Atopic dermatitis, or eczema, usually disturbs patients even from infancy, causing, naturally, upset at the whole family. The last years there is a rapid increase in atopic dermatitis.
As risk factors of atopic dermatitis / eczema have been reported the inheritance, gender, social class, family circumstances, the "Western" way of life, climate, late pregnancy, month of birth. Some of these seem to make sense, and others don’t.
Normally, the atopic dermatitis has a good prediction as it seems to decline through time, sometimes earlier, sometimes later. This that is not yet widely known is that it seems to be the first expression of a dynamic phenomenon called "allergic march", with result essentially to follow the same patient after a few years image of allergic rhinitis and / or asthma.
On the other hand, atopic dermatitis is inextricably linked to food allergy both as predisposition and causally. The child who suffers by atopic dermatitis should be exposed clearly differently to foods such as milk, egg, fish. On the other hand allergy in foods may be expressed in two ways. With the classic, which is dangerous because it can cause allergic shock, or with simple worsening of atopic dermatitis.
The eczema has usually predictable route in time compared to the localization of the lesions. At first, appears on extensive surfaces. Face and back and then flexures. But as always in medicine, this picture is not absolute. The patient's skin is characterized by generalized dry skin and intense itching. Many times the patient's sleep is disturbed. Also, we often see disorders in the eyes such as keratoconjunctivitis, keratoconus, cataract.
The test in air and food allergens are usually positive and these are the patients who develop in the future respiratory allergy. It is possible for a patient to have atopic dermatitis with negative test and these patients usually do not develop, later in life, respiratory allergy.
The natural route of atopic dermatitis varies. There are now therapeutic products that have replaced the cortisone. Some of these will not recur, others will flare up after puberty, and finally may be first occur in adulthood.
The treatment of atopic dermatitis characterize two parts: the cosmetic and the pharmaceutical.
The cosmetic is about the continuous hydration of the patient. About the pharmaceutical part of the eczema treatment is especially important somebody to know that most are available medicines which replace cortisone and not have the side effects of cortisone. Although, cortisone especially in combination with topical antibiotics continues to be necessary in more intense lesions.
Finally, are very encouraging individual for now reports about the use of monoclonal anti-IgE antibody in patients with atopic dermatitis / eczema, but they need studies in larger area to use in practice.