by Revival Medical Clinic

What is Eczema?

  • Atopic eczema is also well know as atopic dermatitis.
  • Atopic dermatitis usually develops in early childhood, with approximately 70% of patients developing disease in the first 5 years of life.
  • The disease affect less than 2% of adults.
  • Asthma and Hay fever are also regarded as Atopic Diseases and are frequently associated with atopic eczema.
  • Asthma develops in approximately 30% of children with atopic dermatitis.
  • Allergic rhinitis develops in approximately 35% of children with atopic dermatitis.
  • Atopic dermatitis  can present as several stages such as erythema, edema, oozing, crusting, vesiculation, excoriations, lichenification, dryness, scaling, cracking, post inflammatory hyper/hypo-pigmentation.
  • In adults, the disease can impact on career choices and lead to time off work or even loss of employment
  • Out-of-pocket expenses for patients and their family are also high, with the added financial burden contributing further to the social and psychological impact of the disease.

 

Treatment of Atopy Dermatitis

  • Treatment should be geared to the level of impairment of quality of life in each individual case and not exclusively to visible severity.
  • Although emollients and topical corticosteroids remain standard first-line therapy, the topical calcineurin inhibitors such as protopic represent a useful second-line treatment option, particularly eczema on the face and flexures.
  • Patients with regular flare-ups (more than 2-3 a month) may benefit from proactive treatment to problem areas with twice weekly application of topical corticosteroid or topical calcineurin inhibitor, to treat sub-clinical inflammation in between flare-ups, even the skin visibly clear.

Reasons for Poor Response to Therapy

  • Poor compliance.
  • Inadequate Strength of medications.
  • Secondary bacterial or herpetic infection.
  • Superimposed contact allergy.
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