Friday , March 5 2021

Crossroads of atopic dermatitis, sub-diagnosis and confusion with other diseases



The intense and extremely unpleasant reason seems to be the most accurate and current description that is heard from patients suffering and suffering Atopic dermatitis (AD). In turn, the description appears to be part of a common skin disorder only, which complicates even more things because it distances it from the detailed diagnosis and start.

Sometimes patients with AD are confused – and the worst is that they are being treated – with diseases like Prurigo, psoriasis, scabs or drug reactions.

Atopic dermatitis is a chronic disease that has been mediated by the system that is systematic, impractical and visible on the skin, with the potential total of significant weakening effects on the quality of patient life.

"AD presents multiple faces, depending on the age of the patient, but its main symptom is pruritus, along with an extremely dry and reactive skin," explained Dr Cristina Pascutto, dermatologist and current president of the Argentine Dermatology Association (SAD). .

For the same incidence process of skin, 7 out of every 10 patients also have other diseases (comorbidities) such as asthma, rhinitis and allergic contact, chronic rhino-sinusitis, nappy polyps and food allergies.

For 6 out of 10 adults with moderate to severe variation, the trimming is intense or unsafe.

There is consensus and support between two Argentine scientific societies to raise awareness of this condition that affects the skin. As a result, Argentina's Association of Clinical Allergy and Immunology (AAAeIC) and the Argentine Dermatology Association (SAD) joined up their knowledge and information within the framework of the World Atopic Dermatitis Day, who has commemorated today, November 27.

HR is usually considered a childhood condition, because it affects 5 to 20 percent of children, between 10% and 40% of them present the serious form. Anyway, in 3 out of 10 cases it continues after the adolescent and, in fact, some patients even experience the first symptoms of adults only.

"Some people scratch themselves sleeping or trying to sleep, it's hard for parents who see their child suffering or for a man or woman to see their partner in that situation." Anyway, who else he has is the one whose life was crossed by drying, rash, redness and pain, "said the doctor Gabriel Gattolin, president of Argentina's Allergy and Clinical Immunology Association (HIQA).

"When the patient comes to the consultation for the first time, he is asked if he had any type of exposure in the breathing path and also asked for family history, as well as confirming, of course, that the existence of skin or skin lesions are exceptionally dry, "said Pascutto specialist.

Gattolin acknowledged that "the patient's pruritus is the central reason for asking for the consultation, however, the red, inflated, compressed, dense and inflamed skin condition is a complex, often severe and inactive hard to handle. "

In this condition, what is called a circulation cycle and the scratching act, which produces more defeat. In the first place, the immune system cells send signals to drop the skin surface and this causes it to tie. When scratching, breaking the skin barrier, allowing access to viruses, bacteria and allergens. This, in turn, regenerates the immune system cells, which sends signals that produce more willow, redness and arms.

Factors that contribute to the emergence of cases and avoid: -Stress
– Food allergens (egg, milk, wheat, soya, nuts, others)
-Aeroallergens (dust worms, weeds, animal epithelia, fungi, others)
-Arritans like skin cleansing, woolwear or synthetic fibers
-A great water
– Sugar soap and aggressive detergents
-Climate with extreme temperatures, moisture or excessive drought
-Sectures of skin by some micro-organisms

How to treat, how to face

The SAD noted that it was the most important recommendationskin care and dry skin control, restoring the skin barrier by using hygiene products and emollients that are suitable and specific to this type of skin, to avoid scratching, exacerbate injuries and auctions.

This is a multi-factorial disease that should be aimed at improving the skin barrier (integrity of the skin), avoiding dehydration and treatment of inflammation.

The compounds and foods that contain oats also help, as this is a natural antidepressant for the skin. Ultraviolet rays work together, so it is recommended to be open to the sun, but before 10 or after 18 hours, as the most striking rays can dehydrate the skin and be counter-productive.

"The development of new drugs aimed at preventing the processes of inflammation, with a good safety profile, opens promising prospects for the near future," said Pascutto, a medical dermatologist.

Some numbers they share with them Infobae SAD and AAAeIC measure the severity measurement of this condition and the direct impact on the daily life of this inflammatory skin disease.

Wonderfulness takes place both day and night, so that 8 out of every 10 patients with moderate to severe dermatitis seriously suffer sleep harassment and more than half report that the ticket is disrupting sleeping from 5 to 7 nights a week.

Those who suffer Moderate to severe DAs absent from work is triple the rest of the people. On average, adolescents lose 26 days of class per annum for this condition, at a rate of 3.5 days per episode. In the case of aggravation, half (50%) of young people said they had protected from being seen in public and 36% showed a reduction in self-confidence.


Source link