Saturday, March 14, 2015

Atopic dermatitis

Atopic dermatitis - a chronic inflammatory disease of the skin of an allergic nature, the main symptom is severe itching.

 Predisposition to diffuse neurodermatitis and other atopic diseases (bronchial asthma, pollinosis, allergic rhinitis) genetically transmitted. Therefore, usually the person who puts such a diagnosis, there must exist relative to one of these diseases. In most patients, the disease begins before the age of 12 years. In adulthood, atopic dermatitis manifests very rare.
Without treatment, the disease occurs over the years, with periodic remissions and exacerbations and causes a lot of anxiety to the patient.
The cause of allergic reactions in the skin of atopic dermatitis is hyperreactivity organism in response to the interaction of various substances. These substances are for the body of the patient allergens. As an allergen can act pollen, house dust, animal dander, different foods, household chemicals and other. There are air, food contact and way of penetration of the allergen into the body.
Symptoms of atopic dermatitis
For atopic dermatitaharakterno relapsing course with periods of exacerbations that occur with repeated interaction with the allergen (eg, in the use of certain products in food or in contact with animals). On the frequency of exacerbations is also influenced by the season of the year (exacerbation occurred more frequently in autumn and winter), emotional stress and other factors.The main symptom is dry and itchy skin. Exacerbations are accompanied by widespread swelling and redness of the skin, the appearance of red spots with vague boundaries plaques. As a result of scratching the skin appear erosion, accompanied by weeping. In the case of importation into the skin infection in places lesions appear pustules. Favourite localization of atopic dermatitis are the flexor surface of the joints, front and side of the neck, forehead, temples, wrists, dorsum of the hands and feet.


Diagnosis of atopic dermatitis
The diagnosis of atopic dermatitis puts allergist based on the clinical picture and the questioning of the patient. In some cases, the patient is prescribed at the analysis level of immunoglobulin E (IgE) in serum. Elevated levels of this immunoglobulin says the propensity of the body to allergic reactions.To identify the specific allergen, causing exacerbation spend skin allergy tests. During this study, the patient's skin in various area of ​​the forearm is applied in small doses of allergens. With a positive reaction to the place of introduction of allergen develops redness or blister.


What you can do
Human skin with atopic dermatitis "is always ready to" respond to the next contact allergic reaction. To prevent deterioration, avoid contact with allergens known. Therefore, in the treatment of atopic dermatitis occupies an important place designated diet compliance and maintaining cleanliness of the house. In addition, it should be remembered that the constant scratching the skin only enhances allergic reaction and promotes adherence infection.Avoid dry skin: Take a bath, use soap and water as little as possible, regularly lubricate the skin moisturizing lotion. Avoid wearing synthetic and woolen clothes on the naked body (these materials increase the itch). You'd better fit loose cotton clothing and underwear.


What will the doctor
The basis of the therapy of atopic dermatitasostavlyayut allergy medications. Depending on the severity of these may be an ointment for external application containing antihistamines or glucocorticosteroids or oral antihistamines.In recent years, for the treatment of atopic dermatitatakzhe applied allergen-specific immunotherapy (SIT). This method of treatment comprises administering to a subject of increasing doses of allergen extract to which the patient revealed hypersensitivity. As a result of this treatment is a gradual increase in the body's resistance to exposure to the allergen.

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