These are the 4 basic tips to face atopic dermatitis for autumn-winter

These are the 4 basic tips to face atopic dermatitis for autumn-winter

These are the 4 basic tips to face atopic dermatitis for autumn-winter

Madrid, Sep. 14 (Europa Press) -

Next week autumn begins and there are many patients with atopic dermatitis who return from vacations with controlled disease and fear the arrival of the cold or heating, and what these can harm their skin.

The fact is that atopic dermatitis usually improves in summer and thanks to moderate exposure to the sun.In fact, Dr. Bibiana Pérez García, a dermatology specialist at the Ramón y Cajal University Hospital in Madrid, highlights in an interview with Infosalus, that phototherapy with ultraviolet light is one of the widely used treatments, in patients with moderate ways, aboutall.

"However, some patients get worse in summer, especially in relation to sweating and very warm climates with a high moisture index. The bathroom in swimming pools can also be a problem, so it is important to shorten its duration, shower afterand apply emollients or sunscreens with moisturizing capacity, "he emphasizes.

Atopic dermatitis is an inflammatory disease characterized by the presence of skin eczema, redness and peeling, sometimes with exudation, erosions and scabs, which is accompanied by intense itching and has a chronic course with periods of improvement and worsening, worsening,as detailed by the specialist.

He says that it is often associated with allergic manifestations, such as rhinitis and asthma, while highlighting that it is a very frequent disease in childhood, with prevalence around 20%, although he affirms that it is not rare inadults, with prevalence figures between 2 and 10%.

Symptoms of atopic dermatitis

Specifically, Dr. Pérez García details that itching is the fundamental symptom of atopic dermatitis, therefore being a fundamental criterion for diagnosis: "In atopic patients the skin almost always peats, not only during shoots and not only inThe areas with visible eczema, although the intensity of itching is very variable. "

Moreover, it values that, often, this symptom makes sleep very difficult and favors a state of irritability as a consequence of itching itself and the lack of rest."But the skin of the atopic not only itchs, it also hurts, especially in the moments of acute outbreaks, and the damage of the skin barrier favors the loss of water, with a state of dryness that is called xerosis and that manifests itself with peelingAnd feeling of tank and disagreement, "he laments.

Therefore, the expert of the Ramón y Cajal hospital maintains that all these symptoms have an important impact on the quality of life of patients, making social and labor relations difficult and favoring situations of anxiety and depression.

Estos son los 4 consejos básicos para afrontar la dermatitis atópica de cara al otoño-invierno

As it continues, it is a pathology where most patients experience periods of improvement interspersed with periods of worsening, the so -called 'outbreaks', often in relation to unleashed environmental factors, not forgetting stress, which many refer as a clear clear trigger."However, some patients with serious shapes remain in a kind of continuous outbreak without experiencing clear improvements except in relation to certain therapeutic interventions," she emphasizes.

In this sense, it is important to emphasize that we have more and more effective pharmacological tools for the control of atopic dermatitis, and that allow to treat severe cases with greater efficiency and long -term safety."In the near future, considering the results that are obtained in multiple clinical trials, the therapeutic arsenal will grow, so we are in a moment of optimism for the management of these patients, who in many cases had thrown the towel and lostThe confidence in the ability of medicine to improve their quality of life, "values the expert.

In the face of fall, he considers that it is very important not to lower the guard to avoid an important regrowth, for which he raises the following tips:

1. Maintain good daily hydration of the skin, preferably after shower.Hydration should be a usual routine as internalized as washing our teeth.

2. Retomar treatments prior to summer.It is convenient to maintain good contact with the dermatologist so as not to delay the reintroduction of drugs if the disease begins to sprout.

3. Stress is often a triggering factor of the outbreaks.It is convenient to plan relaxing and fun activities that help mitigate the emotional burden that is the return to school or work.Moderate sport is usually helpful.

4. Many patients usually experience outbreaks in winter.In addition to trying to control environmental factors, such as too strong heating or the use of wool garments in contact with the skin, we must avoid suffering in advance for what could happen, since we would end up again in the vicious stress circle/dermatitis.It is important to maintain a positive attitude and remember that we have effective treatments to control the disease.Professional psychological support is very useful in some patients, as well as patient associations and assistance to atopy schools that organize periodic meetings in many health centers.

Can it be prevented?

On the other hand, the dermatology specialist indicates that Atropia's family history is the main risk factor, so that the two parents have a history of atopic dermatitis, 80% of the children will manifest the disease."Multiple mutations are known in genes responsible for the synthesis of various components of the skin barrier that are associated with the development of atopic dermatitis. In addition to inheritance, environmental factors also influence: climate, environmental pollution, exposure to tobacco smokeor to irritants such as detergents, "he says.

With this, he points out that those children with ATUPIA family history The proper skin care from the first months of life can decrease the risk of suffering from the disease."The preventive effect of intensive use of emollients has been published since birth, however, subsequent studies do not confirm this protective effect," the doctor adds.

Pérez García points out, of course, that coexistence with dogs in childhood could also have a favorable effect, while the opposite of cats would happen: "In general, greater microbial exposure in childhood seems to reduce the risk of the disease,as well as correct hygiene avoiding the use of irritants such as soaps with high detergent power, and a balanced diet, without dietary restrictions except in the case of concomitant food allergies. "

In addition, he argues that the maternal use of probiotics during pregnancy and breastfeeding has also shown a decrease in the risk of developing dermatitis in children, although "the level of evidence of this intervention is low."

In this context, remember that the frequency of atopic dermatitis in young children has been increasing in recent decades, possibly in relation to changes in lifestyle, with greater early exposure to irritants and environmental pollutants, and possibly related also also relatedWith lower microbial exposure, especially in the urban environment, where the prevalence of this disease is greater.

On the other hand, it confirms that the greatest knowledge and the best characterization of the disease have also contributed to the increase in the diagnosis of atopic dermatitis from an early age.However, Dr. Pérez García maintains that, although atopic dermatitis begins before the first year of life in 60% of cases, not all patients will continue to suffer from the disease in adulthood.

"If in children the prevalence reaches 20%, in adults it is between 2 and 10%. In some adult patients there is no history of atopic dermatitis in childhood, and there is even a rare form that debuts inAdvanced ages. On the other hand, it is estimated that some 30,000 people in Spain suffer serious forms of atopic dermatitis, with an important deterioration of their quality of life, "he says.

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