The 5 'I's Of Atopic Dermatitis Treatment

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Inborn, Inflammation, Infection, Itch and Irritation.

More AD patients are experiencing flares on their hands due to the frequent handwashing and sanitising necessitated by the current Covid-19 pandemic. — TNS

It is characterised by rashes and constant, extreme itchiness, and is part of a family of allergic conditions that include allergic rhinitis and asthma. “The combination of poor treatment adherence and the lack of novel treatment options play significant roles in the under-treatment of AD in Malaysia,” he says.

He adds that the patient should continue to use moisturisers even if they are not experiencing a flare.He notes: “During an acute episode, it is like a war zone with a lot of inflammatory cells fighting at the surface of the skin, i.e. the epidermis.“For areas with thin skin, the blisters may rupture, leaving behind raw rashes.”

Dr Ch’ng says: “Whenever there is a crust over the raw rash, lesions that expand despite appropriate topical steroid treatment, or the patient is unwell, go see a doctor.He adds that while it is a myth that AD is contagious, such infections can indeed spread through contact with the affected skin.The itchiness causes the patient to scratch, which triggers more inflammation and itching, leading to more scratching and so on.

 

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