Treatments Atopic dermatitis

1 treatments

1.1 lifestyle
1.2 diet
1.3 medication
1.4 light

treatments

there no known cure ad, although treatments may reduce severity , frequency of flares.

lifestyle

applying moisturisers may prevent skin drying out , decrease need other medications. affected persons report improvement of skin hydration parallels improvement in ad symptoms.

health professionals recommend persons ad bathe regularly in lukewarm baths, in salt water, moisten skin. avoiding woollen clothing ad. likewise silk, silver-coated clothing may help. dilute bleach baths have been reported effective @ managing ad.

diet

the role of vitamin d on atopic dermatitis not clear, there evidence vitamin d supplementation may improve symptoms.

studies have investigated role of long chain polyunsaturated fatty acids (lcpufa) supplementation , lcpufa status in prevention , treatment of atopic diseases, results controversial. remains unclear if nutritional intake of n-3 fatty acids has clear preventive or therapeutic role, or if n-6 fatty acids consumption promotes atopic diseases.

several probiotics seem have positive effect 20% reduction in rate of atopic dermatitis. best evidence multiple strains of bacteria.

in people celiac disease or non-celiac gluten sensitivity, gluten free diet improves symptoms , prevents occurrence of new outbreaks.

medication

topical corticosteroids, such hydrocortisone have proven effective in managing ad. if topical corticosteroids , moisturisers fail, short-term treatment topical calcineurin inhibitors tacrolimus or pimecrolimus may tried, although avoided can increase risk of developing skin cancer or lymphoma. alternatively systemic immunosuppressants may tried such ciclosporin, methotrexate, interferon gamma-1b, mycophenolate mofetil , azathioprine. antidepressants , naltrexone may used control pruritus (itchiness). in 2016 crisaborole approved topical treatment mild-to-moderate eczema. in 2017, biologic agent dupilumab approved treat moderate-to-severe eczema.

light

a more novel form of treatment involves exposure broad or narrow-band ultraviolet (uv) light. uv radiation exposure has been found have localized immunomodulatory effect on affected tissues , may used decrease severity , frequency of flares. in particular, usage of uva1 more effective in treating acute flares, whereas narrow-band uvb more effective in long-term management scenarios. however, uv radiation has been implicated in various types of skin cancer, , uv treatment not without risk.