The adults are commonly found only residual manifestations: persistent hand dermatitis, eyelid dermatitis, retroauricular dermatitis.
Diagnosis in atopic dermatitis is the clinical excellence, there is no specific laboratory markers for atopic dermatitis. Features essential for the diagnosis of atopic dermatitis include itching and changes in appearance eczematoase typical age-related, and with a chronic or recurrent evolution.
Atopic dermatitis - complications, the natural evolution of disease
Complications in atopic dermatitis skin are mainly infectious (bacterial, viral, fungal) due to increased skin sensitivity to various infectious agents. Also there may be a complication as the weighted D-deficient staturo (by bad diets, deprivation). There are rarely any local or systemic complications of atopic dermatitiei specific therapies (in particular corticosteroid).
Not to be neglected in the development neuropsychic and emotional complications that negatively impact on relationships intrafamilale disease.
From the evolutionary point of view, it should be noted that atopic dermatitis is a chronic disease with evolving and sometimes unpredictable, typically marked by the exacerbation that may occur in spite of optimal care.
Most cases of atopic dermatitis, improvement or even disappearance of familiar adults. But there are possible intermittent exacerbations of the disease throughout life, often in conditions of physical or emotional stress.
It is also important to note that 50% of children develop atopic dermatitis or allergic rhinitis or asthma.
Atopic dermatitis - Treatment
Treatment includes avoiding triggers atopic dermatitis of the lesions, control itching, suppress inflammation, restoring skin barrier and eliminating anxiety.
The main components of topical therapy in atopic dermatitis are: emolientele, dermatocorticoizii, calcineurin inhibitors.
Systemic means of treatment include immunomodulatory agents, systemic corticosteroids, antihistamines, phototherapy and are used in carefully selected cases of atopic dermatitis (severe, refractory to topical treatments, etc.).
Optimal regimen for a patient is determined by the doctor depending on the clinical appearance of lesions, patient age, associated pathology, intolerant individual living conditions.
It requires close collaboration between the child's family with atopic dermatitis, family physician and pediatrician.
It is recommended to a dermatologist in the following situations: moderate or severe atopic dermatitis, poor response to topical corticosteroids of moderate potency, persistent forms of disease, cases with frequent exacerbations, complications requiring spiatalizarea and all situations that necessitate the establishment of a systemic therapies.