Atopic Dermatitis

Atopic dermatitis, which is a type of eczema, is a condition characterized by red, itchy rashes that form on the skin when the skin is unable to hold moisture well. Though atopic dermatitis is not life-threatening or contagious, it is quite common with nearly 10% of the population in the United States being affected by it.

Symptoms of atopic dermatitis vary in terms of severity from very mild to severe, and the severity of symptoms typically depends on the method of treatment. Despite not being a serious condition, atopic dermatitis can have an overall negative effect on an individual’s everyday life as it is a considerable source of discomfort and emotional stress. Here is a brief guide to understanding the causes, symptoms, diagnosis, and treatment options of atopic dermatitis.

Symptoms of Atopic Dermatitis

Perhaps the most common symptom brought on by atopic dermatitis is itchiness, which is usually relentless and results in rashes over time.  Atopic dermatitis rashes are red, dry, and flaky, but scratching may lead to fluid-filled blisters and infections that can only be cleared up with a proper treatment method. Long-lasting rashes can eventually become rough and crusty if the patient continues to scratch the affected areas of skin.

Refraining from scratching the rashes is the only surefire way to shorten the length and diminish the severity of atopic dermatitis flare-ups. Of course, sometimes the itching is so intense that patients have a hard time stopping themselves from scratching the rashes.

Causes of Atopic Dermatitis

Although the exact cause of atopic dermatitis has not been discovered, it has been linked with a family history of allergies, particularly allergic rhinitis. In fact, the irritation or rash that atopic dermatitis brings on is thought to be akin to an allergic reaction.

Certain things can also trigger the rash and itching associated with atopic dermatitis such as:

– Common allergens like pollen, animal dander, and dust mites

– Cleaning and sanitizing products containing harsh chemicals

– Changes in temperature, particularly cold and dry weather

– Stress as feelings of embarrassment and irritation can exacerbate the itching

– Food allergies such as nuts, wheat, or dairy

– Over-washing as it can dry out the outer layer of the skin

Diagnosis of Atopic Dermatitis

Doctors typically do not require any lab tests to recognize atopic dermatitis; they simply rely on a review of your medical history and a full examination of your skin. However, your doctor may choose to order some tests such as patch testing to eliminate the possibility of other skin conditions to be able to reach a conclusive diagnosis.

Treatment of Atopic Dermatitis

Atopic dermatitis is incurable, but with the right treatment, it is possible to improve symptoms or even get rid of them for extended periods.

For those with mild atopic dermatitis, over-the-counter treatment options such as daily moisturizing may suffice to prevent flare-ups. Moreover, pinpointing and steering clear of your triggers can also help you in avoiding frequent flare-ups and more aggressive treatment options.

If these options prove to be ineffective, your physician may suggest you use an antihistamine to relieve itching which is available over-the-counter. A good example is Benadryl. Although these medicines are not potent enough to clear up rashes, they can relieve the itching enough to stop you from scratching them. Antihistamines can be taken in combination with hydrocortisone ointments, which also lessen swelling and itching.

If you find that over-the-counter options do not improve your symptoms at all, your doctor can prescribe you corticosteroids. Corticosteroids are a group of steroids similar to hydrocortisone but more potent and must only be used for a limited amount of time as it can have adverse side effects.

Besides relieving the physical symptoms, a part of atopic dermatitis treatment can also involve a type of talk therapy, which may be particularly essential for younger patients. Atopic dermatitis is very noticeable and can be a cause of embarrassment for some patients, so seeking professional counseling may provide patients with an outlet to talk about their struggles and feelings in relation to this condition.

Featured Image: Depositphotos/© belchonock

Posted on March 24, 2023