Atopic dermatitis and infantile eczema
Q1: Female, 29 years old, had dermatitis in elementary school, mainly in the elbow and calf pits. Now it is getting more and more frequent. For the past year, the rash has appeared in large areas, and no medicine seems to work, what should I do?
Q2: My son has had eczema since he was half a month old, and it was at its worst from 4 to 8 months. Now he is more than 3 weeks old and still not well. He gets better when the medicine is used, but it recurs when it is not used, and the same medicine does not work after a long time. It’s all hormonal, and I don’t dare to use it all the time. Is there any good way to improve it?
Q: My baby is 5 years old, and 2 months ago he gradually got a red rash on his body, itchy, and his IgE is higher than normal, he has applied Eudragit ointment, and now he is applying Elocon, and he is applying Tacrolimus ointment on his face, but he is still getting rashes intermittently, what should I do? The child is too young.
A: It’s probably atopic dermatitis! The disease is often committed soon after birth. The course of the disease is chronic, in several cans: two years old, in elementary school, eleven or twelve years old when developing, eighteen or nineteen years old, these four cans can be self-healing. In infants, the rash is mainly on the face, and in children, the rash is mainly on the elbows and knee bends, commonly known as “four bends of wind”! There is a certain amount of heredity, and one parent is often allergic or atopic.
Atopy includes a group of diseases: skin diseases such as atopic dermatitis, urticaria; allergic rhinitis; allergic asthma. Patients have dry skin. Due to long-term illness, they are often short-tempered and bad-tempered; and they are prone to allergies to food, penicillin, environment, etc.!
The treatment is more laborious. Eudragit ointment can be used topically for a short time. Take Centrum or oral Centrum or Centrum syrup! Facial rash can be treated with tacrolimus (Protopic) or pimecrolimus (Ayninda) ointment. On the body, topical hormonal ointment or black bean distillate cream can be used on the premise of emolliency, and should be prepared to alternate between the last few. After the surface is well still should be intermittent medication for a period of time, 2-3 times a week.
Patients with atopic dermatitis tend to have drier skin and a lot of scratch marks will appear after scratching. Originally, patients are allergic and are easily allergic to external substances such as pollen, animal fur, dust mites, etc. Once the skin is broken, these allergens are more likely to enter the body, and the rash is aggravated. Therefore, it is important to protect the skin barrier or maintain the integrity of the skin! The method is to apply topical skin care agents frequently. Just make the patient comfortable after topical application!
Q: I read on the internet that there are many spas in France such as Avène, Skin Care and Izumi that say they are effective for atopic dermatitis, is it really effective?
A: A characteristic of atopic dermatitis patients is dry skin, the barrier function of the skin is damaged, so that external irritants and allergens easily enter the body through the skin, causing dermatitis. The hydrotherapy, and after that the whole body topical emollient can effectively correct the dry skin and restore the barrier function of the skin. It can be said that maintaining a good skin barrier is the root of the treatment! The country’s spa resources are abundant and could be better developed.
At home, you can buy a wooden basin with some well-mixed oatmeal powder (available in supermarkets) in which children with atopic dermatitis can soak, which is a native spa (tub bath), so try it.
Q: Is tacrolimus ointment available in pharmacies and does it have side effects when used topically?
A: Tacrolimus ointment is a prescription drug and requires a prescription from a dermatologist. There may be some burning sensation on the skin during the first few days of topical application of this drug, which will disappear after a few days. This medication is safe! For children, use 0.03% concentration. For adults, use 0.1% concentration.
Q: 12-year-old boy with asthma since childhood. He always has a small, dense, red rash all over his body, arms, legs and back. I don’t know what the disease is, and whether it can be cured.
A: This is typical of atopic dermatitis. It is three brothers with allergic asthma and allergic rhinitis! It is called atopic march. Atopic dermatitis is committed first, and rhinitis and asthma occur when it gets older. Patients are often allergic to dust mites, etc. Since it is difficult to avoid, it often recurs.
Infantile eczema
Infant eczema is often an atopic dermatitis that occurs in infancy!
Q: My child is four months old and has frequent eczema on his face, what medicine can I take?
A: Infant eczema, commonly known as tinea cruris, is often recurrent and sometimes does not fully heal until age 2. Dexedrine and Eudragit ointment are two hormonal ointments that are weak and suitable for facial use. However, you should stop using them for two weeks. And it is not suitable for long-term use.
Suggestions
1, try black bean distillation oil cream, alternating with hormone cream.
2.After the rash is well with the medicine, use the medicine for a period of time every other day or every second day to consolidate the effect.
Q: Can I use trimethoprim cream on my newborn baby’s face with eczema?
A: Trimethoprim contains tretinoin, miconazole and neomycin. Too many ingredients are unnecessary and will increase the possibility of allergy. It can be used for a short period of time for skin lesions on the trunk and extremities, but not for the face. For infants, the more appropriate hormonal ointment is Eudragit Ointment or Denide Ointment. Black bean distillate cream is not a hormone and can be used alternatively with hormones.
Q: My baby has diaper rash and peeling skin, how to do ah, please give advice
A: It is recommended to wash with 2% boric acid solution first and then apply Johnson & Johnson’s buttock cream, Glaxo’s Pao Ying externally.