction of concomitant diseases includes examination, identification and treatment of chronic infection, parasitic invasions, dysbacteriosis, recovery of cortical neurodynamics and vegetative disorders.

    Forecast of the flow of atopic dermatitis

    The forecast of the flow of atopic dermatitis and the quality of life of the patient in
    Much depending on the reliable knowledge of the causes of development
    rashes on the skin, itching, from thorough fulfillment of all recommendations
    Doctor and Prevention. The main directions of prevention – This
    Compliance with the power mode, especially pregnant and nursing mothers,
    Breastfeeding children. Special attention should be paid to
    limiting the effects of inhaled allergens, reduce contact with
    Chemicals in everyday life, prevention of colds and infectious
    Diseases and due to the appointment of antibiotics. With staged
    Anticious therapy atopic dermatitis recommended
    Sanatorium-resort treatment in the Crimea, on the Black Sea coast of the Caucasus
    and Mediterranean.

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