Atopic Dermatitis
Treatment (Case report)
There are various causes of
atopic dermatitis. An effective treatment has not yet been developed, but it is
essential that the patient not scratch the affected area. It is my opinion that
the treatment should vary depending on the individual patient. I would like to
describe below some case reports about the treatment of persistent atopic red
face.
Case 1: male/age 35.Noticing
that his facial skin was reddish and thickened, I instructed him to stop using
the steroid ointment that he had been using. Rebound phenomenon lasted for
about one month after he stopped. I tried various kinds of non-corticosteroid
ointment, but his condition did not change. One day when he applied Bon-alpha
(tacalcitoil) ointment by chance, the redness of his face decreased
dramatically. Eruptions on his body and many clinical features also
disappeared. When I asked him about the aggravating factors of his atopic
dermatitis, I found that he was experiencing a lot of stress due to mental
troubles. He later got a divorce and became more mentally stable. His atopic
dermatitis has not recurred.
Case 2: high school girl/age
16.She had been applying steroid ointment to her face as prescribed by another
doctor. When she stopped using it, the redness of her face got worse. Seeing
her reluctance to go to school, I prescribed an internal remedy of
corticosteroid and expected the symptoms to diminish. I advised her to apply
Hirudoid-soft (similar to a heparin substance) cream to her face, and the
redness of her face gradually improved. The itching also disappeared. When I
questioned her about the aggravating factors, she answered that her lifestyle had
been irregular, including staying up late at night and eating a lot of junk
food. I spent a lot of time explaining her present condition and suggested a
treatment for the disease. There was improvement in this case after applying
only Hiludoid-soft cream.
Case 3: male/age27.He had been
seeing a doctor about his dermatitis since high school, and his dermal symptoms
became worse after he entered the university. When I questioned him about the
cause of his atopic dermatitis, he speculated that it was probably caused by
his irregular lifestyle and unbalanced diet. After graduation, he came back to
his hometown without a permanent job. I observed that his dermal condition
improved when he was working part-time and mentally stable, and got worse when
he was unemployed or feeling irritated. His face was red and there were a lot
of exudates and scratches. I advised him to sterilize his face with Isodine
liquid (povidone iodine) and instructed him to apply antibiotic ointment.
Subsequently, the reddening in his face decreased, and the exudates cleared up.
His face is almost back to normal now, but some dermal symptoms on his body
still remain.
If you have a comment or
question, click here