Short answer
Eliminate triggers, moisturize the skin with emollients, control inflammation. In case of exacerbations, consult a dermatologist to select therapy.
Chronic inflammatory skin disease with periods of exacerbations and remissions
The mechanism in three steps, and where you can intervene.
Trigger
Allergens (food, household), stress, dry air, aggressive detergents
Mechanism
Impaired skin barrier function → activation of immune cells → release of inflammatory cytokines
Symptom
Dryness, redness, itching, peeling, weeping in the acute phase, thickening of the skin during chronicity
Answer 3 questions to see likely causes and a baseline lab list.
How long has this been going on?
Is there marked fatigue?
Is stress high?
Likely causes
What to check
We will show a preliminary result before registration
Create an action plan in one click with a checklist, reminders, and a timeline.
Eliminate triggers, moisturize the skin with emollients, control inflammation. In case of exacerbations, consult a dermatologist to select therapy.
A baseline panel for the most common causes.
Assessment of the level of allergic sensitization of the body
Marker of allergic inflammation activity
Screening for common inhalant allergens
Detection of eosinophilia as a marker of the allergic process
Deficiency is associated with the severity of atopic dermatitis
How each marker relates to eczema and atopic dermatitis.
Atopic dermatitis develops through a combination of genetic predisposition and exposure to external triggers. Mutations in filaggrin genes, which are responsible for the integrity of the skin barrier, play a key role. Exacerbations are often provoked by food allergens (milk, eggs, nuts), contact irritants (wool, synthetics), stress and climatic factors (dry air, temperature changes).
Laboratory diagnostics are aimed at identifying allergic sensitization and assessing the severity of inflammation. Elevated IgE confirms the atopic nature of the disease. Eosinophilia in the CBC and high ECP indicate the activity of the process. Specific IgE tests help identify causative allergens. It is important to monitor vitamin D levels, as its deficiency worsens the course of dermatitis.
Consultation with a dermatologist is necessary for frequent exacerbations (more than 2-3 times a year), widespread skin lesions, or the addition of a secondary infection (pustules, oozing). Urgent help is required for erythroderma - redness of more than 90% of the skin with a violation of the general condition. For children with severe cases, an allergist-immunologist is indicated to select complex therapy.
The main mistake is using regular soap and alcohol-containing products that destroy the lipid barrier. Do not scratch the rash - this increases inflammation. Refusal of basic therapy with emollients during remission leads to new exacerbations. Uncontrolled use of hormonal ointments can cause skin atrophy. It is important to keep a symptom diary to identify individual triggers.
«СРБ был высоким несколько лет, но никто не акцентировал внимание. Axioris выделил его как ключевой — начала разбираться.»
«Витамин D был 12 — я даже не знала, что это влияет на усталость и иммунитет. После коррекции заметила разницу через 6 недель.»
«Общий анализ крови я сдавала каждый год, но никогда не знала, что смотреть. Теперь вижу паттерны за 3 года.»
Основано на структурированном медицинском подходе, не на хаотичных советах из интернета.
Не заменяет очную консультацию и постановку диагноза врачом.
Срочные симптомы требуют немедленного обращения за медицинской помощью.
A complete cure is not possible, but with proper care and trigger control, long-term remission can be achieved. For many children, symptoms diminish with age. Keeping a diary in Axioris helps you track the connection between exacerbations and potential triggers.
Top triggers: cow's milk, eggs, wheat, soy, nuts, fish. However, the reaction is individual - it is recommended to keep a food diary. In Axioris, you can note the connection between food intake and skin condition with reference to time.
Cold, dry air breaks the hydrolipidic barrier, heating reduces the humidity in the room. It is recommended to use air humidifiers (optimum 40-60%) and apply emollients immediately after bathing. Axioris allows you to set reminders to moisturize your skin regularly.
Atopic dermatitis usually begins in childhood with a typical localization (face, folds), while contact eczema occurs at the site of contact with an irritant. Patch testing from an allergist will help you accurately differentiate. You can upload photos of rashes to Axioris to track dynamics.
Chlorine can indeed irritate the skin, but completely avoiding bathing will make the condition worse. Optimally - short (5-10 min) warm baths (not hot!) with mild cleansers pH 5.5. Afterwards, it is mandatory to apply emollient. In Axioris, you can set reminders about your water routine.
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