The treatment of atopic eczema involves different steps:
* Exclusion of the causes of allergy,
* Cosmetic treatment,
* Treatment of stress
* Drug therapy orally
* Treatment of itching,
* Anti-inflammatory treatments or outbreaks,
* Treatment of superinfections,
* Pharmacotherapy topic
* Phototherapy,
* New immunomodulators.
Exclusion of Allergy Causes
In this case they are referred to the food exclusion diets to which the patient is sensitized by mechanisms of allergy.
Also environmental control measures to reduce the content of house dust mites.
Cosmetic Treatment
The patient with atopic eczema have dry skin and prone to a very annoying itch due to xerosis. An excellent way to moisturize the skin is the body daily baths. Although the bath with warm water and relieves the itching if the benefit is significantly better if the water is added in solution or suspension, powder, oats or certain formulas with soft tar. The ideal time is the evening bath. After the bath is appropriate to apply emollient body cream. Most contain urea or lactic acid at different concentrations. Treatment of Atopic Eczema
Stress Treatment
Atopic eczema outbreaks can be induced or exacerbated by emotional stress, states of distress or anxiety and stress. The doctor with the ability to grasp situations and evaluate them, can help a lot with good psychotherapy. That is why this justified the use of tranquilizers with the traditional allergy.
Oral Drug Therapy for
* Corticosteroids for systemic: They are useful in very acute cases, appropriate dose, to break the cycle: itching, scratching, eczema, itching. Should be used for short periods, consistent with the basic conditions that are linked to their use. Not be used as maintenance therapy.
* By systemic antihistamines: These drugs should never be used topically. Can be used alone or in combination. Useful combinations of a new generation antihistamine (cetirizine, desloratadine, rupatadine, etc …) during the day with a classic antihistamine (hydroxyzine, chlorpheniramine) at night.
* Antibiotic therapy: The use of antibiotics by general and topical eczema is necessary in superinfection. Atopic eczema is rarely superinfection. Doing so is particularly hemolytic streptococci. However, frequently, Staphylococcus aureus colonizes the plaques of eczema.
* Immunomodulators: Cyclosporin A is orally active in the treatment of atopic eczema in adults and children. It is generally used at doses of 2.5-5 mg / kg / day for short periods of time.
* Lipid Supplements: Use oral or Trans-unsaturated fatty acids Omega-6 from vegetable oil such as evening primrose (evering prime rose oil) or other vegetables rich in ac. Gammalineleico linoleic and help improve dry skin, relieve itching and reduce inflammation eczema.
Topical Drug Therapy
* Moist compresses: Used in healing open two to four times a day. They recommended the saline solution, potassium permanganate.
* Bathrooms: One or two baths a day, in complete and total immersion bath for twenty minutes, are very effective for soothing dry skin and pruritus. Colloids are used oats or certain pitches to dissolve in water.
* Emollients: These are the ideal for after bathing, but can also be used without Several times a day. Contain urea and lactic different concentrations. Children do not tolerate the carrying urea. There are many on the market in different galenic formulations. The emulsions and / or applied after the bath, with skin still wet, are especially beneficial.
* Tars: coal tar creams or ointments of 2 to 5% may be as or more effective than topical steroids. Applied especially in areas of chronic eczema or dry. Moreover, complement each other well alternating with steroid creams or ointments.
* Topical corticosteroids: In principle the best topical medications to treat eczema. Their use should always take into account the basic principles to avoid undesirable effects. Should be chosen in relation to the activity of eczema. A very potent topical steroid should be used for a limited number of days. You can then follow with another medium or lower activity. In the face should always be used for the weak and not for long. In some areas, like the folds, areas of thin skin or body regions where the network appears classically “striae distensae” never should be employed to great power.
Phototherapy
The use of ultraviolet but is not useful in all patients, in some severe cases have been effective. Both UVA and UVB. The dose of PUVA (oxoralen + UVA) is used at two or more sessions.
New Immunomodulators
In this group we tacrolimus (Protopic ®) ointment 0.1% (adults) and 0.03% (children), which acts to modulate cell-mediated response (T lymphocytes), and were therefore classified as an immunomodulator (immunosuppressant).
Tacrolimus has been accepted for the short-term and intermittent long-term in moderate and severe dermatitis in adults and children over 2 years who do not respond to conventional treatments.
As a side effect has been observed an increased incidence of superficial infections of herpes virus, folliculitis and acne.
Not recommended sunbathing or tanning in the active treatment with tacrolimus. Often results in itching and burning skin erythema at the application site that usually disappears with the maintenance of treatment.
Efficacy of Tacrolimus is similar to steroids but has the advantage of not producing on these skin atrophy and therefore can be given about the injuries for longer periods.
Another is the topical immunomodulator pimecrolimus (Elidel ®) has efficacy similar to above, has the advantage of being able to manage after 3 months of age, not cause local burning and its formulation in cream (1%), which makes more tolerable and more convenient than the ointment.
Atopic, eczema superinfection, evening primrose helps acanthosis nigricans, treatment for eczema superinfectionTags: Atopic Eczema, Skin Care, Skin Care Tips, Skin Diseases, Skin Problems, Treatment of Atopic Eczema
, Atopic, eczema superinfection, evening primrose helps acanthosis nigricans, treatment for eczema superinfection
