I. Pathogenesis
The causes of dermatitis eczema are very complex and are simply divided into internal and external causes, which are difficult to prioritize and are usually interrelated and synergistic. External causes such as chemical agents, cosmetics, animal toxins, fish and shrimp, pollen, dust, sunlight, scratching, etc.. For example, contact dermatitis is mostly caused by improper use of accessories, cosmetics, contact with pets, paints, building materials, etc.; internal causes include genetic factors, mental factors, immune factors of the body, metabolic factors, etc.
For example, atopic dermatitis patients, their relatives may suffer from. Patients with neurodermatitis, the disease is aggravated by mental stress, etc. The influence of psychological factors on dermatitis eczema-like skin diseases is receiving increasing attention. The occurrence of dermatitis eczema may also be related to diet, lifestyle patterns, environment, etc.
The way to treat
1. Etiological treatment
The best treatment is etiological treatment: to help patients find the cause of dermatitis eczema or trigger aggravating factors, for the cause, targeted treatment, can achieve the purpose of complete cure.
In its guiding document on immune desensitization treatment, the World Health Organization WHO clearly refers to the fundamental treatment of allergic skin diseases. International allergy research authorities also suggest “the use of high quality standardized desensitizing agents, along with optimal allergy treatment protocols, including allergen removal, elimination of toxins from the body, immune repair of the patient, appropriate symptomatic medication for allergic co-inflammation, and immunotherapy with standardized desensitizing agents. However, in a minority of cases, the cause of eczema cannot be found and therefore cannot be cured, but only treated symptomatically.
In the early or acute stage, the affected area has patches of erythema, dense or sparse papules, or blisters that are difficult to see with the naked eye, and in severe cases, large areas of exudate and vesicles; in the subacute state, exudate decreases and crusts form, and the affected area turns from bright red to dark red without large areas of vesicles; in the chronic state, exudate is less or completely dry and crusts form, often mixed with scales to form scaly crusts, and the affected area becomes darker or hyperpigmented. Sometimes the pigmentation is reduced, in the skin lines, especially the greater degree of movement of the parts of the easy to occur fissures, long-term friction scratching can cause significant mossy, and neurodermatitis (chronic simple moss) is not easy to distinguish.
The rash often has a variety of forms, easy to reduce, aggravate or recur, the boundary is generally not very clear. It tends to occur on both sides and is more or less symmetrical, with different manifestations such as erythema, papules, blisters, vesicles, scales, scabs, increased or decreased pigmentation, chancre or mossiness depending on the degree of acute or chronicity, where several manifestations are often mixed together, sometimes occurring sequentially. If there is secondary infection, there can also be pustules and other lesions. Then the wrong medicine will cause a lot of bad after.
2, general treatment
The actual fact is that there is no special treatment for eczema in Western medicine, and it is mostly treated symptomatically. The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things. The topical dosage form depends on the performance of clinical lesions, such as erythema is obvious, exudation should be selected solution cold wet compress, erythema, papules available lotion, emulsion, mud cream, oil, etc.; blisters, vesicles need to use oil; performance of scales, crusts with ointment; if moss-like changes more choice of mud cream, ointment, emulsion, coating agent, tincture and hard cream, etc.
Third, life precautions
1, avoid scratching
Scratching can make the skin constantly suffer from mechanical stimulation and thickening, and even cause infection. Scratching also plays a reinforcing role, the more the patient scratches the more itchy, the more itchy scratching, forming a vicious circle, the disease process is thus prolonged.
2, avoid hot water scalding
Dermatitis, eczema in the acute phase, due to the expansion of capillaries within the skin, there will be varying degrees of skin redness, papules, blisters. Hot water scalding or soaking, redness and swelling increased, increased permeability, aggravating the condition. Therefore, dermatitis, eczema patients should be showered with warm water, avoid soaking in hot water and rubbing hard.
3, avoid soap washing
Especially alkaline soap, the skin is a chemical stimulus, can make dermatitis, eczema aggravated. If you need to use soap to remove dirt, it is best to choose a less irritating boric acid soap.
4, avoid irritating food
Chili, wine, strong tea, coffee and other stimulating food, can make itching aggravated easily make eczema aggravated or recurrence, should be avoided.
5, avoid blindly using drugs
Dermatitis, eczema is a long course, easy to repeat, patients should cooperate with doctors patient treatment. Some people are eager to treat, without a doctor’s consultation in the lesions coated with a high concentration of anti-itch medicine; instead, aggravate the disease. Therefore, do not use medication without permission.