Atopic dermatitis secondary prevention
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Primary prevention applies to the patients with diagnosed atopic dermatits. Its main goal is to reducing the severity of presentation of skin lesions as well as the use of medical therapy.
=Secondary Prevention
- Epidermal barrier
- Positive association between damage of the epidermis and severity of atopic dermatitis.[1]
- Increased skin permeability and skin pH due to defective barrier function can lead to colonization by Staphylococcus aureus. Restoration of skin barrier function is an important factor for protection from colonization by this pathogen.
- To protect and restore the epidermal skin barrier function
- Patients should abstain from using soap, cosmetics, dyes, fragrances and detergents
- Wash new clothes before wearing them.
- Keep air temperature around 18–22°C.
- Avoid frequent and sudden climate changes.
- Use air humidifiers in winters
- Avoid excessive exposure to UV radiations and use SPF sunscreens.
- application of emollients every 6 h
- Pruritus
- Itching cause scratching which leads to dysfunction of the epidermal skin barrier.
- Risk factors which aggravate itching include sweating, dry skin, emotional stress, hot water, and certain foods
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References
- ↑ Cork MJ, Danby SG, Vasilopoulos Y, Hadgraft J, Lane ME, Moustafa M, Guy RH, Macgowan AL, Tazi-Ahnini R, Ward SJ (August 2009). "Epidermal barrier dysfunction in atopic dermatitis". J. Invest. Dermatol. 129 (8): 1892–908. doi:10.1038/jid.2009.133. PMID 19494826.