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Atopic dermatitis

Atopic dermatitis, also known as atopic eczema, is one of the most common skin diseases. Although it's chronic (long-lasting), it's not contagious.

Dermatitis means an inflammation of the skin, and "atopic" refers to a groups of diseases which most often include and inherited tendency to develop other allergic conditions like asthma or hay fever.

According to a study in Japan, this condition now affects 10-20% of children and 1-3% of adults in industrialized countries. Its prevalence in these areas has more than doubled in the past thirty years.

picture of dermatitis

Who gets atopic dermatitis?

This skin problem is more common in urban areas and there is a hereditary component involved. It most often affects small families and wealthier families (for unknown reasons).

Children are more likely to develop this disorder if one or both parents have had it or allergic conditions like asthma or hay fever.

About half of these children continue to experience signs and symptoms into adulthood. Usually the flare-ups come and go and the severity lessens with age, affecting mostly the hands.

The skins of these children often remain dry and easily irritated into adulthood. This is another reason moisturizing your skin according to your skin type - dry skin or oily skin - is very important.

Atopic eczema is associated with a malfunction of the body's immune system. People with atopic dermatitis were found to have an imbalance of proteins (cytokines) essential to the healthy function of their immune systems.

Inflammations can be created in the skin even in the absence of a major infection - a form of autoimmunity, where a body reacts against its own tissues.

Possible skin characteristics of atopic dermatitis

• a tendency to get irritant contact dermatitis

• an extra fold of skin that develops under the eye (atopic pleat or "Dennie-Morgan fold")

• inflammation of the skin on lips or lip area (Cheilitis)

• increased number of skin creases on the palms

eyelids that become darker in color from inflammation or hay fever

• dry, rectangular scales on the skin (Ichthyosis)

small, rough bumps, generally on the face, upper arms, and thighs (Keratosis pilaris)

thick, leathery skin resulting from scratching and rubbing (Lichenification)

• small raised bumps that may open when scratched and become crusty and infected (Papules)

hives i.e. red, raised bumps may occur after exposure to an allergen, at the beginning of a flare-up or after exercise, hot bath or being in very hot or very cold conditions. (Urticaria)

patchy loss of eyebrows and eyelashes may result from scratching or rubbing atopic dermatitis symptoms around the eyes, the eyelids, eyebrows and eyelashes.

How to control it

• Prevent scratching or rubbing whenever possible.

• Protect skin from irritants, and rough clothing.

• Avoid letting skin get too dry or stay wet for too long a time

• Maintain a cool, stable temperature and consistent humidity levels.

• Limit exposure to dust, cigarette smoke, pollens, and animal dander.

• Recognize and do your best to limit or resolve emotional stress

It may be a small comfort to know that you're not alone - that a great many people, all over the world, suffer from atopic dermatitis.

The best thing you can do for yourself is to learn the symptoms of atopic dermatitis and how to limit flare-ups.

Then be kind to yourself. You don't need or want to add stress to the condition. Last, extend that kindness - and your knowledge - to others.


Always be kinder than necessary,
because everyone you meet
is fighting some kind of battle.

Unknown

Creative Commons License credit: New York Observer


Allergic contact dermatitis

Causes

Eczema

Irritant contact dermatitis

Nummular eczema

Symptoms

Treatment

types of eczema

Varicose eczema or Stasis dermatitis


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