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Neurodermatitis also calledatopic dermatitisor atopic eczema is a tegument disease that take up with itchiness and at an other age , usually in childhood , although a form of onset in adulthood is known . Pruritus , eczema , xerosis ( dryness of the pelt ) , and lichenification ( thickening ) are characteristic symptom .
Neurodermatitis can occur in connexion with other atopic diseases ( which increases the secernment of immunoglobulin E ) , as well as acute intellectual nourishment allergy , asthma attack , urticaria and allergic rhinitis . Neurodermatitis is an progressively common disease , especially in develop countries .
Can Neurodermatitis Go Away?
In 85 % of the cases , the neurodermatitis begins in the first year of spirit , 95 % of all cases occur before the age of five . Incidence is very high in childhood . The neurodermatitis disease can present during long period of complete remission , especially in adolescence , but it can reappear in adulthood .
Clinical Presentation
Neurodermatitis is just one symptom : haunting pruritus , in increase to clinical star sign such as excessivedry hide , irritation , redness , lichenification , and eczema . Frequently , parents do not take into accounting the disease until their tyke scratch the lesions ( these appear after persistent scraping in a specific sphere of the body ) . The hide is red-faced due to scratching but the disease has legion periods of remission and relapsing . In most patients , there are very obvious signs of the disease in puerility , adolescence , and relapse resolving power in maturity . However , there is neurodermatitis that starts of late , after the 20 ’s .
The independent signs of neurodermatitis are skin lesions , peel lichenification , and juiceless eczema . Superficial scoriation of the scaly cutis and the development of the augury appear very frequently . The location of eczematous lesion diverge according to the years of the patient . The most common occurrence occurs around the age of 2 - 3 months .
In babies , the first sign of neurodermatitis are keep at once after birth . Dry skin occurs very early and usually covers the full skin of the soundbox . Generally , the napkin arena is not affected because the humidness there is higher .
The wound appear for the first time in the antecubital and popliteal fossa showing erythema and serous exudation . In the next few weeks , the lesions will scatter to the buttock , forehead , and scalp and to the extension of the legs . They generally look throughout the body , except the nose and the area covered by the diaper . The lesions are well - delineate encrustation and plaque covered by the erythematous and eczematous epidermis . Lichenification seldom happen in babies , but bullous lesion sate with fluid on the surface of the eczema erythematous eruption can appear . These lesion must be monitor because they can easily get infected .
For children over 2 years onetime , they present ironical , sagging skin and are laborious to the touching .
full-grown wound are more diffuse and less pronounced they are usually erythematous . The brass is the most commonly involved and it is particularly very juiceless , mostly in wintertime , when the temperatures are very gloomy and extremely dry . The body is affected by xerosis , lichenification may be present or absent , and scratching is rare . In some patients , there is a brown ring around the neck , which is a bank deposit of place amyloid . Patients with neurodermatitis skin may have a darker pigmentation in certain parts of the body and healing in area that call off was intense .
The treatment of atopic dermatitis consist of two region : a introductory discussion for the maintenance of the skin and the treatment of inflammation of the skin .
The basic intervention is the careful tutelage of the skin . give generously peel care products that help keep it well hydrated and with grease .
Medicines against inflammation of the cutis are prescribed according to the grimness , the affected places and the development of the disease . The destination is to treat acute skin disorderliness . In increase , they must avoid the appearance of new symptoms in the symptomless stage . This treatment include the follow full point :
-Topical handling with creams , balm or emulsions .
-Systemic treatment in the form of pad or infusion .
In most modest to moderate neurodermatitis cases , topical therapy is sufficient , since it improves the symptoms considerably . In addition , medications that are well tolerated such as antihistamine can be added . Only in very severe case are systemic treatment with inhibitor of fervor is necessary .
References :
“ Atopic Dermatitis ( Eczema ) ” – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/atopic-dermatitis-eczema/symptoms-causes/syc-20353273
“ Atopic Dermatitis ( Eczema ) ” – American Academy of Dermatology Associationhttps://www.aad.org/public/diseases/eczema/atopic-dermatitis
“ Atopic Dermatitis ( Eczema ) ” – National Eczema Associationhttps://nationaleczema.org/eczema/types-of-eczema/atopic-dermatitis/
“ Treatment of Atopic Dermatitis : A Review ” – JAMA Dermatology [ Provide DOI or Link if available ]
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