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Atopic Eczema (Atopic Dermatitis)

  Atopic dermatitis is a chronic disease and there is no cure to cure. A considerable part of light cases spontaneously. Treatment targets: Medication Skin moisturizing Protective measures The purpose of our treatment with medications is to suppress allergic reactions to the skin.

In patients with atopic dermatitis, skin has an inflammatory process that is dependent on the accumulation of immune system cells. This inflammatory process suppression is the most important step in the treatment. In patients with atopic dermatitis, more localized drugs are used for this treatment.

However, there are medications we use systematically in treatment-resistant patients. The most effective drugs used in treatment include cortisone (corticosteroid). Only the places where the eczema is. When using these medicines, the physician recommendation should be followed. They do not cause any serious side effects unless they are used to spread throughout the body.

Possible side effects include skin thinning, decreased coloration, formation of streaks, subcutaneous haemorrhage, subcutaneous vasodilatation. Severe systemic effects may also occur when cortisone drugs with very strong effects are applied to the skin for a long time. For this reason, patients should not use this medicine without consulting their doctor.

The principles to be followed in the treatment are to choose the cortisone product with the weakest effect to control the disease and to pass to a weaker but effective product. Particular care should be taken to use the weakest cortisone cream possible in sensitive areas such as the face. Cortisone creams should be applied immediately after the body and before moisturizers and should only be applied to the area where the eczema is present.

Lotions and creams on the scalp can be selected depending on age Cortisone-free creams are pimecrolimus and tacrolimus are other drugs used in the treatment of atopic dermatitis. They do not cause side effects seen with cortisone medicines. They can be used in sensitive skin areas such as the face. It is recommended to use in the treatment of mild to moderate atopic dermatitis in infants older than 2 years. It should not be used in children with immune system problems. Antihistamines have no place in treatment.

The effects of relieving itching are very weak. They can be useful at night to prevent pruritus. This is often the case when an infection develops in the eczema of atopic dermatitis patients. Antibiotic therapy should be used. Phototherapy and immunosuppressive drugs (cyclosporine, etc.) adequate response it may be rarely necessary in severe cases that can not be taken.