Atopic dermatitis in adults
Atopic dermatitis in adults - a chronic Noninfective dermatological diseases of allergic origin, characterized by rashes on the body and intense pruritus.Initially, atopic dermatitis is always manifested in childhood and adult people flows only in the form of exacerbations of pre-existing illness.The aggravation of the dermatitis is manifested by intense itching, dryness and irritation of the skin, thus bringing human physical, psychological and cosmetic discomfort.
More recently, atopic dermatitis in adults called diffuse neurodermatitis, due to the presence of concomitant disorders in the nervous system adequately.It is also often given dermatological diseases called atopic eczema.
Atopic dermatitis in adults causes
The disease is most often inherited, and if small children elements of the rash almost always are local in nature, then the adult skin spotted seals have a pronounced relief and can appear on any part of the skincovers.In addition, adult patient
also causes the development of atopic dermatitis in adults carry emerging spontaneously hypersensitive to various non-protein and protein substances that could provoke expressed violations of protective barrier function of the skin.Below we list the main causes of atopic dermatitis in adults:
- Hereditary predisposition.Hereditary factor transmission of the disease among family members is large enough, so if any of the next of kin observed allergic rhinitis, asthma or dermatitis, the likelihood of developing the disease in a child more than 50%.If atopic dermatitis diagnosed with both parents, the children will inherit it with a probability of 80%.In most cases atopic dermatitis first manifests itself in the first five years of the life of the baby.This genetic predisposition is usually transmitted through the maternal line.
- neural overload and daily psychological stress.
- Complete absence of rational exercise and minimal presence in the fresh air.
- Increase in the number of drug-resistant infectious diseases.
- Harmful and poor nutrition.
- Adverse environmental factors.
- Allergy to various drugs (anesthetics, antibiotics and even ordinary vitamins).Atopic dermatitis in adults can trigger almost any surrounding human allergens: pet dander, house dust, food for fish, contact with synthetic materials and so forth.
often in the future atopic dermatitis in adults develops into serious diseases such as bronchial astmai allergy.The vast majority of people who have a child with atopic dermatitis, as adults, are stored in varying degrees, these manifestations.
Atopic dermatitis in adults symptoms
degree of manifestation of the disease depends on a combination of the set of predisposing factors: age, state of the environment related disease and so on. In medical practice have been describedisolated cases of spontaneous disappearance of atopic dermatitis, as they grow older man, but even in these cases, the skin of such people remains very vulnerable to any internal and external stimuli.
The most common atopic dermatitis in adults is localized in various skin folds of the body, elbows and hands, in the popliteal folds feet, forehead, neck and face, around the eyes.Several less localized manifestation in the chest, back, shoulders and feet.
Atopic dermatitis in the elderly appears scaly papules and plaques that may be located on the body without a specific localization.The skin of such people are always a few erythematous and dry.
This disease is always accompanied by constant itching unbearable, forcing patients to comb the site of the lesion, which often leads to the attachment of secondary streptococcal and / or staphylococcal infections.Besides discoloration, peeling, dryness and thickening of the skin, patients may experience samovskryvayuschiesya bubbles that after a period of soak and subsequent drying, leave in place tough yellowish brown.
often signs of atopic dermatitis in adults can act like such comorbidities cheilites, hives, dermatitis and conjunctivitis nipples.In case of serious long periods of exacerbation occurring when a patient is carried out serious long-term treatment with hormonal drugs can develop such serious diseases as collateral gipokortitsizm, which manifests itself suppression of adrenal function and is accompanied by hypoglycemia, low acidity of gastric juice, hypotension, weight loss and fatigue.
most characteristic symptoms of atopic dermatitis in adults are: strengthening of the skin pattern, thickening of the skin, darkening of the eyelid skin and minor cracks in the skin.Besides atopic dermatitis in adults may be accompanied by the following symptoms:
- Complete or partial disappearance of the hair of the eyebrows, a significant thinning of the hair in the back of the head
- the nail plate loses longitudinal striations, becomes a polished
- Thereslight hyperemia and infiltration of the feet, they appear peeling and cracked
Atopic dermatitis in adults treated
important place in the adequate treatment of atopic dermatitis in adults takes the current psycho-emotional status, asthey often cause a variety of cutaneous manifestations in favor emotional stress.
Drug therapy has always chosen strictly individually and usually includes tranquilizers, anti-inflammatory, detoxification and anti-allergic drugs.Arsenal tools used in the treatment of atopic dermatitis in adults is also quite diverse, is PUVA therapy, specific desensitization, diet, unloading therapy, hormone therapy, cytostatics, plasmapheresis, acupuncture and so forth. In order to eliminate the constant itching using tranquillizers and antihistamines.
should know that daily use of antihistamines 1st generation (Fenkarol, Tavegil, Diazolin, Suprastin) significantly reduces the effectiveness of the treatment due to the development of addiction, so every five to seven days is recommended to take me for drugs.In addition, preparations 1st generation, because of their side effects of sleeping pills are not recommended to receive people whose household and professional activities directly related to the coordination of movements and increased concentration.In these cases, the drugs recommended for use of the 2nd generation (astemizole, cetirizine, fexofenadine, Ebostin, Claritin).
If intolerable painful itch that does not give any relief of drugs prescribed hormonal drugs.In this case, among all the hormonal methods are preferred such as the metipred drugs and triamcinolone, which are used for eliminating an acute attack, with a gradual reduction in dose as adoption.
In the case of joining the expressed intoxication and high prevalence of pathological process, shows a more intensive care, with the appointment of various intravenous infusion (Haemodesum, Reopoliglyukin, polyionic rr, saline, etc..).Hemosorption and plasmapheresis have also proven effective in cleaning the blood from foreign substances, toxins and allergens.
At infectious complications of atopic dermatitis in adults, shows the assignment of antibacterial agents such as the Vibramitsin, Erythromycin, Rondomitsin.The duration of antibiotic therapy is about seven days.If there is a connection of atopic dermatitis herpes infection, shows the assignment of Acyclovir or Famvir in the relevant age dosage.
In addition, the scheme of treatment of atopic dermatitis in adults demonstrated the mandatory inclusion of enzymatic means (Mezim Forte Panzinorm, abomin, Festal) and zubiotikov (Bifidumbacterin, Baktisubtil, Linex).Zubiotiki administered if microscopic examination revealed the presence of fecal dysbiosis.
External therapeutic agents are applied after a total assessment of such factors as the patient's age, severity and prevalence of the inflammatory process, the presence of associated complications.If you have to get wet and crusts on the acute stage of the disease, show the use of special lotions with anti-inflammatory disinfectant (liquid Burov, the infusion of chamomile and so on.).After the inflammation subsides, shows the assignment of special ointments, creams and pastes, the composition of which are present in inflammatory and antipruritic agents (ichthyol, naphthalene oil, tar, sulfur, etc.).Fairly widespread in the treatment of atopic dermatitis in adults received hormone therapy (with Garamitsin tselestoderm, Triderm, Elokim Advantan).
Atopic dermatitis in adults Diet
From daily diet is mandatory to exclude meat and fish broth, grilled meat, citrus fruits, strawberries, chocolate, cocoa, blackcurrant, melon, fish eggs, nuts, mushrooms, honey, cannedproducts, spices and smoked.Conversely, it is recommended to add to the diet, sunflower or olive oil, but not more than 30 grams per day.In addition, patients received vitamin F-99 (2 p. Per day. 1-2 caps.) Containing linoleic and linolenic acid.
prevention of atopic dermatitis in adults is based on the mandatory exclusion of any precipitating factors, strict observance of the hypoallergenic diet as well as treatment of associated chronic pathologies.To avoid a possible relapse in the autumn and spring shows prophylactic administration of desensitizing agents (Zaditen, ketotifen, Intal).Also, patients with atopic dermatitis is recommended to rest on the health resorts of Crimea, the Mediterranean, the Black Sea coast.
Equally important in the prevention of this disease is withdrawn proper daily care of skin, personal hygiene, wearing certain clothes and linen.Upon receipt of the soul is not often recommended the use of soap, washcloths.Cosmetics in any case must not contain dyes and fragrances.Fabric both underwear and outerwear should be natural, without any admixture of synthetics.Pillows and all linens must be made of high-quality hypoallergenic materials.