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Dermatitis

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> Seborrheic dermatitis is an inflammatory scaly state of skin, that especially affects face and scalp.

Seborrheic dermatitis

iis an inflammatory scaly state of skin, that especially affects face and scalp.
In adults, the onset is rather slow and it is highlighted by the outbreak of widespread dry and oily scales at the scalp level (scurf), together with a more or less intense itch. In some situations it may appear a blepharitis (in the ocular level), caractherized by yellow very dry scabs and by conjuntiva irritation.
The formation of oily scales is the result of an accelerated multiplication of skin cells, together with an high activity of sebaceous glands. All the skin cells are normally elimanated through a continuous and almost imperceptible process. In seborrheic dermatitis, cells are used to flake faster united in visible scales. There are many and different factors that determine the onset: genetic and nervous factors and alterations in the composition and in the quantity of sebum. Furthermore it has been demonstrated a correlation with the presence of a microorganism, the oval Pytirosporum. This fungus, which normally lives on our body, feeding itself with the greasy substances of the scalp, belongs to the yeast family and it grows excessively, coming to constitute the 75% of the dandruff and causing the well-known irritative phenomena...
In any cases, any cure to do will be evalueted by the dermatologist.

> Topical products dedicated to who suffer from Atopic Dermatitis

Topical products dedicated to who suffer from AD.

In periods of remission, to prevent the restarting of AD is appropriate to use specific products. To wash the body it is suggested to use a non-foaming cream wash, able to wash the body without removing lipids, keeping skin soft and protect. To wash your hair it is suggested to use an ichthyol sulfonate medicated shampoo. This kind of shampoo prenvents from scalp dryness and itch. If the cutis becomes particularly dry and starts the formation of fissures, as often happens in winter, it is possible to remedy putting, after washing, an extreme emolient ointment. This ointment was studied to rehydrate scalp still keeping transpiration. If dryness appears on the lips, it is suggested to use the special stick that, as the extreme ointment, allows transpiration.

Advices for parents with atopic children

Established the condition of AD, that affects the child, the general practice process is:

  • To pursue parents to stop the traditional washings with water and detergent.
  • If the AD is small/medium, make the child washed with only water and reduce the washing as much as possible
  • If the AD is medium/large only wash with the solution of potassium permanganate at 0.025%, using a cotton cloth soaked in the solution and wring it
  • To dry very well in order to absorbe traces of humidity from the skin
  • To wash hair with an ichthyol sulfonate medicated shampoo separately in a sink so to avoid the contact of the shampoo with the rest of the skin and dry the hair very well.
  • To use the solution of KMnO4 for cleaning hands, the perioral area and the genital area, whenever these areas are dirty.
  • In case of initial redness, signs of cutaneous irritation put the soothing cream done with zinc oxide and magnesium silicate
  • In case of ongoing dermatitis,put the reducing product, coal tar once a day better if in the evening with lots massage until completely absorbed
  • Planning if it is possible going on vacation in seaside locations
  • To remove as much as possible stress at home and at school

Things to avoid for the child who suffers from AD

  • Avoid the use of cosmetic products like: emmolient creams, oils, ointments, gels and lotions also if skin appears dry. Creams and emulsions "wet" the skin, oils and ointments occlude and macerate, while gels and lotions dry more.
  • Avoid the use of cream, containing plant products, that can make the child allergic
  • Avoid to give antihistamines if not for the sedative purpose, during the evening
  • Clean up home from excess dust (curtains, blankets, old mattresses, carpets, rugs, stuffed animals, etc.)
  • Choose for children, sports that can be practise in dust free place
  • Do not make your child play in places where there is gravel or dusty soil

Main causes and effects on children with AD:

Jelousy
One of the main factors of the worsening of AD is the onset, in the domestic environment of emotional stress. It is very common the conflict, that can happen between mother and son, when a new brother borns. Also fights between parents can cause a worsening of the AD. Sometimes can be positive for the child to go away from the domestic environment like for instance go to visit his grandparents.

Low school perfrmance
The atopic child sleeps bad during the night because of frequent awakings, caused by the itch. During the day, when the child has to pay attention at school, he may appear lazy and careless. Often it is judged by teachers as a child, who has learning difficulties but the truth is that atopic children have a mayor intellectual level than other children. The important is to warn teachers about the atopic situation of the child.

Agitation
The atopic child is often hyperkinetic and with a psychic development bigger than other children of the same age. This condition is due to the itch and to the bad sleep. It occurs not to stimulate further the atopic child.

Speaking with the skin
Doctors say that AD is the way that some children use to send message to adults. Indeed the child not able to speak in a perfect way, he prefers express himself through dermatitis. The situation that dermatitis creates has its advantages: it attracts the attention of the mother to her little "sick" baby instead of other members of the family. The daily medication is lived as a pleasant stroking of the skin. Often the atopic kid doesn't want to recover from his illness.

References:

1. Hanifin JM, Tofte S. Patient education in the long-term management of atopic dermatitis. Dermatol Nurs. 1999;11:284-289.
2. Holden CA. Atopic dermatitis. Med Int. 1992;102:4298-301
3. Besnier E. Premiere note et observations preliminaires pour servir d'introduction a l'etude diathesques. Ann Dermatol Syphiligr. 1892;4:634.
4. Coca AF, et al. On the classification of the phenomena of hypersensitiveness. J Immunol. 1923;8:163.
5. Hill LW, et al. Evolution of atopic dermatitis. Arch Dermatol 1935;32:451.
6. Hanifin JM, Rajka G. Diagnostic features of atopic dermatitis. Acta Derm Venereol. 1980;92:44-47.
7. Hanifin JM. Diagnostic criteria for atopic dermatitis: consider the context. Arch Dermatol. 1999;135:151.
8. Imokaura G, Abe A, Lim K, et al. Decreased level of ceramides in stratum corneum of atopic dermatitis: an etiologic factory in atopic dry skin? J Invest Dermatol. 1991;96:523-6.
9. Nakagawa H, et al. Tacrolimus ointment for atopic dermatitis (letter). Lancet. 1994;344:883.
10. Ruzick T, et al. A short-term trial of tacrolimus ointment for atopic dermatitis. European Tacrolimus Multicenter Atopic Dermatitis Study Group. N Engl J Med. 1997;337:8-16.
11. De Rie MA, et al. Lack of efficacy of topical cyclosporin A in atopic dermatitis and allergic contact dermatitis. Acta Derm Venereol. 1991;71:452.
12. George SA, et al Narrow band (TL-O1) UVB phototherapy for chronic severe adult atopic dermatitis. Br J Dermatol. 1993;128:49.