Atopic dermatitis (AD)

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Atopic dermatitis (AD)

Description

Please reply to discussion below using APA 7th edition, 3 references, and 1 interactive question

 

Hello everyone.

The most common disorder I have seen in children and their skin would be eczema. My children suffer from this too. “Atopic dermatitis (AD) is one of the most common inflammatory skin diseases affecting children and adults. The intense pruritus and rash can be debilitating, significantly impairing quality of life. Until recently, treatment was largely nonspecific and, in severe disease, sometimes ineffective and/or fraught with many side effects,” (Fishbein, A. B., Silverberg, J. I., Wilson, E. J., & Ong, P. Y., 2020). The provider in the office I am in commonly will prescribe a steroid cream if the episode is overwhelming, long-term and intense. “Potent and moderate topical corticosteroids are probably more effective than mild topical corticosteroids, primarily in moderate or severe eczema; however, there is uncertain evidence to support any advantage of very potent over potent topical corticosteroids. Effectiveness is similar between once daily and twice daily (or more) frequent use of potent topical corticosteroids to treat eczema flare-ups, and topical corticosteroids weekend (proactive) therapy is probably better than no topical corticosteroids/reactive use to prevent eczema relapse (flare-ups),” (Lax, S. J., Harvey, J., Axon, E., Howells, L., Santer, M., Ridd, M. J., Lawton, S., Langan, S., Roberts, A., Ahmed, A., Muller, I., Ming, L. C., Panda, S., Chernyshov, P., Carter, B., Williams, H. C., Thomas, K. S., & Chalmers, J. R., 2022). Otherwise, an over-the-counter eczema cream, such as Aquaphor or Cerave. I have even read that the water the child consumes and bathes in at home can make a difference in the progression of the disorder. “Previous studies have found a possible link between the risk of children developing atopic eczema, and hardness of the water used at home. The harder the water (containing more calcium), the more children seemed to develop eczema,” (Water hardness and a possible genetic link with eczema in children, 2020). There are so many holistic treatments and advice the parents will receive to treat their child with eczema. Honestly, the best treatment I have seen has been no treatment at all. However, I do recommend treatment if the symptoms are affecting the child’s everyday life. If the child is not affected then I will suggest minimal treatment.

References

Fishbein, A. B., Silverberg, J. I., Wilson, E. J., & Ong, P. Y. (2020). Update on Atopic Dermatitis: Diagnosis, Severity Assessment, and Treatment Selection. The journal of allergy and clinical immunology. In practice8(1), 91–101. https://doi.org/10.1016/j.jaip.2019.06.044

Lax, S. J., Harvey, J., Axon, E., Howells, L., Santer, M., Ridd, M. J., Lawton, S., Langan, S., Roberts, A., Ahmed, A., Muller, I., Ming, L. C., Panda, S., Chernyshov, P., Carter, B., Williams, H. C., Thomas, K. S., & Chalmers, J. R. (2022). Strategies for using topical corticosteroids in children and adults with eczema. The Cochrane database of systematic reviews3(3), CD013356. https://doi.org/10.1002/14651858.CD013356.pub2

Water hardness and a possible genetic link with eczema in children. (2020). The British journal of dermatology183(2), e34–e61. https://doi.org/10.1111/bjd.19184