Harrison's Practice
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Eczema and Dermatitis

Monitoring

  • Monitor for effectiveness of therapy and proper use of medications.

Complications

  • Secondary irritation or ulcers
  • Secondary infection

Prognosis

  • Atopic dermatitis
    • May resolve spontaneously
    • More than half of people affected as children will have dermatitis as adults.
  • Conditions are likely to be chronic or recurrent.
    • Goal is to control rather than eliminate outbreaks.

Prevention

  • Avoid irritants.
  • Avoid contact with known allergens.
  • Keep skin lubricated.
  • Bathe minimally in lukewarm, not hot, water.
  • Use mild, unperfumed soaps.
  • Investigational
    • Probiotics (L reuteri ATCC 55730) may reduce the incidence of IgE-associated eczema in infancy.
      • These were shown to be modestly effective when given to the mother during pregnancy and to the infant for the first year of life.[4]
    • Recent meta-analysis [5] of clinical trials of probiotics for prevention and treatment of pediatric atopic dermatitis supports efficacy of probiotics.

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