Atopic dermatitis: all you need to know about “itchy rashes”


Eczema is a general term that describes a common skin irritation that can cause the skin to blister, ooze, scab, or flake. Likewise, atopic dermatitis (AD) is the most common form of eczema, which affects at least 2-3 percent of adults and 25 percent of children, said Professor Kiran Godse, DY Patil Hospital, Navi Mumbai.

“It is also known that around 10-15% of the Indian population has suffered from some form of atopy and manifestation of AD since the first year of life. Although AD is most often diagnosed in childhood, it is estimated that one in four adults with the disease show the first symptoms after the age of 18, ”added the expert.

AD is a long-lasting, chronic inflammatory disease characterized by dry, itchy skin that oozes or may ooze clear fluid when scratched, periodically inflaming. Among those affected, a third of children and 40% of adults suffer from moderate to severe illness, known to have a negative impact on quality of life (QoL), increasing the risk of anxiety, depression and even depression. suicide.

Whether AD is mild, moderate, or severe, itching seems to be the most distressing symptom overall. Even in severe cases, with extensive skin involvement and extensive oozing and scabs, itching or itching remains the major concern and burden of the disease. Some researchers have also called atopic dermatitis like “the itchy rash”.

“In the absence of biomarkers of AD, the frequency and severity of itching is assessed using questionnaires using a digital rating scale (NRS), visual analogue scale, verbal rating scale ( VRS) and other measures. According to Indian researchers, only 40% of AD cases are diagnosed and most patients end up using over-the-counter products until they become severe, ”said the expert.

What triggers AD?

The main triggers for AD are dry skin, irritants, stress, allergies, infections, and heat / sweating. Along with family history, past allergies are one of the main reasons, with the main risk factor for atopic dermatitis being hay fever or asthma.

In adults, there are factors such as a polluted environment, food poisoning, low humidity, long showers, and stress that could trigger AD. The impact can be controlled by contacting your dermatologist as soon as you recognize the symptoms.

Preventive measures

Find the right one treatment is important. Calming the skin with over-the-counter products may reduce stress for a short time, but never helps prevent excessive scratching that leads to skin infections and the severity of AD, which accounts for up to 10% of total. case. In addition, it is known that atopic dermatitis worsens and affects not only physical and mental health, but also leads to the development of other diseases.

There is a lack of awareness, and as a result, treatment options vary between over the counter skin care, prescription drugs, and lifestyle changes. Appropriate consultation with a dermatologist can help the patient lead a better quality of life.

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