What it is like to live with atopic dermatitis, a disease that imits, hurts and is difficult to treat – 11/26/2018



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Atopic dermatitis can effectively impact the lives of patients and, with different levels of severity, is one of the most frequent inflammation of skin diseases. It generates deducing symptoms as Dry skin, deep and persistent itching, redness, scabs and secretions. For the World Day of Disease Today, the Argentine Association of Allergy and Clinical Immunology (AAAeic) and the Argentine Society of Dermatology (SAD) are together to raise awareness.

"Atopic dermatitis has many faces, depending on the age of the patient, but its main symptom is pruritus, accompanied by completely dry and reactive skin," explains Cristina Pascutto, president of the SAD.

For many, the itching is severe or not to endure. It chops by day and night, so 8 out of 10 patients with moderate to severe atopic dermatitis suffer from sleep disturbances; And more than half the itching interrupted their sleep five to seven nights a week.

"Some people scratch myself asleep or try to sleep, sometimes, The scratching comes to be heard from the next room. It is difficult for parents who see their child suffer from or for a husband to see their partner in that situation. Anyway, what else suffers is the one who has his whole life through dill, rash, redness and pain, "says Gabrielle Gattolin, AAAIC president.

It also provides what is called a cycle between itching and the act of scratching, which generates even more itching.

Half of the patients who have the moderate to severe variant also feel hurt. Injections can cover more than half of the body And they discover in sensitive areas such as eyelids, neck, elbows, wrists, knees and angles. By scratching, patients can get infected even more and increase the risk of infections.

The impact on the quality of life is high, in addition to many patients often make a pilgrimage by some doctors until the diagnosis. Atopic dermatitis can cause low self-esteem, fear of being seen, suffering bullying and encouraging the development of depression. Four of the 10 people suffering from embarrassment Because of his condition and half of the patients he feels frustrated by his illness often or always.

Other figures provided by the scientific societies allow you to measure the impact level: moderate to severe atopic dermatitis sedate the work of other people. In average, adolescents lost 26 days of class per year for this condition (about 3.5 days per episode).

"It affects all daily aspects of life such as the choice of clothing, the realization of physical activity, outings with friends, go for a walk, or more important issues such as public presentation, interpersonal relations or sexual activity. Psychological terms and can generate Anxiety, depression or isolation", Adds Gattolin.

Diagnosis and treatment

It is generally considered a childhood condition, because Affects between 5 and 20% of children, Of which between 10 and 40% gives the rigid form. Anyway, in 3 out of 10 cases it continues to be puberty and, in fact, some patients even experience the first symptoms of just the big one.

Gattolin notes that "The pruritus they suffer is the major diagnostic criterion and the main reason they go to the consultation, but redness, swollen, cracked, thick and oily skin condition is a complex image, often severe and difficult to treat."

In the first consultation, in addition, the patients are asked if they have any type of respiratory tract because it is highly frequent that they present ASTM, rhinitis and allergic conjunctivitis, chronic rhinosinitis and food allergies. He is also asked about family history.

"Although one of the elements to achieve the diagnosis is the typical locations that appear in these patients, in some patients, there is a different distribution similar to other conditions such as numeral eczema, prurigo, seborrheic dermatitis, psoriasis, scabies, and even drug reactions So, to achieve the correct diagnosis, many times It is necessary to perform other more specific studies", Describes Pascutto.

There are factors that contribute to the appearance of outbreak and should be avoided:

✔ Share rope

✔ food allergens (eg, milk, wheat, soy, peanuts, etc.)

✔ AfricaAeroallergens (dust mites, weeds, animal epitelia, fungi, others)

✔ Crashers like skin cleansers, wool clothing or synthetic fibers

?

✔ Outselect quality soap and aggressive detergents

✔ ¨ ¨ ight ate with extreme temperatures, humidity or excessive dryness

✔ skin infections by certain microorganisms

From the Argentine Society of Dermatology, point out that the most important recommendation is based on skin care and control of dry skin to prevent scratching, exacerbation of injuries and superinfection.

Keep the skin moisturized and moisturized With creams for what purpose is the most important measure. All compounds with oats also help, because this is a natural anti-inflammatory for the skin. The ultraviolet rays together, so it is recommended to be exposed to the sun, but before 10 or after 18 hours, because the most abrasive rays can dehydration of the skin and its contradiction.

But many patients suffering from the moderate to severe form claim that the symptoms persist in using the therapeutic alternatives available. In this sense, Pascal states that "the development of new drugs to inhibit the inflammation processes, with a good safety profile, opens a promising future for future future".

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