1 in 5 children struggles with eczema disease. Eczema, which we call atopic dermatitis, can also lay a ground for psychological problems such as depression if it is not paid attention to in children. At this point, in order for the families to be careful about eczema for children, Uludağ University, Department of Dermatology, Professor and Psoriasis Association Board Member. Dr. Emel Bülbül Chairman shared important information about the symptoms and treatment methods that should be considered to protect against the disease within the scope of 14 September Atopic Dermatitis Awareness Day.
Atopic dermatitis awareness of atopic dermatitis is emphasized every year on September 14 with the initiative of EFA (European Federation of Patient Associations). Atopic dermatitis is a skin disease that affects 20 percent of children and 2-8 percent of adults with eczema.
Atopic dermatitis, an inflammatory and itchy skin disease, affects 20% of children and 2-8% of adults, atopic eczema. Genetic factors play an important role in the appearance of Atopic dermatitis, which is one of the common diseases among non-infectious skin diseases. Initially, it appears on the face, on the outer surfaces of the arms and legs, on the scalp, in the form of red, watery wet debris; Over time, it may spread towards the folds such as the neck, back of the knee, arm, wrist and a thickened itchy skin appearance darker than the skin.
In atopic dermatitis disease, the protective power of the upper layer of the skin is weakened. Therefore, the skin dries out; becomes susceptible to allergen transmission and infection development. The history of recurrent itchy eczema and the presence of eczema in certain body areas in accordance with age are important tips in the diagnosis stage of a family history of allergic diseases such as rash, asthma, allergic rhinitis (hay fever).
Having atopic dermatitis in one of the mothers or fathers increases the risk of occurrence in the child 2-3 times and in both of them increases 3-5 times. There is no disease specific laboratory test yet for diagnosis. Detailed dermatological examination of skin symptoms that may be confused with other diseases should be performed and detailed patient history should be taken. Although the total IgE level is frequently high, there are also patients with normal levels. It is not routine to look for genetic tests, such as the filaggrin mutation, but can give an idea of the course of the disease.
Eczema May Cause Depression in Children!
Atopic dermatitis is one of the skin diseases that greatly affect the quality of life due to severe itching, impaired sleep quality and the appearance of skin symptoms. Itching is an important feature and its severity increases especially at night and with sweating. Color changes around the eyes and extra streaking under the eyes, increase in palm lines, dry skin, paleness in the middle of the face, rough appearance on the shoulders and arms, and white spots on the cheeks are other features that can be encountered in this disease. Occasionally there may be an infection in the skin, in this case yellowish crusts, runny wounds may appear and herpes attacks may appear.
How Is Atopic Dermatitis Treatment?
In case of atopic dermatitis, it is necessary to contact the dermatologist. In this skin disease, which does not have a specific diagnostic method, accurate evaluation of clinical symptoms can only be done by dermatologists. Team work and support from relevant branches are required in the solution of respiratory allergies such as asthma, which may occur over time, or psychiatric problems due to added psychological burden.
Atopic Dermatitis Asthma Can Prepare For These Diseases!
Atopic Dermatitis is not contagious. Atopic Dermatitis can sometimes be confused with scabies, which is an infectious disease due to its severe itching, but Atopic dermatitis is not transmitted from person to person. Being seen among the same family members is explained by genetic transition. The probability of allergic rhinitis and asthma increases in the following years in patients with atopic dermatitis. The risk of lymphoma in adulthood is mentioned in patients with severe and prolonged Atopic dermatitis. In addition, although its exact mechanism is not known; obesity may be associated with cardiovascular diseases, autoimmune diseases and the development of alopecia (ringworm).
Attention to the information that is not written on the Internet!
Studies show that nearly 80 percent of patients are not satisfied with the treatments applied. In the fight against atopic dermatitis, many factors need to be regulated from the hardness of the washed water to the ambient temperature, from the cleaning materials used to the shower shampoos. This is an economically challenging process that includes the education of other family members. An important step of the treatment is to moisturize the skin with regular and continuous skin care.
The patient must learn to do this with the right amount of moisturizers if the patient is at an early age. Unfortunately, routine patient examination times are not sufficient to explain these prevention and care measures and the effects and side effects according to the stages of treatment, and there is a need for well-organized, accurate and up-to-date training programs such as patient schools, web-based training. Otherwise, patients and their relatives reach false information from the internet and become victims both financially and morally.
Attention to Food Allergies Can Trigger Eczema!
Nearly half of patients with atopic dermatitis can have food allergies. In children, milk, eggs, peanuts, wheat, nuts, soy, fish and shellfish may trigger the disease, but this should be evaluated by the allergist.
Otherwise, different health problems may arise with unnecessary and excessive diets in children of development age. Attention should also be paid to multi-colored, metal or beaded, woolen clothes, and even quilts, fluffy toys for children. Play dough, toy paints, furniture and floor chemicals can cause a spillage of spills, especially in childhood, at the contact points.
What to Watch Out for?
House dust mites are among the trigger factors, as well as other allergens, such as cat-dog hairs, can also aggravate the disease. Allergy tests are required to detect this condition. It is necessary to take measures such as choosing cotton or combed clothes, rinsing the laundry with plenty of water, feeding with natural and additive products. The products used to moisten the skin should not contain perfumes and colorants.
The entire body should be moistened, especially immediately after the shower, especially in the rash areas. Sunbathing at the dose alleviates the symptoms of the disease, but it is necessary to be protected from sunburn. Among the sports activities, the most recommended swimming is the sea rather than the pool and a shower and a moisturizer should be applied as soon as possible. Stress does not cause atopic dermatitis, but it can cause itching and worsen the condition. Therefore, it may be useful to get support on stress management and relaxation techniques.