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Abstract: The patient presented to the hospital with an unprovoked erythema of the skin accompanied by pruritus, which was diagnosed as eczema with breakouts. The onset of eczema in this patient was probably related to an unhealthy diet. After active systemic treatment, the patient’s symptoms were significantly relieved and the prognosis of her condition was relatively good.
Basic Information】Female, 20 years old
Disease Type】Eczema
Hospital】Xiang Ya Second Hospital of Central South University
Date of consultation】March 2022
Treatment plan】Oral medication (Desloratadine tablets) + topical medication (hyaluronic acid gel dressing, Denide cream)
【Treatment period】After 1 week of outpatient treatment, regular review
【Treatment effect】After treatment, the patient’s erythema improved and the itching disappeared
I. Initial consultation
When we first saw the patient, the patient had a red rash on the left side of the face with surface rupture and was depressed and despondent. The patient reported that a papule appeared on her face half a month ago, accompanied by itching, but she did not care about it because of her work. The patient was found to have erythematous skin on the left side of the face with clear boundaries and a dry surface with a small amount of scales, and was asked about the patient’s busy schedule, often ordering take-out and eating spicy and greasy food.
Second, the treatment process
After the diagnosis of eczema was confirmed, I informed the patient that the disease could be treated with general medication, and that oral medication plus topical medication could be used in conjunction with it. The patient agreed, so I prescribed dexloratadine tablets to be taken orally to relieve the patient’s itchy skin, along with topical hyaluronic acid gel dressing and dexloratadine cream to help reduce inflammation and promote healing of the lesion at the same time. In addition, I also reminded patients that they should also avoid using cosmetics on a daily basis, pay attention to cleaning the skin with warm water, avoid using irritating soaps, eat fresh and light foods appropriately, and avoid eating greasy, spicy, and high-sugar foods.
Third, the effect of treatment
The patient’s facial erythema improved significantly after the combination of medication and daily care. On the 4th day of drug treatment, the patient’s facial erythema became lighter in color, the itching symptoms were relieved, the scaling symptoms disappeared, and the broken parts were also improved. On the 7th day of drug treatment, the color of the patient’s facial erythema basically disappeared, and the itching symptoms had completely disappeared, so the treatment effect was more satisfactory. At the time of review, the patient’s facial skin had completely returned to normal and the symptoms of dry skin had been relieved, and the patient was very happy.
IV. Precautions
Seeing that the patient’s skin symptoms were relieved and her face was smiling again after medication, I felt happy for her from the bottom of my heart, and at the same time reminded her that she should also pay attention to the following points in her daily life.
1, patients should pay attention to maintain a healthy diet, avoid eating some spicy, greasy irritating food, including hot pot, fried food, etc., and also pay attention to avoid drinking alcohol, so as not to stimulate the skin leading to aggravation of symptoms.
2, patients should pay attention to indoor air circulation, clean environment, it is recommended that the bed sheets, pillowcases and other items are often cleaned to prevent dust mites breeding and is not conducive to recovery.
3. Patients should also pay attention to facial cleansing with mild cleanser and apply moisturizing cream after cleansing, avoid makeup as much as possible, and pay attention to removing makeup after returning home to avoid pore blockage or secondary infection.
V. Personal Insights
Eczema is a common inflammatory skin disease, usually caused by genetics, endocrine disorders and other factors, but also may be related to poor dietary habits, but do not worry too much, for example, in this case, 20-year-old Ms. Xiang because of irregular daily diet, resulting in inflammatory skin lesions, and after systematic drug treatment combined with daily care, the symptoms have been significantly improved. I would like to call on the general public to maintain a healthy diet and ensure a healthy lifestyle, which is not only helpful for the health of the body, but can also reduce the occurrence of eczema.