Wednesday , October 5 2022

The crossing of atopic dermatitis, underdiagnosis and confusion with other diseases


An intensive and almost unacceptable scar appears to be the most accurate and recurring description of patients suffering and suffering Atopic dermatitis (AD). In turn, the description seems to be a part of a common skin disorder, which complicates things even more because it distances from the exact and early diagnosis.

Sometimes patients with AD are confused – and the worst is that they are treated – with diseases like Prurigo, psoriasis, scabies or with drug reactions.

Atopic dermatitis is a chronic disease mediated by the immune system that is systemic, obscene and visible on the skin, with the potential aggregate of significant weakening effects on the patient's quality of life.

"AD presents several faces, depending on the age of the patient, but its main symptoms are pruritus, accompanied by extremely dry and reactive skin," explained Dr. Cristina Pascutto, dermatologist and current president of Argentina's dermatological society. .

For the same inflammatory process of the skin, 7 out of 10 patients also have other diseases (comorbidities) such as asthma, rhinitis and allergic conjunctivitis, chronic rhino sinusitis, nasal polyps and food allergies.

For 6 out of 10 adults with moderate to severe variations itching is intensive or unacceptable.

There is consensus and support between two Argentinian scientific societies to raise awareness of this condition that affects the skin. In this context, the Argentine Association for Allergy and Clinical Immunology (AAAeIC) and the Argentine Society for Dermatology (SAD) united its knowledge and information within the framework of World Atopic Dermatitis Day, which was celebrated today, November 27th.

AD is usually considered a condition for childhood, as it affects between 5 and 20 percent of the children, of which between 10% and 40% make up the difficult form. However, in 3 out of 10 cases it continues after puberty and, in fact, some patients also experience the first symptoms just for adults.

"Some people cling to sleep or trying to sleep, it's hard for parents who see their child suffer or for a man or woman to see their partner in that situation." Anyway, anyone who has his life has crossed itching, rashes, redness and pain, "said the doctor Gabriel Gattolin, President of the Argentine Association for Allergy and Clinical Immunology (AAAeIC).

"When the patient comes to the consultation for the first time, he is asked if he had any type of manifestation in the respiratory system and asks for family history, as well as, of course, confirming the presence of skin or skin damage extremely dry," said specialist Pascutto.

Gattolin acknowledged that "the itching of the patient is the main reason for requesting consultation, but the red, swollen, cracked, thick and uneven skin is a complicated image, often difficult and difficult to treat."

In this condition, it is called a cycle between itching and scratching, which gives even more itching. In the first place, the cells in the immune system send signals to insert the skin's surface and this makes it stick. When you scratch, the barrier on the surface of the skin is broken, allowing for the entry of viruses, bacteria and allergens. This in turn reactivates the cells in the immune system, which sends signals that give more itching, redness and rashes.

There are factors that contribute to the appearance of the outbreak and should be avoided: -STRESS
– Food allergens (eggs, milk, wheat, soy, peanuts, others)
-Aeroallergens (dammmidd, weed, animal epithelium, fungi, others)
-Iritrit like skin cleaners, woolen clothes or synthetic fibers
-The water
-Silve soap and aggressive detergents
-Climate with extreme temperatures, humidity or excessive dryness
-Infections of the skin of certain microorganisms

How to treat it, how to face it

SAD noted that the most important recommendation wassaid in the skin care and the control of dry skin, restores skin protection through the use of hygiene products and softeners that are appropriate and specific to this type of skin, thus avoiding scrape, worsening damage and superinfections.

This is a multifactorial disease where treatment should focus on improving skin barrier (skin integrity), avoiding dehydration and treating inflammation.

The compounds and food with oats also help, because this is a natural antiinflammatory to the skin. Ultraviolet rays collaborate, so it is recommended to be exposed to the sun, but before 10 or after 18 hours, as the most abrasive rays can dehydrate the skin and be counterproductive.

"The development of new drugs aimed at inhibiting the processes that trigger inflammation, with a good safety profile, opens a promising outlook for the near future," says medical dermatologist Pascutto.

Some numbers they shared with Infobae SAD and AAAeIC serve to measure the severity of this condition and the direct impact on the daily life of this inflammatory skin disease.

Itching occurs both day and night, so that 8 out of 10 patients with moderate to severe atopic dermatitis suffer from sleep disorders and more than half report itching interrupts sleep 5 to 7 nights a week.

Those who suffer Moderate to difficult DA is absent at work triple for the rest of the people. On average, young people lose 26 days of class per year for this condition, at a rate of 3.5 days per episode. During an outbreak of exacerbation, half (50%) young people said they had protective measures to be seen in public and 36% showed a decline in self-confidence.

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