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Dermatitis: Atopic
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Despite the symptoms caused by atopic dermatitis, it is possible for people with the disorder to maintain a good quality of life. The keys to quality of life lie in being well-informed; awareness of symptoms and their possible cause; and developing a partnership involving the patient or caregiving family member, medical doctor, and other health professionals. Good communication is essential. (See "Tips for Working With Your Doctor" on page 26.)
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Miami - Atopic dermatitis (AD) can be challenging to diagnose even for the seasoned dermatologist because it mimics other common skin diseases in the pediatric population. It ... can be challenging to treat, with the addition of new agents on the market. There are key points to consider when making the diagnosis and tried-and-true methods of treatment to keep in mind when recommending therapies to parents and their children, according to Bernice Krafchik, M.D., dermatologist, and professor emeritus at the University of Toronto.
A: Your child may have mild atopic dermatitis. It occurs most frequently in families with a history of eczema, allergies, and asthma. This disorder is characterized by dry, sensitive, itchy skin. Mild soaps, cotton clothing, and moisturizers help minimize flare-ups. In severe cases, prescription medications may be necessary.
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In infants and younger children, atopic dermatitis occurs on the face (other than the nose or scalp), neck, arms and legs. Diaper rash usually is not atopic dermatitis. In older children and adults it occurs on the hands, feet, face, crook of the elbow or behind the knee. Patients with the disease typically have dry, pale skin.
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About 1 percent of all children's visits to doctors is for atopic dermatitis. It affects from 1 percent to 10 percent of infants. About 27 percent of infants whose mothers have allergies develop atopic dermatitis. One-half of infants who have eczema before they are one year old have no more symptoms by age two.
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Changing the diet may not always relieve symptoms of atopic dermatitis. A change may be helpful... when the medical history, laboratory studies, and specific symptoms strongly suggest a food allergy. It is up to the patient and his or her family and physician to decide whether the dietary restrictions are appropriate. Unless properly monitored by a physician or dietitian, diets with many restrictions can contribute to serious nutritional problems, especially in children.
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