What are the main symptoms of flexural eczema. How is flexural eczema diagnosed. What are the most effective treatments for flexural eczema. Can flexural eczema be prevented. How does flexural eczema differ from other types of eczema. What are the long-term effects of flexural eczema. Is flexural eczema more common in children or adults.

Understanding Flexural Eczema: A Comprehensive Overview

Flexural eczema, a specific type of atopic dermatitis, is characterized by its distinctive location on the body. This skin condition manifests in the creases of joints, particularly the elbows and knees, but can also affect other areas such as the ankles, wrists, and neck. Unlike other forms of eczema, flexural eczema tends to develop later in childhood and can persist into adulthood.

The hallmark symptoms of flexural eczema include red, irritated, and intensely itchy patches of skin. These symptoms often follow a cyclical pattern, with periods of flare-ups alternating with periods of remission. This chronic nature can make managing the condition challenging for both patients and healthcare providers.

Identifying the Symptoms of Flexural Eczema

Recognizing the symptoms of flexural eczema is crucial for early diagnosis and effective management. The primary symptoms include:

• Intense itching, often preceding the appearance of a visible rash
• Red, inflamed patches of skin in the joint creases
• Dry, scaly, or thickened skin in affected areas
• Potential darkening or lightening of the skin around the rash
• Formation of permanent goose bumps in chronic cases

In children, the presentation of flexural eczema can vary with age. While infants typically experience eczema on their face, scalp, and extensor surfaces, children between the ages of 2 and adolescence are more prone to developing the characteristic rash in the creases of their elbows and knees.

How does the appearance of flexural eczema change with age?

The presentation of flexural eczema evolves as individuals grow older:

1. Infants: Primarily affects the face, scalp, and extensor surfaces
2. Young children: Begins to appear in joint creases, particularly elbows and knees
3. Adolescents and adults: Typically confined to flexural areas, with potential for more widespread involvement in severe cases

Unraveling the Causes of Flexural Eczema

While the exact cause of flexural eczema remains elusive, researchers have identified several contributing factors. These include:

• Genetic predisposition
• Environmental triggers
• Immune system dysfunction
• Skin barrier abnormalities

Recent studies have shed light on the genetic component of eczema, particularly focusing on mutations in the FLG gene. This gene is responsible for producing filaggrin, a protein crucial for maintaining the skin’s protective barrier. Individuals with mutations in this gene may have an impaired skin barrier, making them more susceptible to moisture loss and irritant penetration.

Does having a family history of eczema increase the risk of developing flexural eczema?

Yes, having a family history of eczema significantly increases an individual’s risk of developing flexural eczema. Research indicates that if one parent has eczema, the child has a 25% chance of developing the condition. If both parents have eczema, this risk increases to 50%. This genetic link underscores the importance of early intervention and proactive management in families with a history of eczema.

Effective Treatment Strategies for Flexural Eczema

While there is no cure for flexural eczema, a variety of treatment options can help manage symptoms and prevent flare-ups. These treatments can be broadly categorized into medical interventions and at-home remedies.

Medical Treatments

Medical treatments for flexural eczema include:

• Topical medications: Corticosteroids and calcineurin inhibitors to reduce inflammation and itching
• Systemic medications: Such as methotrexate, cyclosporine, and mycophenolate mofetil for severe cases
• Phototherapy: Controlled exposure to UV light to reduce inflammation and promote healing
• Emerging therapies: Over 40 clinical trials are currently underway, promising new treatment options in the future

At-Home Remedies

Complementary at-home treatments can provide relief and support medical interventions:

• Moisturizing: Regular application of emollients to maintain skin hydration
• Oatmeal baths: To soothe irritated skin and reduce itching
• Cool compresses: To alleviate inflammation and provide temporary relief
• Stress management techniques: Such as meditation or biofeedback to reduce flare-ups triggered by stress

Preventing Flare-Ups: Key Strategies for Managing Flexural Eczema

Prevention plays a crucial role in managing flexural eczema. By identifying and avoiding triggers, individuals can significantly reduce the frequency and severity of flare-ups. Common triggers include:

• Certain fabrics (e.g., wool or synthetic materials)
• Harsh soaps and detergents
• Extreme temperatures or humidity levels
• Stress and anxiety
• Allergens such as dust mites, pet dander, or pollen

Developing a personalized treatment plan in consultation with a healthcare provider is essential for effective long-term management of flexural eczema. This plan should include strategies for both acute flare-ups and ongoing maintenance.

How can individuals identify their specific eczema triggers?

Identifying eczema triggers often involves a process of elimination and careful observation. Here are some steps to help pinpoint specific triggers:

1. Keep a detailed diary of daily activities, diet, and environmental factors
2. Note when flare-ups occur and potential correlations with specific exposures
3. Gradually eliminate suspected triggers one at a time
4. Work with an allergist to conduct patch testing for common allergens
5. Consider using a smartphone app designed for tracking eczema symptoms and potential triggers

The Long-Term Outlook: Will Flexural Eczema Persist into Adulthood?

The prognosis for flexural eczema varies among individuals. While many children with eczema experience improvement or complete resolution of symptoms by adulthood, some may continue to have persistent or intermittent flare-ups throughout their lives.

Factors that influence the long-term outlook include:

• Severity of the condition
• Age of onset
• Persistence of symptoms during childhood and adolescence
• Presence of other atopic conditions (e.g., asthma, allergic rhinitis)
• Adherence to treatment and prevention strategies

What percentage of children with flexural eczema continue to have symptoms in adulthood?

Research suggests that approximately 60-70% of children with eczema will experience significant improvement or complete resolution of symptoms by adulthood. However, about 30-40% may continue to have persistent or intermittent symptoms into their adult years. Factors such as early onset, severe symptoms, and the presence of other atopic conditions increase the likelihood of eczema persisting into adulthood.

Advances in Flexural Eczema Research: New Horizons in Treatment

The field of eczema research is rapidly evolving, with promising developments on the horizon. Current areas of focus include:

• Targeted biologics: Medications that specifically address the immune pathways involved in eczema
• Microbiome modulation: Exploring the role of skin bacteria in eczema development and potential therapeutic interventions
• Gene therapy: Investigating ways to correct genetic mutations associated with eczema
• Novel delivery systems: Developing more effective methods for delivering medications to the skin

These advancements offer hope for more effective and personalized treatments for individuals with flexural eczema in the future.

How might emerging treatments change the landscape of flexural eczema management?

Emerging treatments have the potential to revolutionize flexural eczema management in several ways:

1. Increased efficacy: New biologics and targeted therapies may provide more complete and longer-lasting symptom relief
2. Reduced side effects: More precise interventions could minimize the systemic effects associated with current treatments
3. Personalized medicine: Genetic and microbiome analysis may allow for tailored treatment approaches
4. Prevention strategies: Better understanding of eczema pathogenesis could lead to interventions that prevent the condition from developing or progressing
5. Improved quality of life: More effective treatments could significantly reduce the physical and emotional burden of flexural eczema

Living with Flexural Eczema: Practical Tips for Daily Management

Managing flexural eczema requires a multifaceted approach that extends beyond medical treatments. Incorporating lifestyle modifications and self-care practices can significantly improve quality of life for individuals with this condition.

Skincare Routine

Establishing a consistent skincare routine is crucial for managing flexural eczema:

• Use gentle, fragrance-free cleansers
• Apply moisturizer immediately after bathing to lock in hydration
• Choose products specifically formulated for sensitive or eczema-prone skin
• Avoid hot showers or baths, opting for lukewarm water instead
• Pat skin dry gently rather than rubbing

Clothing Choices

The right clothing can help prevent irritation and flare-ups:

• Opt for soft, breathable fabrics like cotton
• Avoid wool and synthetic materials that can trigger itching
• Choose loose-fitting clothes to reduce friction in flexural areas
• Remove labels or tags that may irritate the skin

Environmental Modifications

Creating an eczema-friendly environment can help reduce triggers:

• Use a humidifier to maintain optimal indoor humidity levels
• Keep indoor temperatures cool and consistent
• Use dust mite-proof covers on bedding
• Vacuum regularly using a HEPA filter
• Limit exposure to known allergens and irritants

How can individuals with flexural eczema manage symptoms during exercise or physical activities?

Managing flexural eczema during exercise requires some extra consideration:

1. Choose moisture-wicking workout gear to keep skin dry
2. Apply a barrier cream to affected areas before exercising
3. Shower and moisturize immediately after physical activity
4. Stay hydrated to support overall skin health
5. Consider indoor activities during high pollen or humidity days
6. Use cooling towels or sprays to prevent overheating and sweating

By implementing these strategies, individuals with flexural eczema can continue to enjoy an active lifestyle while minimizing symptom flare-ups.

The Psychological Impact of Flexural Eczema: Addressing Mental Health

The chronic nature of flexural eczema can have significant psychological effects on those living with the condition. It’s essential to address these aspects alongside physical symptoms for comprehensive care.

Common Psychological Challenges

Individuals with flexural eczema may experience:

• Anxiety and depression related to symptom management and appearance
• Sleep disturbances due to itching and discomfort
• Social isolation or avoidance of activities due to visible symptoms
• Reduced self-esteem and body image issues
• Stress, which can in turn exacerbate eczema symptoms

Coping Strategies

Several strategies can help individuals cope with the psychological impact of flexural eczema:

• Seek support from a mental health professional specializing in chronic skin conditions
• Join support groups or online communities for individuals with eczema
• Practice stress-reduction techniques such as mindfulness meditation or yoga
• Engage in hobbies and activities that promote relaxation and positive self-image
• Educate friends and family about the condition to foster understanding and support

How can parents support children with flexural eczema in developing a positive self-image?

Parents play a crucial role in helping children with flexural eczema develop a positive self-image:

1. Encourage open communication about feelings related to eczema
2. Focus on the child’s strengths and abilities beyond their skin condition
3. Provide age-appropriate education about eczema to empower the child
4. Model positive self-talk and body acceptance
5. Involve the child in treatment decisions to foster a sense of control
6. Collaborate with school staff to ensure a supportive environment
7. Consider connecting the child with peer support groups or camps for children with eczema

By addressing both the physical and psychological aspects of flexural eczema, individuals can achieve better overall well-being and quality of life.

Symptoms, Causes, Treatment and More

Eczema is the term for a group of skin conditions that cause irritated, red, and itchy skin. The most common form of eczema is atopic dermatitis.

Flexural eczema describes the location where an eczema rash occurs. It appears around the creases of the joints, most frequently the elbows and knees. It can also occur at the ankles, wrists, and neck. Flexural eczema most commonly appears in late childhood and adulthood.

Here’s everything you need to know about flexural eczema.

Flexural eczema causes red, irritated, and itchy patches of skin to appear on the skin near your or your child’s joints. The condition is chronic, which means you might notice that symptoms clear up for a while only to return again several weeks, months, or years later.

Typically, an eczema rash starts as itchy skin. Once you or your child starts scratching it, the rash will develop.

Eczema can affect a person at any age and can continue into adulthood in some more severe cases, but it can look different based on age.

While babies tend to have eczema on the face, scalp, and extensors, like the front of the knee or back of the elbow, children between 2 years old and adolescence are more likely to develop the itchy rash around the creases in their elbows and knees. Other areas of eczema that are common in this age group are the neck, wrists, and ankles.

Other symptoms and signs of eczema in children can include:

• itchy, scaly patches
• rash that appears in the knee or elbow creases or in other areas of the body
• darkening or lightening of skin near the rashes
• permanent goose bumps
• thickened skin that develops from chronic itching or rubbing

The exact cause of eczema is still unknown, but researchers have some ideas. According to the National Eczema Association, causes of eczema include:

• genetics, which may influence whether someone develops eczema as a child
• environmental factors, also known as triggers, like allergens, chemicals, or other stimuli that causes eczema to start or flare

Children or adults living with eczema may also have an overactive immune system. In this case, the immune system overreacts to a substance outside or inside the body, which results in inflammation.

Evidence suggests that people with eczema may have a mutation in the FLG gene that encodes a protein called filaggrin. Filaggrin helps create a protective barrier between the skin and the outside world. Without a sufficient barrier, your skin or your child’s skin can become dry and prone to infection.

Eczema does not have a cure, but you can take steps to help lessen the severity of symptoms and prevent flares for you or your child.

Medical treatments can involve both topical and systemic medications. During a flare, you can apply topical medications, such as topical calcineurin inhibitors (TCIs) and steroids, directly to the affected skin.

Your doctor may also recommend phototherapy to topically treat eczema. Phototherapy involves using light to help reduce the severity of an eczema flare and help heal the skin.

A doctor may also recommend taking systemic medications such as methotrexate, cyclosporine, and mycophenolate mofetil. Additionally, over 40 clinical trials are underway or in the process of getting approval, which means new medications may eventually become available that better treat eczema.

You or your child may also find some relief with complementary therapies. Some techniques include meditation, hypnosis, and biofeedback.

Some at-home treatments may also help improve flexural eczema symptoms. These include:

• oatmeal baths
• cool compresses
• petroleum jelly or other moisturizing cream or ointment
• finding distractions from the itch

Taking steps to avoid known triggers can help prevent flexural eczema flares. It is important to take time to set up a treatment plan for flexural eczema.

Several treatment options can help prevent flares. For example, systematic medications can have a preventive effect on flexural eczema. Keeping your or your child’s skin moisturized can also help prevent new flares from occurring.

Research shows that most children will “outgrow” eczema by the time they are adults. However, several factors can make lifelong eczema more likely. The following factors affect whether eczema will subside or go away completely over time:

• severity of the condition, as more severe cases are more likely to continue into adulthood
• time of onset, as eczema that appears later in life is more likely to last
• persistency of the condition

Flexural eczema is a type of eczema that appears around the creases of joints, often on the elbows and knees. It causes an itchy rash to form. Children may be more likely to develop flexural eczema, though it can occur in adults as well. If your child develops eczema, there is a chance that it will go away as they age.

There are many treatment options for eczema, like topical medications, systemic medications, and home remedies. Talk with your doctor about creating a treatment plan that is right for you or your child’s eczema.

Symptoms, Causes, Treatment and More

Eczema is the term for a group of skin conditions that cause irritated, red, and itchy skin. The most common form of eczema is atopic dermatitis.

Flexural eczema describes the location where an eczema rash occurs. It appears around the creases of the joints, most frequently the elbows and knees. It can also occur at the ankles, wrists, and neck. Flexural eczema most commonly appears in late childhood and adulthood.

Here’s everything you need to know about flexural eczema.

Flexural eczema causes red, irritated, and itchy patches of skin to appear on the skin near your or your child’s joints. The condition is chronic, which means you might notice that symptoms clear up for a while only to return again several weeks, months, or years later.

Typically, an eczema rash starts as itchy skin. Once you or your child starts scratching it, the rash will develop.

Eczema can affect a person at any age and can continue into adulthood in some more severe cases, but it can look different based on age.

While babies tend to have eczema on the face, scalp, and extensors, like the front of the knee or back of the elbow, children between 2 years old and adolescence are more likely to develop the itchy rash around the creases in their elbows and knees. Other areas of eczema that are common in this age group are the neck, wrists, and ankles.

Other symptoms and signs of eczema in children can include:

• itchy, scaly patches
• rash that appears in the knee or elbow creases or in other areas of the body
• darkening or lightening of skin near the rashes
• permanent goose bumps
• thickened skin that develops from chronic itching or rubbing

The exact cause of eczema is still unknown, but researchers have some ideas. According to the National Eczema Association, causes of eczema include:

• genetics, which may influence whether someone develops eczema as a child
• environmental factors, also known as triggers, like allergens, chemicals, or other stimuli that causes eczema to start or flare

Children or adults living with eczema may also have an overactive immune system. In this case, the immune system overreacts to a substance outside or inside the body, which results in inflammation.

Evidence suggests that people with eczema may have a mutation in the FLG gene that encodes a protein called filaggrin. Filaggrin helps create a protective barrier between the skin and the outside world. Without a sufficient barrier, your skin or your child’s skin can become dry and prone to infection.

Eczema does not have a cure, but you can take steps to help lessen the severity of symptoms and prevent flares for you or your child.

Medical treatments can involve both topical and systemic medications. During a flare, you can apply topical medications, such as topical calcineurin inhibitors (TCIs) and steroids, directly to the affected skin.

Your doctor may also recommend phototherapy to topically treat eczema. Phototherapy involves using light to help reduce the severity of an eczema flare and help heal the skin.

A doctor may also recommend taking systemic medications such as methotrexate, cyclosporine, and mycophenolate mofetil. Additionally, over 40 clinical trials are underway or in the process of getting approval, which means new medications may eventually become available that better treat eczema.

You or your child may also find some relief with complementary therapies. Some techniques include meditation, hypnosis, and biofeedback.

Some at-home treatments may also help improve flexural eczema symptoms. These include:

• oatmeal baths
• cool compresses
• petroleum jelly or other moisturizing cream or ointment
• finding distractions from the itch

Taking steps to avoid known triggers can help prevent flexural eczema flares. It is important to take time to set up a treatment plan for flexural eczema.

Several treatment options can help prevent flares. For example, systematic medications can have a preventive effect on flexural eczema. Keeping your or your child’s skin moisturized can also help prevent new flares from occurring.

Research shows that most children will “outgrow” eczema by the time they are adults. However, several factors can make lifelong eczema more likely. The following factors affect whether eczema will subside or go away completely over time:

• severity of the condition, as more severe cases are more likely to continue into adulthood
• time of onset, as eczema that appears later in life is more likely to last
• persistency of the condition

Flexural eczema is a type of eczema that appears around the creases of joints, often on the elbows and knees. It causes an itchy rash to form. Children may be more likely to develop flexural eczema, though it can occur in adults as well. If your child develops eczema, there is a chance that it will go away as they age.

There are many treatment options for eczema, like topical medications, systemic medications, and home remedies. Talk with your doctor about creating a treatment plan that is right for you or your child’s eczema.

Itching on the elbows: causes, treatment, diagnosis

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Itching on the elbows is not a disease, but a sign of a painful skin condition that has arisen as a manifestation of a genetic disease, pathologies of internal organs, skin infections, inflammation of the elbow joint.

To identify the causes of itching of the elbows, a consultation with a dermatologist is necessary , who can differentiate the types of the disease using special skin tests and tests. Eliminating itching, as a symptom, will not solve the problem; it is necessary to treat a disease that manifests itself as a desire to comb the skin of the elbow.

Appointment for a consultation with a dermatologist by phone +7(495) 256-49-52 or by filling out the online form

Answers to frequently asked questions about itchy skin:

• Which doctor treats itchy skin?
• What organs are affected by itching?
• Why is itching dangerous?
• What tests should be done for pruritus?
• What is the diet for itchy skin?
• What diseases does pruritus speak of?
• Itching for no apparent reason?
• What parasites cause itching?
• What microorganisms cause pruritus?
• How to get rid of itchy skin?
• Is it necessary to isolate a patient with pruritus?
• Skin itching in diseases of the gastrointestinal tract?
• What are the main causes of pruritus?
• How to distinguish between allergic and parasitic pruritus?
• How to prepare for a dermatologist appointment?
• How to check for skin diseases?
• What diseases does a dermatologist treat?
• What tests should be done by a dermatologist?
• What diagnostics can a dermatologist perform at the clinic?
• Where to go with a skin disease?

Signs to see a doctor

Itching on the elbows, accompanied by:

• Skin redness
• Appearance of rash, abscesses, peeling on the skin
• Tumor formation
• Pain

Despite the fact that itching may not cause severe discomfort, it can be the first symptom of an infectious and inflammatory skin disease, an allergic reaction, skin infections, characterize inflammation of the elbow joint, which a dermatologist diagnoses.

Useful information on the topic of itchy skin:

• Dermatologist
• Itching in skin diseases
• Pruritus without skin manifestations
• Itching in the groin
• Itching on legs
• Itching on the hands
• Itching on the back
• Pruritus during pregnancy
• Pruritus in liver disease
• Pruritus in children
• Pruritus in the elderly
• Treatment of pruritus
• Nocturnal pruritus
• Causes of pruritus

Allergies that occur with itching on the elbows

• Atopic dermatitis develops due to local exposure to the skin of the elbow of a chemical or plant poison, or appear as a systemic reaction to foods, drugs, endogenous toxins. Itching in atopic dermatitis is always associated with the appearance of a rash on the skin.
• Eczema
  characterized by the appearance of itchy areas that differ from healthy skin by peeling, vesicles, resolved by the formation of crusts. These signs indicate an exacerbation of the disease, which affects large areas of the skin.
• Urticaria
  – This is a contact dermatitis that occurs suddenly with signs of severe itching and the appearance of small dot bubbles, resembling a nettle burn.

Infectious diseases

• Mycosis
  – This is a generalized process that has moved from a local stage (hair, fingers) to other areas of the skin, including the skin of the elbows. The disease is caused by a fungal infection and is characterized by severe itching, redness, and peeling of the surface of the skin of the elbow.
• Lichen planus is one of the causes of itchy elbows. Lichen has the shape of an oval, raised above the surface of the skin with an impression in the middle of the focus. The oval itself consists of many small elements – nodules. A feature of the flow of lichen is the appearance of a “mesh” when pathological areas are wetted with water.
• Scabies mite in the advanced stages of the disease can also affect the ulnar surface. It is characterized by unbearable itching on the elbows. In the focus of the disease, scabies are observed – gray stripes under the epithelium of the skin.

Methods for diagnosing skin diseases:

• Diagnosis of skin diseases
• Diagnosis of skin diseases at home
• Diagnosis of allergic skin diseases
• Diagnosis of bacterial skin diseases
• Diagnosis of viral skin diseases
• Diagnosis of hair diseases
• Diagnosis of nail diseases
• Diagnosis of neoplasms on the skin
• Skin scraping
• Blisters on the skin
• Dermoscopy
• Demodex tests
• Diagnosis of genital infections
• Fungal tests
• Skin scraping

Elbow joint disorders

Arthritis, bursitis, tendovaginitis – inflammatory diseases accompanied by itching on the elbows, affecting one or all structures of the joint. They can be complicated by purulent-inflammatory reactions – the formation of phlegmon and fistula.

Pathologies of internal organs

Liver diseases that occur with difficulty in the outflow of bile, kidney failure, pathologies of the parathyroid and thyroid glands, diabetes mellitus can cause generalized itching, including itching on the elbows.

Diagnostics

A certified dermatologist, focusing on the external signs of skin lesions, the results of skin tests and samples, can establish a diagnosis. Skin scraping tests confirm that the pathology belongs to one of the types of inflammation.

The modern level of medical care allows you to diagnose skin diseases without leaving your home. To do this, you can contact the clinic and call a dermatologist at home.

You can make an appointment with a dermatologist at one of the private clinics on the Vash Doctor Information Center website.

Publication date: 2018-0 2- 03

Common symptoms and manipulations in dermatology:

• Eruptions on the skin
• Dermatologist house call
• Itching in the urethra
• Pruritus
• Skin rash
• Prevention of casual sex
• Skin neoplasms
• Pyoderma
• Rosacea
• Streptoderma
• Scabies
• Skin peeling
• Fungal infections
• Skin infection
• Skin pus
• Blisters on the skin
• Papillomas on the foreskin
• Venereal diseases
• Structure of the skin

This article is for educational purposes only and does not constitute scientific material or professional medical advice.

Abdullaev Arsen Mukhtarovich

Andrologist, Venereologist, Dermatologist, Urologist, Dermatovenereologist

Years of service: 36

54
recall

3.90
rating

Cost of admission – 2000 rubles.

Aircraft

Abramova Victoria Yurievna

Venereologist, Dermatologist, Cosmetologist, Dermatovenereologist

Years of service: 2

2
recall

4.20
rating

Cost of admission – 3000 rubles.

Mayakovskaya, Okhotny Ryad

Abramova Elena Viktorovna

Dermatologist, Cosmetologist

Years of service: 20

164
recall

5.00
rating

Cost of admission – 3350 rubles.

Kantemirovskaya, Kashirskaya

Abramyan Seda Samvelovna

Dermatologist, Cosmetologist

Years of service: 8

10
recall

4. 29
rating

Cost of admission – 2000 rubles.

Dostoevskaya, Maryina Roshcha

Avagyan Simona Araevna

Dermatologist, Cosmetologist

Years of service: 9

21
recall

4.34
rating

Cost of admission – 5000 rubles.

Bagrationovskaya, Exhibition

Avdalyan Ilona Veylandovna

Dermatologist, Cosmetologist

Years of service: 23

1
recall

4.61
rating

Cost of admission – 2500 rubles.

Kuznetsky Most, Okhotny Ryad

Avdeeva Vera Vladimirovna

Dermatologist, Cosmetologist, Trichologist

Years of service: 12

3
recall

4.22
rating

Cost of admission – 3000 rubles.

Alekseevskaya, Rizhskaya

Avetisyan Karina Martikovna

Venereologist, Dermatologist, Cosmetologist, Dermatovenereologist

Years of service: 11

3
recall

4.33
rating

Cost of admission – 3450 rubles.

Avtozavodskaya, Dubrovka

Avin Marika

Venereologist, Dermatologist, Cosmetologist, Trichologist, Oncodermatologist

Years of service: 8

35
recall

4.61
rating

Cost of admission – 2000 rubles.

Kaluga, Prospekt Vernadskogo

Agareva Oksana Alexandrovna

Venereologist, Dermatologist, Cosmetologist, Trichologist, Dermatovenereologist

Years of service: 16

19
recall

4.69
rating

Cost of admission – 2100 rubles.

Water stadium, Voikovskaya

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Diseases

Diagnosis and treatment of atopic dermatitis in children

Atopic dermatitis (another name for this disease is eczema) is a skin disease that causes dryness, itching, peeling, redness of the skin. Atopic dermatitis affects both children and adults, it has a genetic predisposition, so members of the same family often get sick. Atopic dermatitis can be treated with moisturizers and some medicinal ointments.

Causes of atopic dermatitis

The cause of atopic dermatitis is not fully understood. Heredity appears to play an important role, and people with a family history of eczema have an increased risk of developing the disease. Most people with eczema have a genetic abnormality in the outer layer of the skin called the epidermis.

The epidermis is the first line of defense between the body and the environment. When the epidermis is intact, it prevents environmental irritants, allergens and microbes from entering the body and prevents the skin from losing too much water. In people with atopic dermatitis, this barrier is less strong and more permeable than it should be.

Despite popular belief, atopic dermatitis in children is rarely associated with food allergies.

Symptoms of atopic dermatitis

Most people with atopic dermatitis show their first symptoms before the age of 5 years. Atopic dermatitis can look different in people of different ages:

• In children, atopic dermatitis is more likely to affect the front of the arms and legs, the cheeks, or the scalp (the diaper area is usually not affected)

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• In older children and adults, atopic dermatitis often affects the sides of the neck, the creases inside the elbow, and the back of the knees. In adults, the rash can be on the wrists, hands, forearms, and face. In some cases, over time, the skin at the sites of the lesions may become dark or thickened.

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Diagnosis of atopic dermatitis

There is no specific test (blood or other tests) to diagnose atopic dermatitis. The doctor establishes the diagnosis of atopic dermatitis on the basis of a survey and examination, in the presence of characteristic symptoms.

Treatment of atopic dermatitis

Atopic dermatitis is a chronic disease that has periods of exacerbations and improvement in skin condition. Some people may not experience exacerbations for several years.

The symptoms of atopic dermatitis can be controlled with a variety of skin care measures and medications.

Several factors aggravate the symptoms of atopic dermatitis and their management may help control the symptoms. Possible aggravating factors include:

• dry air,
• sweating,
• emotional stress,
• rapid temperature changes,
• Exposure to certain physical or chemical irritants, including soaps and detergents, perfumes and cosmetics, wool or synthetic fibres, dust, sand and cigarette smoke.

Maintain skin hydration

• Moisturizers (emollients) are creams and ointments that moisturize the skin and prevent it from drying out. The best moisturizers for people with atopic dermatitis are creams or ointments that contain little or no water (Vaseline is the easiest emollient).

Emollients are most effective when applied immediately after bathing. Emollients can be applied twice a day or more often if needed.

Lotions contain more water than creams and ointments and are less effective at moisturizing the skin.

• Bathing: Warm baths or showers can moisturize and cool the skin, temporarily relieving itchy eczema. Hot or long baths (more than 10-15 minutes) and showers should be avoided as they can dry out the skin.

Skin irritation treatment

Topical steroids – Your doctor may prescribe a steroid (also called a “corticosteroid”) cream or ointment if you have a flare-up of atopic dermatitis.

As your skin improves, you can switch to a moisturizer (emollient). Strong topical steroids may be prescribed for severe exacerbations of atopic dermatitis.