Atopic Dermatitis

Atopic Dermatitis is one of the most common skin conditions in children. The disease progresses steadily, recurring many times from birth to 5-6 years old. Some may last until puberty, while fewer can reoccur at age 40-50.
The etiology of the disease is very complex, involving many factors. However, playing an important role in the pathogenesis of atopic dermatitis are: genetics, environment, climate, eating. Atopic dermatitis often occurs in people with atopic atopic conditions, or suffer from diseases such as bronchial asthma, urticaria, weather allergies, food, ..


Previously atopic dermatitis was commonly referred to as eczema, atopic eczema, atopic eczema (in children) and Besnier's neurodermatitis, chronic itchy maculopapular dermatitis (in adults).


Atopic Dermatitis


Manifestations of the disease

In young children: Depending on the stage, the disease has different manifestations: - Acute phase: The blisters concentrate in clusters on the red skin, edema, watery, itchy.
- Subacute stage: less edematous skin lesions, less dryness and itching begin.
- Chronic phase: thick skin, desquamation, lichenification, still itching.
If multiple infections occur, the appearance of pustules, pain, burning, can ulcer ... The most common lesions are on the cheek, forehead, chin

In severe cases, the lesions spread to the arms, legs and body.


Atopic Dermatitis


In older children / adults: The primary lesions are brown papules concentrated on thick, very itchy skin. The most common position is the folds such as the area of the legs, elbows, neck, armpits ...
Prevention and treatment
This is a chronic skin disease, complex etiology, influenced by many factors, so it is necessary to have a proper, long-term treatment and management strategy. Strategies include: care, treatment, counseling, prevention. Care: always keep baby's skin clean, moist by: cutting nails, toenails, taking warm water once a day, applying moisturizers. Must wear wide, airy, avoid irritation, scratching the skin.


Atopic Dermatitis


Treatment: using medicines suitable to each stage of the disease:
- Acute: Jarish solution covering lesions (with gauze) 2-3 times a day. Antihistamines for sedation and anti-itching.
- Subacute: applying all kinds of lake, cream: Zinc cream, lake, cream with corticoid, protopic, antihistamine.
- Chronic: steroids, antibiotic fat, salicyle, protopic, anti-itch, sedative with antihistamine.
Attention should be paid to treatment
- When the disease has decreased or has stabilized, they must continue to apply medicine. However, it should be changed, should not apply a drug more than 10 days.
- Do not abuse corticosteroids: This drug is applied for no more than 10 days, do not use severe corticosteroids for children.
- Use antibiotics when there are multiple infections.


Atopic Dermatitis


- Older children / adults can use other methods such as light therapy, ultraviolet irradiation, immunosuppressive drugs.
Ensure proper diet and living. Avoid using drugs of unknown origin.
Maintenance therapy is required even when the disease has been relieved to prevent recurrences and complications..

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