Atopic Dermatitis Treatment

Atopic Dermatitis Treatment Treatment

Atopic Dermatitis Treatment in Bhubaneswar

Atopic Dermatitis is the most common form of eczema, a chronic, inflammatory skin disorder that often begins in childhood and may continue into adulthood. It is characterized by intensely itchy, dry, and inflamed skin, with episodes of flare-ups and remissions. Though not contagious, it can significantly affect quality of life if left untreated.

What is Atopic Dermatitis?

Atopic Dermatitis (AD) is a chronic immune-mediated skin condition in which the skin becomes dry, red, itchy, and irritated due to a weakened skin barrier and overactive immune response. It is often associated with a personal or family history of asthma, hay fever, or other allergies, making it part of the “atopic triad.” The condition tends to flare up with exposure to allergens, irritants, stress, infections, and climate changes. The skin becomes vulnerable to bacterial infections and may thicken or darken due to constant scratching. While there’s no permanent cure, a combination of skincare management, medical treatment, and lifestyle changes can control the symptoms and prevent flare-ups effectively.

Symptoms of Atopic Dermatitis

  • Severe itching, especially at night

  • Dry, scaly, and inflamed skin

  • Red or brownish-gray patches (common on face, neck, arms, legs)

  • Oozing or crusted blisters during flare-ups

  • Thickened, cracked skin in chronic cases

  • Raw or bleeding areas due to scratching

  • May be associated with allergic rhinitis or asthma

Atopic Dermatitis Treatments

1. Daily Skincare & Hydration

  • Moisturizers (Emollients)

    • Apply liberally at least twice a day, especially after bathing

    • Choose fragrance-free, thick creams or ointments (e.g., petroleum jelly, ceramide creams)

  • Gentle Bathing Routine

    • Use lukewarm water and fragrance-free, non-soap cleansers

    • Limit baths/showers to 5–10 minutes

    • Pat skin dry and apply moisturizer immediately


2. Topical Medications

  • Topical Corticosteroids

    • First-line treatment for flare-ups

    • Reduces inflammation and itching (e.g., hydrocortisone, mometasone)

    • Use in short courses under medical supervision

  • Topical Calcineurin Inhibitors (Tacrolimus, Pimecrolimus)

    • Non-steroidal, safe for long-term use

    • Especially effective for sensitive areas (face, neck, eyelids)

  • Antibiotic Ointments

    • Used for secondary skin infections caused by scratching (e.g., mupirocin)


3. Oral Medications

  • Antihistamines

    • Reduce nighttime itching and improve sleep (e.g., cetirizine, hydroxyzine)

  • Oral Corticosteroids

    • Used in severe flare-ups but not recommended long-term

  • Immunosuppressants

    • Cyclosporine, methotrexate, azathioprine – for moderate to severe cases under specialist care


4. Biologic Therapy

  • Dupilumab (Dupixent)

    • FDA-approved injectable biologic for moderate-to-severe atopic dermatitis

    • Targets specific immune pathways (IL-4 and IL-13)

    • Offers long-term control with fewer side effects than steroids


5. Phototherapy (Light Therapy)

  • Narrowband UVB Therapy

    • Safe and effective for widespread or chronic atopic dermatitis

    • Performed in clinical settings under dermatologist supervision

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