Atopic dermatite
Atopic dermatitis is a chronic skin disease characterized by itchy, recurrent attacks of eczema on the skin. Although the disease is often seen in children, it can occur at any stage of life.
Treatment
Patient compliance is important as atopic dermatitis is a chronic and recurrent disease
In the first step of treatment, it is important to avoid woolen and synthetic clothes that may cause skin reactions, soaps and shampoos with a pronounced drying effect, allergic foods in infancy, and foods with additives in children and adults.
Soap, hair and body shampoo that is suitable for skin pH, low in additives and high in moisturizing properties should be used. The skin should be moisturized twice a day during the attack period and routinely every night.
** Medication should be used first and moisturizer should be used after medication.
Topical and systemic steroid use:
Topical corticosteroids are the first step of treatment. However, the type and duration of cortisone cream to be used varies according to the patient’s age, application area and severity of the lesion. Many parents and individuals with atopic dermatitis refuse steroid use because of steroid phobia. The important thing in topical steroid use is to follow what your dermatologist recommends.
Systemic steroids can be used in the acute phase in severe cases.
Topical calcineurin inhibitors: (Tacrolimus, Pimecrolimus)
May cause some burning and stinging with topical application. They can be used alone or alternated with topical steroids.
Oral Antihistamines: Antihistamines with sedative effect may be used to relieve pruritus.
Cyclosporine, omalizumab and phototherapy may be used in resistant cases.
Lifestyle Changes and Atopic Dermatitis
Lifestyle changes are also important for successful treatment of atopic dermatitis. Avoiding factors that trigger itching, avoiding harsh soaps that can irritate the skin and bathing with warm water can help relieve symptoms. In addition, choosing cotton and soft clothes can help reduce skin irritation.
Risk of Infection in Skin with Atopic Dermatitis
Skin with atopic dermatitis is at risk of infection because it is more sensitive to external factors. Itching and irritation of the skin can cause bacteria to easily penetrate the skin. It is therefore important to pay attention to skin hygiene and to consult a doctor immediately if there are any signs of infection.
Stress and Atopic Dermatitis
Stress can worsen the symptoms of atopic dermatitis. Therefore, stress management plays an important role in the treatment of atopic dermatitis. Relaxing activities such as yoga, meditation, deep breathing exercises can speed up the healing process of the skin. At the same time, regular sleep and a balanced diet support skin health by strengthening the immune system.
Long-Term Management of Atopic Dermatitis
Since atopic dermatitis is a chronic condition, treatment requires a long-term approach. Regular medical check-ups, constant moisturizing of the skin and avoiding trigger factors are critical in keeping the disease under control. Continuing treatment regularly minimizes the skin problems caused by atopic dermatitis.