Atopic dermatitis cannot be cured, but
the severity and duration of symptoms can be controlled. A
dermatologist should be consulted when symptoms first appear, and is
likely to recommend warm baths to loosen encrusted skin, followed by
applications of petroleum jelly or vegetable shortening to prevent
the skin's natural moisture from escaping.
Externally applied (topical) steroids or preparations containing
coal tar can relieve minor itching, but coal tar has an unpleasant
odor, stains clothes, and may increase skin-cancer risk. Excessive
use of steroid creams in young children can alter growth. Pregnant
women should not use products that contain coal tar. Topical
steroids can cause itching, burning, acne, permanent stretch marks,
and thinning and spotting of the skin. Applying topical steroids to
the area around the eyes can cause glaucoma.
Oral antihistamines, such as diphenhydramine (Benadryl), can relieve
symptoms of allergy-related atopic dermatitis. More concentrated
topical steroids are recommended for persistent symptoms. A mild
tranquilizer may be prescribed to reduce stress and help the patient
sleep, and antibiotics are used to treat secondary infections.
Cortisone ointments should be used sparingly, and strong
preparations should never be applied to the face, groin, armpits, or
rectal area. Regular medical monitoring is recommended for patients
who use cortisone salves or lotions to control wide-spread symptoms.
Oral cortisone may be prescribed if the patient does not respond to
other treatments, but patients who take the medication for more than
two weeks have a greater-than-average risk of developing severe
symptoms when the treatment is discontinued.
Allergy shots rarely improve atopic dermatitis and sometimes
aggravate the symptoms. Since food allergies may trigger atopic
dermatitis, the doctor may suggest eliminating certain foods from
the diet if other treatments prove ineffective.
If symptoms are extremely severe, ultraviolet light therapy may be
prescribed, and a wet body wrap recommended to help the skin retain
moisture. This technique, used most often with children, involves
sleeping in a warm room while wearing wet pajamas under dry clothing,
rain gear, or a nylon sweatsuit. The patient's face may be covered
with wet gauze covered by elastic bandages, and his hands encased in
wet socks covered by dry ones.
A physician should be notified if the condition is widespread or
resists treatment, or the skin oozes, becomes encrusted, or smells,
as this may indicate an infection.
Alternative treatment
Alternative therapies can sometimes bring relief or resolution of
atopic dermatitis when conventional therapies are not helping. If
the condition becomes increasingly widespread or infected, a
physician should be consulted.
Helpful alternative treatments for atopic dermatitis may include:
Taking regular brisk walks, followed by bathing in warm water
sprinkled with essential oil of lavender (Lavandula officinalis);
lavender oil acts as a nerve relaxant for the whole body including
the skin
Supplementing the diet daily with zinc, fish oils, vitamin A,
vitamin E, and evening primrose oil (Oenothera biennis)--all good
sources of nutrients for the skin
Reducing or eliminating red meat from the diet
Eliminating or rotating potentially allergic foods such as cow's
milk, peanuts, wheat, eggs, and soy
Implementing stress reduction techniques in daily life.
Herbal therapies also can be helpful in treating atopic dermatitis.
Western herbal remedies used in the treatment of this condition
include burdock (Arctium lappa) and Ruta (Ruta graveolens). Long-term
herbal therapy requires monitoring and should be guided by an
experienced practitioner.
Other alternative techniques that may be useful in the treatment of
atopic dermatitis include:
Acupressure (acupuncture without needles) to relieve tension that
may trigger a flare
Aromatherapy, using essential oils like lavender, thyme (Thymus
vulgaris), jasmine (Jasminum officinale) and chamomile (Matricaria
recutita) in hot water, to add a soothing fragrance to the air
Shiatsu massage and reflexology, performed by licensed practitioners,
to alleviate symptoms by restoring the body's natural balance
Homeopathy, which may temporarily worsen symptoms before relieving
them, and should be supervised by a trained alternative healthcare
professional
Hydrotherapy, which uses water, ice, liquid, and steam, to stimulate
the immune system
Juice therapy to purify the liver and relieve bowel congestion
Yoga to induce a sense of serenity. |