HEALTH TIME

ATOPIC DERMATITIS

By: Dr. Marianne Efskind Harr
December 2008



Atopic dermatitis, also known as atopic eczema or just eczema, is a chronic inflammatory skin condition with unknown cause. However, it is normally found in people with sensitive and dry skin with location on a flexion site of a joint, typically knees and elbows. Other sites may be the face and upper body. The rash in an acute phase is typically red with swelling and sometimes vesicles. In a chronic phase the skin is thickened. The rash itches.

Atopy describes a group of disorders which include allergic rhinitis, asthma and eczema. However, the connection between these disorders is now questionable.
Eczema affects 5 to 20 percent of children, and 2 to 3 percent of adults. It is common worldwide, however it is more frequent in urban areas and in developed countries. The majority of atopic dermatitis has an onset before age 5. In persons with eczema, atopy is commonly found in other family members. The disease seizes in nearly 40 percent by adulthood.

Treatment of eczema is to avoid trigger factors and to treat symptoms. No medication exist which can heal this condition. Trigger factors might be heat, low humidity and emotional stress. Food allergy might reveal itself as atopic dermatitis, or a known food allergy might worsen atopic dermatitis. For all persons with eczema it is important to hydrate the skin, by applying lotions or creams with low water content. In an acute phase, where the skin is inflamed, various creams which contain glucocorticoids (steroid) might be applied with good effect. Newer products called calcineurin inhibitors can also be used. To expose the skin to sun is also of help. UVA and UVB are also used to treat atopic dermatitis. The itch can be treated with various antihistamines.

Complications such bacterial and viral infections should be treated with proper antivirals or antibiotics.

If you have further questions with regards to this topic, feel free to send me an e-mail at drmarianne@mamizeit.com.

I wish you all a Merry Christmas and a Happy New Year!
Dr. Marianne




MARIANNE EFSKIND

Born: Norway

Family: married to John Olav

Occupation: intern in public health and family medicine in Vik.



mamizeits Dr. Marianne


Do you have a question about health?
Take this oportunity to send us your question and Dr. Marianne will answer.
drmarianne@mamizeit.com



Previous Health time issues:

THE FLU! WAT DO I DO?

DEVELOPMENT IN CHILDREN THE FIRST YEARS OF LIVING

NIGHT TERRORS

ACUTE OTITIS MEDIA

LYME DISEASE



Previous questions from readers:


Dear Dr. Marianne,
I heard on the radio the other day
that Switzerland has the highest rate of measles (masern) outbreaks in Europe.
My son is soon scheduled to have the vaccine against measles, but some of my friends recommend that I don't let him have this because of possible side effects. I don't know what to do. What would you recommend?"

READ MORE

Dear Dr. Marianne,
My 6-year old son has started to go
on weekend visits to visit his grandparents’ by himself. These weekend visits are his first experiences away from home overnight. Before going he gets excited about the visit, but as it draws close he starts to worry about missing his toys and little sister and not having me to read him a bed-time story. Last weekend we had to go and pick him up early because he was so homesick.
What is homesickness, and what can we do to help him?

READ MORE

























Site Meter