Managing Atopic Dermatitis in Children and Adults

A Practical Management of Atopic Dermatitis-Palliative Care to Contact Dermatitis

“…Topical steroids, as a rule, have a molecular weight È200 and thus account for the systemic adverse events associated with overuse and improper and prolonged use. Although greater potency may correlate with an expedited clearance of inflammation, there is also a greater potential for adverse effects both local and systemic (Nicol, 2000). The most common side effects of topical corticosteroids include skin atrophy, striae, and telangiectasias (Hanifin et al, 2004).…”

“…Antihistamines can provide symptomatic relief when administered at bedtime because of their tranquilizing and sedative effects (Nicol, 2000). Antihistamines also may be useful for treatment of coexisting allergic conditions, such as rhinoconjunctivitis, contact urticaria, and food allergies (Sidbury & Hanifin, 2000).…”

“…Thus, the skin's ability to lose water is increased and its ability to bind water is decreased (Nicol, 2000). The most effective method of hydrating the skin is to soak in water.…”

Cost Effectiveness of Elidel in the Management of Patients with Atopic Dermatitis in Canada

“…1 Published studies consistently report that 80%-90% of all cases occur in persons less than 5 years of age. 5 A worldwide study estimated the prevalence of atopic eczema in Canadian children aged 6-7 years at 8.5% and for children aged 13-14 years at 9.4%. 6 Between 8% and 10% of those children were considered to have severe atopic eczema.…”

Skin Care in Atopic Eczema

“…It is also unambiguous that effective eczema management rests on the regular and continuous application of emollients to help treat and prevent flare-ups in both children and adults [1,2,7,9,12,19,21,39,40,48,52,56]. Despite clear clinical observations, there is, as yet, little evidence from randomized, controlled trials to demonstrate the efficacy of emollients [32].…”