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Atopic Dermatitis

Atopic dermatitis, or eczema, commonly employs patients even from infancy, causing as it is a natural disturbance in the whole family. In the last few years there is a rapid increase of atopic dermatitis.

The Causes

As risk factors of atopic dermatitis/eczema have been reported in hereditary souvenir, gender, social class, the family circumstances, the "Western" way of life, the climate, the παρατασική pregnancy, month of birth. Others of them seem to be false, and others have not.
As a rule, the atopic dermatitis has a good prognosis, since it seems to subside with time, sometimes earlier and sometimes later. That which is not yet widely known is that it seems to be the first expression of a dynamic phenomenon that is called "allergic parade", with the result essentially follows the same patient after a few years the image of allergic rhinitis or/and asthma.
On the other hand, atopic dermatitis is inextricably linked to food allergy such as a predisposition and causally. The child suffering from atopic dermatitis and clearly needs to be exposed in a different way in foods such as milk, egg, fish. On the other hand, the allergy to foods may be expressed in two ways. With the classic, which is dangerous since it can cause anaphylactic shock, or with a simple deterioration of atopic δερματίτιδος.


Eczema is usually predictable path in time in relation to the localization of the lesions. Initially regard to extensive surfaces. Face and back, then flexures. As always, however, in medicine, this picture is not absolute. The skin of the patient is characterized by generalized dry skin and severe itching. Many times, the sleep of the patient is disturbed. Also we often see events from their eyes, such as keratoconjunctivitis, keratoconus, cataracts.
The test in άερο - and food allergens are usually positive, and these are the patients who will develop in the future and respiratory allergy. Is it possible that a patient has atopic dermatitis with a negative test, and these patients usually do not show, later in life, respiratory allergy.
The natural course of atopic δερματίτιδος varies. There are now therapeutic formulations that have replaced the cortisone. Other than these will not reappear, but will be revived after puberty, and finally, it is possible to πρωτοεμφανισθούν in adult life.


The treatment of atopic δερματίτιδος about two strands: the cosmetic and pharmaceutical.
Cosmetic regards to the continuous hydration of the patient. On the medicinal part of the treatment of eczema, it is particularly important to know that most available medicines which replace the steroids which do not have side effects. More specifically, the calcineurin inhibitors, are a powerful breakwater of the administration of cortisone, which, however, especially in combination with topical antibiotics continues to be necessary in the most intense damage.
Finally, a particularly encouraging is individual to present reports on the use of the monoclonal antibody anti-IgE in patients with atopic dermatitis/eczema, but we also need studies to a greater extent so as to be used in the everyday practice.

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