AD, or atopic dermatitis, is a common skin disease. The term atopic comes from the Greek and means peculiarity or difference from others, and the word dermatitis is the inflamed dermis, that is, the skin. The pathology is of allergic origin, so it is often called allergic eczema. Another name for the disease, “diffuse (widespread) neurodermatitis,” is used due to the fact that the rash can occur throughout the body. The risk group includes adults and children with a genetic predisposition to atopic skin irritation.
What is atopic dermatitis and why does it appear?
AD is a chronic skin disease of an allergic or nervous nature. Sometimes it is called atypical, but it is wrong to say so.
Symptoms of the disease first appear in infancy as a reaction to the introduction of complementary foods or the transfer of the child to artificial nutrition. In 70% of cases, the disease goes away in adolescence, in 30% of patients it remains and becomes seasonal. What does atopic dermatitis look like:
- Infants and children up to 17 years of age. An itchy blistering rash with sterile contents appears on reddened skin (face, arms, buttocks). Liquid flows out of the burst bubbles and forms crusts. In place of dried vesicles, scales appear.
- Adults. Areas of inflamed skin (face - forehead, area around the mouth and eyes, neck, elbows, popliteal folds) take on a pale pink tint. Then small, dense, itchy papules appear on them. This type of dermatitis differs in adults increased dryness diseased skin, which causes peeling and cracks to appear on it.
The exact causes of atopic dermatitis are unknown.
Doctors classify this form of eczema as a multifactorial pathology, that is, it can be caused by different factors:
- Genetic predisposition is the main cause of allergic disease. If both parents are prone to this pathology, then the probability of their child developing the same disease is 80%. If only one parent is sick, the risk of getting sick is reduced to 50%.
- A malfunction of the immune system makes the body sensitive to various irritants (animal hair, plant pollen, medications, detergents).
- Diseases of the digestive tract - impaired intestinal motility, dysbiosis, liver failure, helminthic infestation. These factors lead to a decrease in immunity and also contribute to the penetration of toxins and pathogenic bacteria into the blood. Externally, this manifests itself as itchy eczema.
- Vegetative pathology nervous system causes vasospasm due to stress or exposure to cold. Skin cells stop feeding normally, which leads to increased dryness of the skin and the appearance of microcracks. An allergic reaction is triggered by allergens (dust, detergent components) that enter the body through wounds.
- Hormone deficiency. Reduced level cortisol, androgens, estrogens are the cause of long-term exacerbation allergic dermatitis.
The most common cause of exacerbation is food and medications. Highly allergenic foods include natural honey, seafood, nuts, eggs, chocolate and milk. The list of drugs that can cause dermatitis includes antibiotics from the penicillin group (Ampicillin, Amoxicillin), anticonvulsants(Depakine, Timonil), as well as antimicrobial sulfonamides (Sulfalen, Streptocid).
Clinical forms and severity
In dermatological practice, there are five forms of atopic allergic dermatitis:
- Exudative eczema (Latin exsudo - going outside) - occurs in infants. At the first stage, the reddened skin is covered with small bubbles with transparent contents. Then the bubbles burst, the liquid flows out, dries and forms a crust.
- Erythematous-squamous eczema (erythema - redness, squama - scales) - red itchy spots with small dense pimples appear on the skin, they merge into one large itchy and very flaky spot. The pathology most often occurs in children.
- Erythematous-squamous eczema with lichenization (Latin lichenizatio - thickening) - the signs of atopic dermatitis are the same as in the previous case, but the affected areas of the skin gradually thicken. Diseased skin changes color to darker.
- Lichenoid eczema (small scaly rash) - rashes appear on the inflamed skin in the form of small, very itchy nodules. Elements of an atopic rash merge into groups that acquire clearly defined gray boundaries. The surface of pathological lesions is characterized by the presence of pityriasis scales. If they are torn off, bleeding wounds will form.
- Pruriginous eczema (itching) - the pathology is rare, but if its symptoms appear, they usually complement another clinical form dermatitis. Itchy nodular rashes appear on the elbows and popliteal folds. Dermatitis occurs over a long period of time with remissions and exacerbations.
The dermatologist assesses the severity of inflammation, taking into account the frequency of exacerbations and the duration of weakening of the symptoms of the disease, as well as the nature of the atopic rash, the extent of skin damage and the intensity of itching.
Allergens can include plant pollen, house dust, animal fur, and various food products, household chemicals, etc. There are air, contact and food route penetration of the allergen into the body.The following degrees of severity of atopic dermatitis are distinguished:
- Mild - characterized by the presence of mild, isolated, small inflamed lesions on the skin. Exacerbations occur no more than 2 times a year, only in cold weather, and last about a month. Symptoms are easily relieved with medications. Remission lasts 6-9 months.
- Moderately severe - multiple itchy spots on the body appear up to 4 times a year. Exacerbations of dermatitis last 1-2 months. Complete or partial disappearance of symptoms of the disease is observed within 2-3 months. Drug treatment gives a weak effect.
- Severe - characterized by constant exacerbation, the presence of multiple itchy spots on the skin, which greatly reduces the patient’s quality of life. Dermatitis cannot be treated; if its symptoms weaken, then for no more than 1-1.5 months.
Any form of allergic dermatitis can be complicated by the appearance of purulent blisters. Skin infection occurs when the patient scratches the itchy elements of the atopic rash with his nails. This condition requires adjustments to the treatment regimen.
Why is atopic dermatitis dangerous?
Complications are associated with increased dryness and injury to inflamed skin. The following can penetrate into cracks that appear due to scratching of an atopic rash:
- Virus herpes simplex(HSV) is a contagious disease that cannot be completely cured. Causes a blistering rash on the facial skin, mucous membranes oral cavity or on the genitals. The location of the infectious rash depends on the type of HSV.
- Fungal infection - usually affects the folds of the skin, hands, feet, area around the nails, nail plates, mucous membranes of the body, and scalp. The areas of skin affected by the fungus are very itchy and flaky, and are characterized by the presence of gray scales. If the fungus infects the mucous membrane, it becomes covered with a milky or yellowish coating that cannot be removed.
- Pathogenic bacteria. Streptococci and staphylococci live on the skin and are opportunistic microbes. When conditions are favorable for them, they reproduce and become aggressive. As a result, not only the skin suffers (ulcers appear on it), but also general state human health. The temperature rises, nausea and dizziness are noted.
This type of dermatitis can be complicated by both fungal and bacterial infections, which increases the duration of treatment for the patient and may require hospitalization.
An allergist or dermatologist makes a diagnosis after the following procedures:
Symptoms of atopic dermatitis (pustular and papular rashes, itching, flaking, redness and swelling of the skin) are also symptoms of other skin diseases. On their list is infantile pruritus, diaper dermatitis, pityriasis rosea Zhibera, lichen planus and simple vesicular lichen. It is impossible to distinguish them on your own. In order for the treatment of atopic rash to be quick and effective, doctors must separate these pathologies. Therefore, the diagnostic examination usually ends with a differential analysis.
How to treat atopic dermatitis
Treatment of allergic eczema is aimed at:
- elimination of inflammation and itching;
- restoration of skin structure;
- getting rid of concomitant illness;
- prevention of infectious complications.
Treatment of atopic eczema in children takes place using a minimal amount of medications. Most often these are local drugs that the pediatrician prescribes individually. If ointments do not help cope with itching and swelling, then children are additionally prescribed medications in tablets or in the form of injection solutions.
The treatment regimen for how to get rid of atopic dermatitis in adults is made up of the following medications:
- Antihistamines - make skin cells less sensitive to histamine (the substance responsible for the occurrence of an allergic reaction).
- Antipruritic - hormonal agents are used to relieve constant severe itching.
- Enzyme preparations are prescribed to improve intestinal function, protect and strengthen its mucous membrane.
- Antibiotics and antivirals - these drugs are useless in the treatment of atopic dermatitis; they are prescribed only if an infection is associated with eczema.
- Tranquilizers - to relieve psychological stress.
Drug treatment of atopic rash must be complemented by dietary nutrition, physiotherapy and lifestyle adjustments.
Pharmacy and traditional medicines
For the treatment of atopic dermatitis in the acute period of the disease, the following is prescribed:
- Antihistamines (Suprastin, Tavegil). They have a pronounced sedative effect. But the body gets used to their effects within 5-7 days, and therefore the effectiveness of the medicine for atopic rash decreases. In the treatment of dermatitis, Cetirizine and Claritin are most often used, which do not inhibit the activity of the nervous system. They can be used for up to 28 days.
- Ointments with antipruritic and anti-inflammatory effects. In case of severe skin disease, steroids are prescribed (Hydrocortisone - weak effect, Elokom - medium effect, Dermovate - has a strong effect).
- Enzymes - to improve digestion in atopic eczema, Lignin, Mezim, Smectite or Hilak forte are prescribed. Drugs are selected taking into account the condition of the intestinal mucosa.
- Tranquilizers. Itching with dermatitis disrupts night sleep, so patients are prescribed Persen, Tofisopam or Atarax. The drugs have a calming effect on the central nervous system and improve sleep quality.
- Antibiotics - if atopic eczema is infected with a bacterial or fungal infection, then Vibramycin or Erythromycin is prescribed. For herpes simplex virus - Acyclovir, Famvir.
- Lotions and compresses - Burov's liquid is used to treat atopic wet eczema. The product has a disinfectant and anti-inflammatory effect.
- Natural antipruritics - after the exacerbation is relieved, sulfur, tar or ichthyol ointment is used. The products soften the skin and prevent infection from penetrating into it.
Drug therapy for dermatitis can be supplemented folk remedies, but preferably with the permission of a dermatologist. A soothing and antipruritic effect for atopic eczema is provided by baths/lotions made from a decoction of oak bark or black currant leaves. Sea salt also helps relieve itching. But it dries the skin very much, so after salt lotions you should use a moisturizing hypoallergenic baby cream.
Diet
Helps relieve exacerbation, effectively treat atopic dermatitis and prolong its remission period hypoallergenic diet.
Less than 10% of people with atopic dermatitis have a food allergy or intolerance as a trigger. Therefore, elimination diets have a beneficial effect on the course of the disease only in a small group of children. Foods that can cause allergies should be excluded from the diet of a patient with atopic rash:
- eggs;
- seafood;
- citrus;
- natural honey;
- cocoa, chocolate;
- fresh milk, etc.
The basis of a hypoallergenic diet for atopic allergic dermatitis is:
- Vegetables - they are eaten raw, boiled, stewed (tomatoes and beets are excluded).
- Fermented milk products (cottage cheese, kefir, hard cheese, fermented baked milk) improve intestinal microflora and have a positive effect on the condition of the skin.
- Vegetable oils (sunflower, olive) are sources of fatty acids and beneficial for metabolic processes in the skin of vitamins, in particular vitamin E, which helps to absorb other vitamins.
- Porridges made from rice, buckwheat, oatmeal and durum wheat pasta contain vitamins B, C, PP, amino acids, antioxidants, magnesium, potassium and other microelements that are beneficial for the digestive tract and local immunity.
- Dietary meat (rabbit, chicken, young beef) and river fish have a high nutritional value, as they are easily absorbed by the body.
- Bread with bran is a source of dietary fiber, which can regulate intestinal function.
- Compotes, fruit juices and purees - contribute rapid recovery skin cells after eczema.
Plain water removes toxins from the body, so for atopic dermatitis it is recommended to drink 1.5 liters of warm liquid (approximately 37°C) every day during the day.
Physiotherapy
The topic of how to treat atopic dermatitis in adults necessarily includes a section such as physiotherapy. Physiotherapeutic sessions can be used only during the period of weakening of the symptoms of the skin disease and only if the dermatitis is not complicated by a viral or bacterial infection. Complex therapy of atopic eczema involves the use of the following physiotherapy procedures:
- magnetic therapy;
- laser therapy;
- acupressure;
- hirudotherapy;
- electrosleep;
- UHF therapy;
- mud baths.
A full course of physiotherapeutic procedures contributes to the rapid disappearance of atopic rashes, strengthening the nervous and immune systems of the body, and accelerating metabolic processes.
Spa treatment
Fastest to cure atopic eczema under the beneficial influence of the marine climate. High humidity of iodine-containing air and moderate sunbathing provide a long period of remission of the skin disease. For allergic dermatitis, in addition to sunbathing, patients are advised to use radon and hydrogen sulfide balneological procedures.
Can atopic dermatitis go away on its own?
Atopic dermatitis goes away with age, but not forever and not for everyone. With strong immunity, the symptoms of the disease in 70% of children disappear by 3-5 years and may not appear again if the child lives a healthy life. The rest of the children, including usually those children who have inherited a predisposition to atopic rash, periodically suffer from exacerbations.
Often, atopic dermatitis eventually develops into bronchial asthma. Patients are much more likely to develop various types of allergies. Unfortunately, atopic dermatitis transferred to early age, provokes in the future the risk of relapses and complications of various types. Dermatologists note: if in infancy allergic dermatitis occurs for a long time and is severe, then when the child becomes an adult, he has a tendency to develop an atopic rash.
Prevention measures
There is no exact answer to the question of whether atopic dermatitis can be cured completely. But the topic of what to do to achieve stable remission of atopic (allergic) dermatitis has been sufficiently covered today. Prevention allergic rash It happens:
- Primary - concerns infants. If a child has a hereditary predisposition to allergic eczema, then breast-feeding- the only way to delay the manifestations of dermatitis for about 4-5 years. A nursing mother should follow the principles of a hypoallergenic diet. If the diagnosis has already been made infant, then complementary foods are allowed to be introduced to him only after 6 months, upon the onset of remission.
Forget about hormonal ointments, a hypoallergenic diet, mountains of pills and special skin care. Treat atopic dermatitis in 2019 with ALT and enjoy disease remission!
Atopic dermatitis (obsolete) neurodermatitis) - chronic allergic inflammation of the skin. The disease is manifested by characteristic rashes in the form of persistent or passing redness, increased dryness, thickening of the skin with elements of weeping and peeling.
As a rule, skin lesions are widespread, but most irritating to the patient skin lesions on the face, arms and hands. Rashes of a local type, for example, on the head or legs, usually persist during a period of relative remission.
At severe forms course of dermatitis, in addition to superficial changes in the skin, persistent damage occurs subcutaneous tissue. The skin takes on the appearance of a shell that binds the entire body. Excruciating itchy skin does not stop even in sleep.
Not only adults, but also children are susceptible to the disease. In children, atopic dermatitis usually begins at an early age and occurs later in only 2-5% of cases.
IN childhood in case of severe disease, the so-called “atopic march” may develop, when allergic rhinitis and bronchial asthma join the disease.
Atopic dermatitis is a non-conscription diagnosis (according to Decree of the Government of the Russian Federation of February 25, 2003 No. 123), therefore, for young people of military age, it is a kind of lifesaver from military service.
In adults, atopic dermatitis usually has chronic form with periods of exacerbations provoked by diet disorders, stress and adverse effects on the body. As soon as you drink alcohol, eat a chocolate bar or stand behind the wheel in a traffic jam, the manifestations of allergic dermatitis remind you of themselves - a rash, itching and skin lesions appear.
If the diet is systematically violated, severe skin lesions and weeping can occur, which, combined with itching, turns the life of an allergy sufferer into a real nightmare - ability to work and social activity are undermined, depression occurs, etc. And when complications arise in the allergy sufferer in the form of fungal skin lesions, a vicious circle arises.
Atopic dermatitis does not go away on its own or as a result of symptomatic treatment. It is important to understand that external treatment of the skin and use antihistamines- this is only an effect on the symptoms of the disease!
Therefore, if you are still wasting your time and money on:
- Hormonal ointments (Elocom, Advantan, etc.);
- Non-hormonal creams (Elidel, etc.);
- Various “folk remedies” and home treatment;
- Expensive tablets in bulk (Suprastin, Ketotifen, Telfast, Kestin, Loratadine, Zyrtec, Erius, etc.);
- Shampoos, oils and medicated lotions.
Then you should tell yourself: “Stop!”
The only way to cure the cause of atopic dermatitis in 2019 is autolymphocytotherapy! Alt simply has no alternative.
Help yourself and your loved ones cure atopic dermatitis, tell us about this method to your friends and acquaintances, they will be grateful to you!
Problems of a patient with atopic dermatitis
It is possible to get rid of atopic dermatitis and restore healthy skin with the help of ALT!
“Autolymphocytotherapy” (abbreviated as ALT) has been widely used in the treatment of patients with various forms of allergic diseases for more than 20 years; the method was first patented in 1992.
Autolymphocytotherapy is the only method of treating the cause of atopic dermatitis!
For children, treatment with the Autolymphocytotherapy method is carried out after 5 years.
The method of "Autolymphocytotherapy", in addition to the treatment of "atopic dermatitis", is widely used for: urticaria, Quincke's edema, bronchial asthma, allergic rhinitis, hay fever, food allergies, allergies to household allergens, to pets, allergies to cold and ultraviolet rays (photodermatitis) .
Treatment with ALT is possible even in severe cases when the patient has, for example, atopic dermatitis and asthma at the same time.
THE ALT METHOD ELIMINATES INCREASED SENSITIVITY OF THE BODY TO SEVERAL ALLERGENS AT ONCE, DIFFERENTLY DIFFERENT FROM ASIT.
The essence of the ALT method is to use your own immune cells - lymphocytes to restore normal function immunity and reducing the body's sensitivity to various allergens.
Autolymphocytotherapy is carried out on an outpatient basis, in an allergology office as prescribed and under the supervision of an allergist-immunologist. Lymphocytes are isolated from a small amount of the patient's venous blood under sterile laboratory conditions.
The isolated lymphocytes are injected subcutaneously into the lateral surface of the shoulder. Before each procedure, the patient is examined in order to individually prescribe the dose of the administered autovaccine. Apart from its own lymphocytes and physiological solution, the autovaccine does not contain any drugs. Treatment regimens and the number and frequency of immune cells administered depend on the severity of the disease. Autolymphocytes are administered in gradually increasing doses with an interval between injections of 2 to 6 days. Course of treatment: 6-8 procedures.
Normalization of the functions of the immune system and a decrease in the body's sensitivity to allergens occurs gradually. The expansion of the hypoallergenic diet is carried out within 1-2 months. The withdrawal of supportive symptomatic therapy is also carried out gradually under the supervision of an allergist. The patient is given the opportunity to have 3 free follow-up consultations within 6 months of observation after completing the course of treatment using the Autolymphocytotherapy method.
The effectiveness of treatment is determined by the individual characteristics of the immune system. This process to a certain extent depends on the patient’s compliance with the recommendations of the allergist during the period of treatment and rehabilitation. At high level IgE patient with atopic dermatitis will most likely undergo two courses of treatment with ALT.
Video about the treatment of atopic dermatitis with ALT (About the most important thing, May 10, 2016)
The story about the treatment of atopic dermatitis begins at the 27:45 mark.
And one more story about the treatment of neurodermatitis (About the most important thing, 03/21/2017). Watch from the 30:00 mark
You can familiarize yourself with possible contraindications on our website.
Ask a question to a specialist
The effectiveness of autolymphocytotherapy in the treatment of atopic dermatitis
When assessing long-term treatment results, the effectiveness of the method is confirmed by the duration of remission:
- Remission for more than 5 years - in 88% of cases
- Remission for a period of 1 to 5 years - in 8% of patients
- Remission was observed for less than a year - in 4% of patients
Benefits of treating the disease with ALT
We treat the cause of the disease, not its symptoms
Minimum contraindications
No hospitalization or time away from work required
The course of treatment is only 3-4 weeks
1 procedure takes only 1-2 hours
Treatment is possible in the absence of persistent remissions
Autolymphocytotherapy can be combined with any symptomatic treatment
THE METHOD IS AUTHORIZED BY THE FEDERAL SERVICE FOR SUPERVISION IN THE FIELD OF HEALTHCARE
How much does it cost to treat atopic dermatitis?
When undergoing treatment for atopic dermatitis in Moscow, the cost of 1 procedure is 3700 rubles. The cost of a course of subcutaneous autolymphocytotherapy (6-8 procedures) is respectively 22,200-29,600 rubles.
After a course of ALT, 3 observations are carried out by an allergist for 6 months. free consultations. If a repeated course of treatment for patients diagnosed with atopic dermatitis is necessary, individual system discounts
Initial allergy testing and diagnosis are carried out in accordance with the standards of the Department of Health. Previous examinations and tests for IgE and allergens performed in other medical institutions are taken into account.
You can donate blood for IgE and allergens at all medical centers where autolymphocytotherapy is performed.
Allergist-immunologist Nadezhda Yuryevna Logina will see you in Moscow on a weekday
- Fill out the application for admission
- V acute period the disease is given intensive therapy, including hormonal and other drugs;
- during the period of subsidence of the disease, supportive treatment is recommended, which includes vitamins, physiotherapy, sorbents;
- during the period of remission, immunotherapy is prescribed;
- During all periods of the disease, a hypoallergenic diet is recommended.
- cream;
- ointment;
- lotion.
- ointment;
- cream;
- emulsion.
- ointment;
- cream.
- gel;
- emulsion;
- drops.
- cream.
- exclusion of food allergens;
- avoidance of foods that promote the release of histamine;
- reducing the amount of gluten-containing foods;
- inclusion of products for rapid skin healing;
- improving the functionality of the digestive tract.
- duck;
- goose;
- game;
- chicken.
- rabbit;
- turkey;
- veal;
- beef.
- trout;
- salmon;
- pink salmon;
- mackerel.
- zander;
- cod;
- pollock.
- caviar;
- oysters;
- mussels;
- squid.
- propolis;
- beebread ( tightly compressed flower pollen).
- Hypoallergenic diet. A pregnant woman should exclude from her diet all traditional food allergens, which include eggs, milk, bee products, and nuts.
- Balanced diet. Despite the restrictions on the menu, the diet of a woman carrying a child should be varied and contain sufficient amounts of carbohydrates, proteins and fats. As experts note, a diet in which carbohydrate foods predominate especially increases the likelihood of developing atopic dermatitis in a child.
- Adequate treatment of gestosis(complications of pregnancy, which are manifested by edema and other problems). The deterioration of a pregnant woman's condition increases the permeability of the placenta, resulting in the fetus being exposed to allergens. This increases the chance that the child will have atopic dermatitis.
- Many medications contribute to allergization of the fetus and, as a result, the development of atopic dermatitis. Antibiotics are the most common cause of allergies. penicillin group(nafcillin, oxacillin, ampicillin).
- Control of household chemicals used. Laundry detergents and other household products contain aggressive allergens that penetrate female body through the respiratory system and can cause fetal sensitization. Therefore, during pregnancy it is recommended to use hypoallergenic household chemicals.
- organization of hypoallergenic living conditions;
- adequate skin care;
- control of consumption of food allergens;
- preventive (preliminary) drug therapy.
- Sleeping area. People with atopic dermatitis are recommended to use pillows and blankets with synthetic filling. You should also avoid woolen rugs and blankets, as they provide a favorable environment for ticks. Bed linen should be changed for new ones twice a week, and boiled when washing. It is recommended to take blankets, mattresses and pillows to special disinfection chambers or treat them with anti-mite drugs. An effective measure for atopic dermatitis is special plastic cases for mattresses and pillows.
- Carpeting. It is recommended not to use carpets in the room where the patient lives. If it is not possible to refuse carpeting, preference should be given to products made from synthetic fibers with short pile. The best option are carpets made of nylon, acrylic, polyester. Carpets should be replaced with new ones every 5-6 years. They should be cleaned every 2 weeks using anti-tick products (Doctor Al, easy air, ADS spray).
- Cushioned furniture. The upholstery of upholstered furniture and the materials used as fillers are places where large amounts of dust accumulate. For atopic dermatitis, it is recommended to replace sofas with beds, and soft chairs with ordinary chairs or benches.
- Bookcases and shelves. Books not only accumulate a large amount of dust, but also develop mold, which contributes to the exacerbation of atopic dermatitis. Therefore, you should avoid the presence of bookcases and shelves in the room where a person with this disease lives. If this is not possible, books should be kept in furniture with closing doors.
- Textile products. Instead of curtains and other textiles for windows, it is recommended to use blinds made of polymer materials. In spring, summer and autumn, protective nets should be installed on windows to prevent dust, pollen, and poplar fluff from entering the room. Tablecloths, decorative napkins and other textiles should be used in minimal quantities.
- Cleansing. To implement personal hygiene procedures for this disease, it is recommended to use special products that do not contain aggressive components (alcohol, fragrances, alkali, preservatives). The best option is hypoallergenic preparations specially designed for skin care with atopic dermatitis. The most common brands of specialized products are bioderma, ducray, avene.
- Hydration. During the day, it is recommended to moisturize the skin using special aerosols based on thermal water. Such products are present in the line of many manufacturers of pharmaceutical cosmetics (products intended for the care of problem skin). The most famous brands include uriage, vichy, noreva. Before going to bed, the skin should be treated with a moisturizer or compresses made from natural aloe and potato juices.
- Nutrition. Skin nourishing products are used after water procedures before bedtime. In the cold season, the systematic use of such products should be increased to 2–3 times a day. Creams with a fatty texture containing natural oils can be used to nourish the skin. You can increase the effectiveness of such a cream if you add fat-soluble vitamins A and E (sold in pharmacies). You can also nourish the skin with natural oils (coconut, olive, almond).
- Viral infection;
- Fungal infection
- Pyoderma
- sedative herbal medicines or agents;
- remedies for insomnia;
- antidepressants.
- red and orange fruits, berries, vegetables: strawberries, raspberries, etc.;
- citrus fruits: oranges, tangerines, pomelo, grapefruits, etc.;
- sweets: chocolate, cocoa, candies, lemonades;
- nuts, greens;
- fish;
- milk, dairy products;
- chicken eggs;
- smoked, spicy and fried foods;
- mayonnaise, ketchup, spices;
- alcoholic drinks.
- Antihistamines for dermatitis: Claritin, Fenistil, Suprastin, L-Cet, Cetrin, Zirtec, Telfast, Loratadine.
- Non-hormonal ointments: Protopic, Eplan, Fenistil, Elidel, Losterin, Destin, Thymogen, Naftaderm, Videstim, Isis.
- Hormonal ointments for effective treatment complicated form of dermatitis in adults: Elokom, Akriderm, Celestoderm.
- Local antiseptics for relieving symptoms of inflammation in adults: Lincomycin and Erythromycin ointment, Celestoderm.
- Antibiotics for oral use for complications of dermatitis: Rovamycin, Doxycycline, Sumamed, Zitrolide, Erythromycin.
- Probiotics: Bifidobacterin, Linex, Lactobacterin, Acipol to restore intestinal microflora in adults with dermatitis.
- To eliminate the provoking factor, it is recommended to use products with methyluracil or zinc.
- For productive restoration of damaged dermis, Panthenol spray is prescribed externally to pathological lesions.
- To strengthen weakened immunity, vitamins of groups C, E, A, B and preparations with x content are appropriate.
- Corticosteroids: Advantan, Elokom, Lokoid creams.
- Antihistamines: Cetrin, Erius, Claritin, Zyrtec.
- Local antiseptics: Burov's liquid.
- home use of cleansing enemas for the productive removal of intoxication products;
- internal intake of enterosorbents, diuretics, which are also removed from the blood and other biological fluids toxins;
- administration of a solution of sodium thiosulfate, calcium chloride intravenously in order to strengthen weakened immunity;
- taking antihistamines orally: Cetirizine, Tavegil, Loratadine, Claritin, Chloropyramine;
- use of glucocorticosteroids in the form of Prednisolone and its derivatives in severe clinical situations.
- sorbents: Enterosgel, Activated carbon;
- probiotics: Linex, Bifidumbacterin, Hilak Forte;
- antibiotics: Rovamycin, Doxycycline, Sumamed, Zitrolide, Erythromycin;
- antiviral drugs: Acyclovir, Famvir, Valtrex, Alpizarin;
- multivitamin complexes for dermatitis.
- anti-inflammatory drugs: Elokom, Diprosalik or Akriderm;
- local remedies for skin regeneration: Solcoseryl, D-panthenol, Bepanten;
- corticosteroid drugs: Elokom, Afloderm, Lokoid, Advantan.
- antifungal agents: Triderm, Pimafucort;
- local antibiotics: erythromycin ointment;
- antimicrobial compounds: Fukortsin;
- local antiseptics.
- Electrophoresis with intal, diphenhydramine, calcium chloride reduces the feeling of itching of the skin and relieves swelling.
- Ultraviolet irradiation of the skin to relax the nervous system and eliminate unpleasant symptoms of dermatitis.
- Applications with paraffin or ozokerite to prevent massive peeling of overdried dermis.
- Electrosleep with instability of the nervous system and pronounced signs of chronic insomnia in dermatitis in adults.
Thank you
The site provides reference information for informational purposes only. Diagnosis and treatment of diseases must be carried out under the supervision of a specialist. All drugs have contraindications. Consultation with a specialist is required!
How to treat atopic dermatitis?
Treatment atopic dermatitis Regardless of the severity of the disease, it must be comprehensive. This means that not the disease itself should be treated, but also the cause that led to it. For example, if atopic dermatitis is also accompanied by dysfunction of the gastrointestinal tract, then it is necessary to treat both of these diseases simultaneously. The basic principles of treatment of atopic dermatitis are as follows:
List of drugs prescribed during various periods of illness
The main principle of treating atopic dermatitis is diet. A proper diet during all periods of illness is the key to a quick recovery. Refusal of allergenic foods is the most important and at the same time difficult rule of diet therapy. It is especially difficult to comply with this recommendation for those patients who have not taken samples to determine a specific food causative agent of allergic reactions. Such people should adhere to a non-specific diet, which means avoiding all traditional allergen foods. If allergy tests have been carried out, the patient is shown a specific diet, which involves avoiding a specific product.
Creams and emollients for atopic dermatitis
The use of creams, lotions and emollients in the treatment of atopic dermatitis is an integral part of therapy. External therapy (that is, the use of external medications) is often the only procedure during the period of subsidence of the disease. The following forms of external agents are distinguished: creams, lotions, aerosols, emollients (oily ointment base). The choice of one form or another depends on the stage of the atopic process. So, in acute stage In the atopic process, lotions and creams are prescribed; in the subacute and chronic stages (when dryness predominates) - emollients. Also, if the scalp is predominantly affected, lotions are used, if the skin is smooth, then creams are used. During the day it is better to use lotions and aerosols, in the evening hours - creams and emollients.The tactics for using creams and other external agents depends on the extent of the skin process. The choice of one remedy or another depends on the form of atopic dermatitis. As a rule, creams containing corticosteroids are used, which are also called local (or external) glucocorticosteroids. Today, most doctors prefer two external glucocorticosteroids - methylprednisolone and mometasone. The first drug is known as advantan, the second - under the name elocom. These two products are highly effective, and most importantly, safe and have minimal side effects. Both products are available in the form of creams and lotions.
If an infection is added to existing skin changes (as often happens especially in children), then combination drugs containing antibiotics. Such drugs include triderm, hyoxysone, sofradex.
In addition to the "traditional" hormonal drugs, used in the treatment of atopic dermatitis, other, non-hormonal agents are also used. These are antihistamines and immunosuppressive external agents. The first includes fenistil, the second - elidel.
List of external agents used in the treatment of atopic dermatitis
Name | Release form | How is it used? |
Elokom | Apply a thin layer to the affected skin once a day. The duration of use depends on the extent of the skin process, but, as a rule, does not exceed 10 days. |
|
Advantan | Apply a thin layer and rub into the affected skin with light movements. The duration of treatment for adults is from 10 to 12 weeks, for children - up to 4 weeks. |
|
Triderm | Rub gently into the affected skin and surrounding tissue twice a day. The duration of treatment should not exceed 4 weeks. |
|
Fenistil | The gel or emulsion is applied to the affected areas 2 - 3 times a day. If intense itching is present, then drops are prescribed in parallel. |
|
Elidel | Apply a thin layer of cream to the affected areas of the skin twice a day. After application, rub the cream into the skin with light movements. |
Lipikar for atopic dermatitis
Lipikar creams and lotions are long-term topical products. These are cosmetics from La Roche-Posay, which are adapted for use in patients with atopic dermatitis. The products in this cosmetic line intensively moisturize the skin. As you know, the skin of people suffering from atopic dermatitis is characterized by increased dryness and flaking. Shea butter, which is included in most products from this line, slows down the process of dehydration (moisture loss) of the skin. Lipikar creams and lotions also contain allantoin, thermal water and squalene. This composition restores the damaged lipid membrane of the skin, relieves swelling and irritation of the skin.In addition to Lipikar, Bepanthen, Atoderm, and Atopalm creams are used. Bepanthen cream can be used during pregnancy and even in infants. It is effective in healing scratches and shallow wounds, and also stimulates skin regeneration. Available in the form of cream, ointment and lotion.
Vaccinations for atopic dermatitis
Atopic dermatitis is not a contraindication for routine vaccination. Therefore, DTP, BCG, polio, hepatitis B, and rubella vaccines are routinely administered. At the same time, it is known that the vaccine can stimulate an exacerbation of the process. Therefore, it is recommended to administer the vaccine during the period of remission of atopic dermatitis. Vaccination should be carried out according to the vaccination calendar and only in immunization rooms. Before it is carried out, it is recommended to prescribe antihistamines for prophylactic purposes. Drug therapy is carried out 4–5 days before vaccination and for 5 days after it. The drugs of choice in this case are ketotifen and loratadine.Diet for atopic dermatitis
Diet therapy for atopic dermatitis is one of the main methods of treatment, which allows you to prolong the period of remission and improve the patient’s condition. The main rule of the diet is to avoid foods that can act as allergy triggers. In addition, the body must provide nutrition necessary resources to fight this disease. The main provisions of the diet for atopic dermatitis are as follows:
Elimination of food allergens
Products that can trigger the development of an allergic reaction are present in all groups of food products. It is necessary to exclude allergenic foods from the diet in pure form, as well as the dishes for which they were used. To avoid shortages useful substances, food allergens must be replaced with other products that are full of nutrients.Food allergens and products that should replace them
Name | Allergens | Alternative |
||||
Meat | ||||||
Fish | ||||||
Seafood | You can eat cod caviar and liver in limited quantities. |
|||||
Bee products | Natural honey can be replaced with an analogue of artificial origin. |
|||||
Tincture | Low blood pressure, reduced heart rate. |
|||||
Drugs to strengthen the immune system | Increased excitability of the nervous system, heart rhythm disturbances. |
|||||
Tincture | Increased arterial pressure, tendency to depression, anxiety. |
|||||
Rose hip | Ulcer, gastritis, tendency to thrombosis. |
|||||
Antihistamines | Varicose veins, impaired blood clotting. |
|||||
Compress | There are no contraindications for herbal medicines for external use other than individual intolerance to the main component. |
|||||
Compress |
||||||
Antiseptic external agents |
Prevention of atopic dermatitis
Prevention of atopic dermatitis is the most important element in the complex of therapeutic measures for this disease. The chronic, recurrent (wavy) course of atopic dermatitis and knowledge of pathogenesis made it possible to formulate the basic principles of prevention. Depending on the time of implementation and the goals pursued, the prevention of atopic dermatitis can be primary or secondary. Primary prevention
The goal of primary prevention is to prevent disease in individuals who are at increased risk. Considering that atopic dermatitis is one of the most common childhood diseases, the issue of prevention among children is especially relevant. Among the factors predisposing to the development of atopic dermatitis, one of the main ones is heredity. Therefore, primary prevention has great importance for children whose parents (one or both) have a history of this disease. Preventive measures must begin to be taken in the antenatal (intrauterine) period and continue after the birth of the child.Prevention in the antenatal period
Measures for antenatal prevention of atopic dermatitis are as follows:
After the birth of a child, his diet should be hypoallergenic for a year, since the immature immune system and intestinal microflora cannot give a “worthy response” to food allergens. If breast milk is available, breastfeeding is recommended to continue for at least six months, and during this period the nursing woman should follow a diet that excludes allergenic foods. If breast milk is absent, the child should be fed with special infant formula.
The first foods for complementary feeding should be hypoallergenic vegetables and fruits (apples, zucchini), meat (turkey, rabbit).
Gradually, allergenic foods should be introduced into the children's diet, recording the reaction child's body for such food in a special diary. You should start with cow's milk and chicken. They should be administered after the child reaches one year of age, during the period of remission of atopic dermatitis. By the second year of life you can include in children's menu eggs, to the third - honey, fish.
Secondary prevention of atopic dermatitis
Secondary prevention measures are relevant for those patients who have already encountered atopic dermatitis. The goal of such prevention is to prolong the period of remission of the disease, and in case of exacerbation of the disease, to reduce symptoms.Secondary prevention measures for this disease are:
The exacerbation of atopic dermatitis is facilitated by such a common factor in everyday life as dust. Household dust includes mites (saprophytes), particles of skin from people and pets. Each of these components negatively affects the well-being of a patient with this disease. Therefore, prevention of this disorder involves organizing activities aimed at combating dust.
The main sources of dust in everyday life are bed dress, textiles, upholstered furniture, bookcases and carpeting. For preventive purposes, you should choose hypoallergenic items,, if possible, refuse to use some items and provide appropriate care for all household items.
Measures for organizing hypoallergenic living conditions are as follows:
Mold is one of the common factors that can worsen the condition of a person with atopic dermatitis. Therefore, in areas with high humidity (bathroom, kitchen), hoods should be installed and cleaning should be carried out monthly using products that prevent the growth of mold microorganisms.
Adequate skin care
The skin with atopic dermatitis is characterized by increased vulnerability, which contributes to irritation and inflammation even during remission. Therefore, people with this disease need to provide proper skin care. Competent care increases barrier functions skin, which helps reduce the symptoms of the disease during periods of exacerbation.
Skin care measures for atopic dermatitis are as follows:
Controlling food allergen intake
Patients who have undergone allergy tests, during which a specific allergy trigger has been identified, should follow a specific diet. Such a diet implies a refusal food allergen and dishes in which it is present. For people whose allergen has not been determined, a nonspecific hypoallergenic diet is indicated, which implies the exclusion of all obligate (traditional) foods that provoke allergies.
One of the effective measures to control the body’s reaction to food is a food diary. Before you start keeping a diary, you should follow a strict hypoallergenic diet for several days. Then you gradually need to introduce allergenic foods into the diet, recording the body’s reaction.
Preventive (preliminary) drug therapy
Taking special medications before a predicted exacerbation of the disease inhibits the development of allergic reactions. For prevention, pharmacological drugs with antihistamine action are used, the type and pattern of consumption of which is determined by the doctor. Also, in order to increase the body's resistance to allergens, folk remedies can be used.A prerequisite for the prevention of atopic dermatitis is strengthening the immune system. For this, various vitamin-mineral complexes and herbal immunomodulators can be used.
Before use, you should consult a specialist.Atopic dermatitis– a chronic inflammatory disease of an allergic nature, the main symptoms of which are a rash on the skin of the exudative and/or lichenoid type, severe itching and seasonality. In winter and summer, exacerbations often occur, and symptoms intensify, but remissions are common, sometimes even complete.
Atopic dermatitis is one of the types. Previously it had a different name - diffuse neurodermatitis.
To make the picture of the disease clearer, let’s look at the question: “ what is atopy?».
Atopy, or atopic diseases– the tendency of newborn children to allergic diseases, which is transmitted to infants through hereditary means. That is why the development of atopic dermatitis occurs at a fairly early age - 2-4 months, and one of the root causes is the incorrect lifestyle and nutrition of a pregnant woman. For the expectant mother, especially in the last trimester of pregnancy, you should try to refrain from eating foods from the category of high allergenicity - chocolate, citrus fruits, strawberries, etc.
Another factor without which the development of atopic dermatitis in a child is impossible is the infant’s incompletely formed immune and other systems, which at this age are not yet able to adequately fight allergens.
Due to the above features, atopic dermatitis often goes away by the age of 4, but there are cases when it accompanies a person throughout his life.
Secondary triggers for the development or exacerbation of atopic dermatitis can also be contact or respiratory allergens - dust, pollen, clothing, animals.
Atopic dermatitis. ICD
ICD-10: L20
ICD-9: 691.8
Development of atopic dermatitis
So, let’s summarize the beginning of the article and continue the topic with the question - “ How does atopic dermatitis develop?».
1 situation: An infant 2-3 months or 2 years old receives highly allergenic foods through mother's milk or other means. His gastrointestinal tract organs, immune system, etc. have not yet fully formed. Allergen (any product that causes allergic reaction) entering the body, cannot be processed in the intestines, in turn, the liver also cannot neutralize its adverse effects on the body. The kidneys also cannot remove it in any way. Thus, due to various biochemical processes in the body, this allergen is transformed into substances with the properties of antigens (substances foreign to the body). The body produces antibodies to suppress them. The rash that we can observe in a child with atopic dermatitis is the body’s reaction to foreign substances produced by the allergen.
Situation 2: A pregnant woman consumes large quantities of highly allergenic foods, or has been in contact with various substances that cause. The fetal body can also receive part of these products or substances that will be in the child’s body after birth. Further, when the baby eats or comes into contact with allergens that he was in contact with in the prenatal period, his body will react to this with a rash and other symptoms of atopic dermatitis.
Thus, we can come to the conclusion that atopic dermatitis is not a skin disease, but an internal reaction of the body to an allergen, transmitted hereditarily.
Causes of atopic dermatitis
Atopic dermatitis can be caused by the following factors:
- consumption of highly allergenic foods by a pregnant woman - citrus fruits, chocolate, red berries, alcoholic drinks;
- consumption of highly allergenic foods by the child himself;
- hereditary predisposition;
- fungal, viral and bacterial infections;
- weakened immune system;
— physical contact with the allergen: clothing, chemicals, building materials, medications;
— respiratory contact: dust, pollen, gases;
- non-compliance;
— ;
- sudden change of diet;
— uncomfortable temperature in the living room;
- emotional instability, psychological disorders, .
The main symptoms of atopic dermatitis are:
- severe itching;
- redness, red spots on the skin with unclear boundaries;
- rash on the body, sometimes dry, sometimes filled with liquid;
- weeping areas of skin, erosions, ulcers;
- dry skin, with further peeling;
- scales on the scalp, glued together with the secretion of the sebaceous glands.
Accompanying symptoms may include:
- coating on the tongue;
- respiratory diseases: false croup;
— ;
— ;
— , .
Atopic dermatitis most often appears on the following areas of the body: elbows, knees, neck, folds, dorsums of the feet and hands, forehead, temples.
Experts note that atopic dermatitis has a seasonal pattern – symptoms worsen in winter and summer. Partial or complete remissions may also occur.
If the treatment of atopic dermatitis is not given due attention, this disease can develop into allergic rhinitis and other diseases of an allergic nature.
Complications of atopic dermatitis
Treatment of atopic dermatitis includes:
— preventing patient contact with the allergen;
- taking antiallergic drugs;
— relief of inflammatory processes on the skin;
— strengthening the immune system;
— diet correction;
— normalization of the work/rest regime;
- treatment of concomitant diseases.
Medicines against atopic dermatitis
Antiallergic drugs
Antihistamines are used to relieve the main symptoms - severe itching and rash. There are 3 generations of them. Each subsequent generation has improved characteristics - reduced addiction, reduced number of side effects and increasing the duration of the therapeutic effect.
First generation: “Dimetindene”, “Clemastine”, “Meclizine”;
Second generation: “Azelastine”, “Loratadine”, “Cetrizine”;
Third generation: Desloratadine, Levocetrizine, Sehifenadine.
Accept antihistamines better before bedtime, because... many of them are sleepy.
Anti-inflammatory and antipruritic drugs
To stop inflammatory processes on the surface of the skin and relieve itching, anti-inflammatory and antipruritic agents are used.
The group of these drugs includes: glucocorticosteroid drugs, Burov's liquid, non-steroidal anti-inflammatory drugs (with sodium thiosulfate solution), silver nitrate, lead lotion, decoctions with infusions of string and other medicinal plants.
Remedies for infiltration and thickening of the skin
For these purposes, various creams, ointments and patches with a resolving effect are used, the bases of which are: tar, sulfur, naftalan oil, ichthyol. Such drugs begin to be used in small doses, gradually increasing the concentration of the active substances, or changing them to a stronger drug.
Means for softening and removing rough scales and crusts
Keratolytic ointments and creams, which also contain: acids (salicylic, lactic, fruit), urea and resorcinol, are used as a means to soften and remove hardened scales and crusts.
Hormonal drugs
Hormonal drugs are widely used, but strictly under the supervision of the attending physician, for all forms of dermatitis, especially the acute course of the disease. For weeping dermatitis, lotions and pastes are preferred; for dry dermatitis, creams, ointments and lotions with the addition of keratolytics are used.
The advantage of using hormonal agents is the rapid and powerful relief of inflammatory processes on the skin, relieving itching, as well as further restoration of the skin. The disadvantage is addiction and withdrawal symptoms.
Weak hormonal agents - hydrocortisone. They are used mainly to treat children or when the disease manifests itself on the face.
Medium-acting hormonal agents - glucocorticosteroids (Prednisolone, Fluocortolone). Used to treat all areas of the body.
Strong hormonal agents - Betamethasone, Halomethasone, Mometasone, Flumethasone. They are used for long-term dermatitis, as well as for lichenification of the skin.
For severe skin lesions, glucocorticosteroids are prescribed for 2-4 days, after which they switch to weaker hormonal drugs - medium intensity.
Remedies for chronic atopic dermatitis
During remission, as well as at the stage of chronic atopic dermatitis, it is recommended to externally use various lotions or baths that will help relieve itching, redness, reduce inflammation, and also speed up the healing and restoration of the skin.
Such remedies include: birch buds, speedwell, oak bark, borage, fireweed and chamomile flowers, basil, pear leaves.
Antibacterial and antifungal agents
When ( , etc.), i.e. When the skin is damaged, there is always a risk of various infections getting into the papules and vesicles - viruses, fungi, bacteria, which in many people complicate the already complex picture of the course of dermatitis. To prevent this, or at least minimize this possibility, antibacterial, antiviral or antifungal agents are used externally. These can be ointments, creams, and aerosols. The main feature of these products is the content of substances such as furacilin, boric acid, iodine solution, silver nitrate, ethacridine lactate, gentamicin, oxytetracycline and glucocorticoid.
Means for normalizing and improving the functioning of the digestive system
As you and I already know, dear readers, from the beginning of the article, atopic dermatitis is a complex disease, the basis of which lies inside the body, and externally it manifests itself in a video of the inflammatory process of the skin.
Doctors have established a connection between normalization or improvement of work digestive system and accelerating recovery from dermatitis.
Thus, for this result, two types of drugs are used - enterosorbents and drugs for normalizing intestinal microflora.
Enterosorbents. Designed to stop the activity of unfavorable microflora in the body and its rapid removal from the body. Also, these drugs help reduce the level of toxicity in the body. The most popular enterosorbents: “Activated carbon”, “Diosmectite”, “Povidone”.
Preparations for normalizing intestinal microflora. This can include the following agents: probiotics (Baktisubtil, Linex), prebiotics (Inulin, Lysozyme), synbiotics (Maltodofilus, Normoflorin), hepatoprotectors (ademetionine, beatine, glycyrrhizic acid), bacteriophages (coliproteus, pseudomonas), enzymes (pancreatin).
Preparations to strengthen the immune system and accelerate skin recovery
Lack of vitamins () and microelements in the body, metabolic disorders, disturbances in the immune and digestive systems play some of the important roles in the development of not only atopic, but also other types of dermatitis.
We already know how to improve the functioning of the digestive system from the previous paragraph. An additional point that will have a beneficial effect on the entire body as a whole is an additional intake of minerals. The greatest emphasis should be placed on vitamins - or echinacea.
To speed up the process of skin restoration, anabolic drugs are used, which contain substances such as methandienone, methionine, nandrolone.
Normalization of the mental and nervous system
Violations of the work/rest/sleep regime, mental stress, weaken immune system, making the entire body more susceptible to various diseases. If all these areas are not put in order, there is a risk of developing secondary diseases.
If you work at a job where you are constantly exposed to stress, think about whether there is perhaps an opportunity to change this job? Here it is fair to say that “Health is more valuable than money.”
To normalize the functioning of the nervous system, it is very important to get enough sleep. Scientists have found that a person needs from 6 to 8 hours of sleep to fully rest and recuperate. The best result is achieved if you go to bed at 21:00-22:00, and sleep will be uninterrupted.
Additionally, but after consultation with a doctor, the following drugs can be used to normalize the nervous system, especially during stress, and other disorders:
The correct menu or diet for atopic dermatitis is a necessary measure, without which treatment of dermatitis is virtually impossible.
The menu for dermatitis is aimed at:
- exclusion of highly allergenic foods from the diet;
— enriching the body with essential vitamins and minerals;
- normalization of the digestive system.
What not to eat if you have atopic dermatitis:
Content
Skin pathologies of an allergic nature cause internal discomfort and cosmetic defects to the patient. Treatment of dermatitis in adults is possible with official medications and folk remedies against all skin manifestations of the disease. The approach to health problems is comprehensive. Initially identify the main allergen and eliminate pathogenic factor. Then you can use ointments as prescribed for atopic dermatitis in adults.
How to treat dermatitis in adults
The disease is of an allergic nature, so any treatment begins with a diet and complete exclusion of the potential allergen and additional use of antihistamines. The doctor carefully studies the external symptoms of dermatitis and recommends undergoing a clinical and laboratory examination to clarify the form of the disease and the characteristics of intensive care. With dermatitis, the patient's appearance leaves much to be desired, so it is recommended to act immediately.
Treatment of atopic dermatitis in adults
Dermatitis is a consequence of intoxication of the body, so its treatment in adult patients and children must be comprehensive. Doctors suppress the effect of the allergen with antihistamines, but taking them orally is sometimes not enough to completely heal. Here are the medications that need to be included in the treatment of dermatitis in adults:
Photodermatitis
The main irritant in such a clinical picture is Sun rays and increased sensitivity of the body to them. After infection, the skin will look heterogeneous, bumpy, and the patient experiences an acute sensation of itching, burning, and complains of increased swelling of the inflamed skin. The following medications are recommended as effective treatment:
Treatment of contact dermatitis
Photodermatitis is atypical form contact dermatitis, which is associated with direct interaction with a provoking factor from the environment. The main task of the patient is to eliminate contact with the irritant, remove the external symptoms of the disease with medication, and eliminate their dependence in the future. Your doctor may prescribe the following medications:
Seborrheic dermatitis
When oily scales appear on the head, which periodically itch and itch, seborrheic dermatitis is suspected. This is a consequence of increased activity in the body of a yeast fungus that feeds on sebum. Seborrheic dermatitis predominates in children in the first days of life, but is extremely rare in adults. Foci of pathology in adults are observed on the eyelids, in all folds of the skin.
In order to quickly recover from seborrheic dermatitis, the characteristic scales should be treated daily with olive oil so that they fall off quickly and painlessly. Additionally, it is recommended to review your diet and exclude fatty, spicy and smoked foods from your daily diet. You can use special medicated shampoos to moisturize dry skin that is prone to flaking.
Treatment of allergic dermatitis
If the skin is damaged, there is a suspicion of an allergic reaction of the body. This is one of the forms of dermatitis in adults, which, to eliminate pathological process requires a review of daily nutrition. Synthetic components in food, semi-finished products and preservatives should be completely removed from the daily menu, since more often they become the same irritants. Therapeutic nutrition includes plant foods as a source of antioxidants and natural fiber.
Food dermatitis in adults
This form of dermatitis is chronic, and the patient goes into the category of eternal “allergy sufferers”. To maintain overall health, it is necessary to regularly perform therapeutic and preventive actions. The components of the dishes must be hypoallergenic, otherwise the characteristic rash in different parts of the dermis will bother the patient more and more often. Allergens are often red vegetables and fruits, processed foods and preservatives, citrus fruits and berries.
How to treat toxicoderma
Proper treatment of dermatitis begins with the productive elimination of a dangerous allergen that entered the body with food or through Airways with further distribution through the systemic circulation. In addition, infection with a toxic substance can occur through injection. For productive treatment, a definitely hypoallergenic diet and vitamin intake are required. There is a permanent intensive care regimen for adults, which in practice includes the following areas:
How to treat dermatitis on the body in an adult
If the disease is detected on early stage, the use of antihistamines internally and externally - this treatment is quite enough. In complicated clinical pictures with the appearance of purulent wounds and exudative rashes, oral antibiotics in the form of tablets and the use of external corticosteroids are necessary. If signs of dermatitis are preceded by increased activity fungal infection, treatment should include antifungal agents.
Drug treatment
The attending physician decides whether to take hormones or antibiotics, based on the characteristics clinical picture. If there are no complications, the adult patient is prescribed antihistamines orally. These are tablets Claritin, Loratadine, Cetrin, Suprastin, Fenistil, L-Cet, Tavegil and others. The course of intensive therapy varies between 7-14 days and is adjusted by the doctor on an individual basis. If one allergy medicine is not suitable, it must be replaced, taking into account the body's compatibility with the active components.
Additionally, pay attention to representatives of the following pharmacological groups:
Local treatment
Dermatitis appears not only on the face; the presence of a characteristic rash is possible on the back, buttocks and other parts of the body. If taking tablets kills a pathogenic infection from the inside, then the external use of creams and ointments helps to effectively eliminate a cosmetic defect and reduce the intensity discomfort, completely eliminate discomfort from your daily life. Here are the medications doctors prescribe for the treatment of dermatitis in adults:
Homeopathy
The use of herbal preparations is appropriate as part of complex treatment, since they independent use for adults it gives rather mediocre results. For dermatitis, positive dynamics are provided by herbal remedies with chamomile, string, lemon balm and St. John's wort. Medicines such as calendula-based ointment, medicinal chamomile extract, evening primrose ether, and stinging nettle have proven themselves well.
Physiotherapeutic procedures
To speed up the treatment of dermatitis in adults, it is necessary to undergo a course of special procedures in a hospital setting. Such sessions are prescribed by the attending physician, who also stipulates the number of procedures to achieve the desired effect. Here's what every potential allergy sufferer needs to know:
Treatment of dermatitis in adults with folk remedies
The disease can be eliminated alternative methods, but at an early stage of the pathological process. Treatment of dermatitis is successful if the foci of pathology are regularly treated with decoctions of chamomile, stinging nettle, and string. The composition is prepared using the classic method - 1 tbsp. l. raw materials per glass of water, but the amount of the finished medicine depends on the abundance of foci of pathology. An adult should perform home procedures daily, supplementing them with official methods.
Diet
The main goal is to eliminate allergens from the daily menu. For dermatitis in adults and not only food should be hypoallergenic. In order to promptly identify the irritant, during the next attack of dermatitis for successful treatment it is recommended to take a blood test pathogenic flora. The daily menu should contain plant fiber, natural antioxidants, and natural vitamins.
