“Atopic dermatitis” is a nearby disease that is overlooked.

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Atopic dermatitis It may not be talked about very often. But it creates difficulties. and reduce confidence Loss of good personality if you have symptoms of the disease

"Atopic dermatitis" is a nearby disease that is overlooked.

What is atopic dermatitis?

Professor Dr. Kanokwalai Kulthanan, Head of the Department of Dermatology Faculty of Medicine Siriraj Hospital Mahidol University  said that atopic dermatitis is a disease characterized by chronic inflammatory skin conditions that come and go from allergic reactions and many factors together, causing dry skin. Easily irritated A red, itchy rash occurs in various areas of the body. It usually occurs in children, but it can occur at any age. The incidence of this disease in Thai children is approximately 10-20 percent, while in adults it is less common.

Causes of atopic dermatitis

The cause of atopic dermatitis is still unknown. It is believed that genetics may be involved. This is because most patients have a history of allergies in their family, such as air allergies, coughing, frequent sneezing, asthma, or atopic dermatitis. However, people who do not have a history of allergies in their family may also develop this disease because genetic abnormalities may be hidden. Live without symptoms In addition, important factors involved are the environment such as food, dust mites, irritants. or allergens The patient’s skin is sensitive to the surrounding environment, including physical conditions such as weather conditions that are too hot or too cold, or chemicals that irritate the skin, as well as various living things such as insects and germs, etc.

Symptoms of atopic dermatitis

Symptoms of atopic dermatitis in patients are of 3 types:

  • Acute rash That is, there is a rash that is very swollen and red and itchy. There are red blisters and blisters. In some cases, there may be lymph oozing out.
  • Subacute rash It is a rash and red bumps, itchy, scaly, and may have some water blisters. But there was no lymph oozing on the rash.
  • Chronic rash That is, the rash will not be very red or brown in color. It may be raised, thick, itchy, scaly, https://ufabet999.app and clearly visible skin grooves.

The location where the rash is found varies according to the patient’s age. In infants, dermatitis rashes are often found on the face, neck, and outside of the extremities. Because this is the area that rubs against the pillow. The bed sheets were very itchy. For school-age children and adults Dermatitis rashes are most common in the folds of the arms, legs, and neck. In severe cases, The rash can occur all over the body. Some patients may also have nasal, eye allergies or asthma. Or some people may experience other skin lesions as well, such as eczema, dark circles, and wrinkles under the eyes. dry, flaky lips The handwriting is deep, the hair is ingrown, the skin is rough like chicken skin. The skin around the shins is cracked, dry and in sheets, etc.

Early symptoms of atopic dermatitis

About 50 percent will be found in children during their first year. And approximately 85 percent are found in children in the first 5 years. The symptoms are often chronic, coming and going. Most of the symptoms will gradually improve as the patient increases in age. It has been found that in approximately 40-50 percent of patients, symptoms improve by the age of 10 years. Some children may continue to have chronic symptoms into adulthood, while some patients may begin to develop atopic rashes in adulthood. The diagnosis of atopic dermatitis is based largely on clinical features. skin test A blood test to test for antibodies to various allergens or a food allergy test.

There is no need for a diagnosis, but in the case of correct and appropriate treatment. Symptoms do not improve or become more severe Your doctor may consider doing these tests. Or select additional laboratory tests as appropriate for each patient to identify triggering factors that may cause disease recurrence.

Goals of treatment for atopic dermatitis

Try to control the symptoms of the disease. Prevent disease from reoccurring and remain calm for as long as possible until the disease disappears. Treatment guidelines include: Avoiding various factors that causes symptoms to worsen Applying substances to increase skin hydration Prevent dry skin, such as lotion and skin care cream, should be applied immediately after showering. And you shouldn’t shower too often. Because it will make the skin more dry.

Using topical medicine reduces inflammation of the skin.

Apply to the area of ​​the rash that is red and inflamed. When symptoms are controlled, medication should be reduced or stopped. In cases where the rash is severe and in a wide area Your doctor may give you oral medication. At present, it is treated by injections. which is an advance in treatment for this disease The doctor will choose to use it in cases with moderate to severe symptoms. and does not respond to treatment by general methods which should be under the care of a doctor

However,  in cases where the patient is suspected of having symptoms of atopic dermatitis You should consult a doctor for proper diagnosis and treatment. Chronic illnesses can affect your mental state. Quality of life of patients and families,  such as sleeping, studying, working, confidence, and socializing. Some patients may choose to wear clothing that covers many areas of their skin. Body parts due to shyness which has an impact on life If you come see a doctor and receive appropriate treatment. It will help prevent a recurrence of the rash. Can improve the quality of life and allowing patients to participate normally in society