With the change of seasons, it is about to enter the hot summer, and the temperature rise will exacerbate atopic dermatitis, so the “skin is more itchy”! In particular, school-age children run out of class after class to play with their classmates, sweat profusely, and then their skin may start to become red and itchy, and at night it is so itchy that they can’t sleep.
Physicians call on parents to let their children cooperate with the treatment prescribed by the doctor, and do not stop taking the medicine on their own, or use other remedies, so as to prevent atopic dermatitis from entering a vicious circle of repeated scratching.
Does summer aggravate atopic dermatitis? The doctor teaches you the right key!
Dr. Huang Bohan, executive director of the Taiwan Dermatology Association, pointed out that the deterioration of patients with atopic dermatitis can be roughly divided according to the seasons, namely the patients who are prone to attack in summer and winter. In summer, because of the high temperature, once sweating irritates the skin, it is easy to cause itching; in winter, the climate is dry and cold, the skin is not easy to moisturise, and dryness can easily cause the lesions to break out.
Of course, the more serious cases are deteriorating all year round, so he reminded the public to pay attention to changes in environmental factors at any time and respond accordingly.
Atopic dermatitis is a chronic and relapsing inflammatory skin disease that requires careful daily skin management. When it gets worse in summer, you should pay more attention to the problem of sweating, including going out to play, exercise, etc. It is best to take a shower when you get home.
Of course, you don’t need to take a shower as soon as you sweat, and don’t rub your wrinkled areas on purpose. More importantly, the indoor temperature should be maintained at 24 degrees. Because the weather is hot in summer, heat-dissipating sweating will always cause the sweat to enter the dermis layer and cause inflammation, which is one of the main reasons for the worsening of atopic dermatitis in summer!
How to avoid itchy skin in summer? The key is to cooperate with the doctor’s treatment!
Atopic dermatitis patients with stratum corneum barrier function defect, the skin water loss faster than normal. Therefore, when you do not sweat, the problem of dry skin still exists, so it is recommended to apply moisturizing cream to keep the skin moist even in summer.
However, many parents think that atopic dermatitis can be treated well by applying moisturizing cream repeatedly, but they ignore the complexity of atopic dermatitis treatment! For example, Dr. Huang took the use of moisturizing cream to relieve itching or treat inflammation as putting out a fire with a fire extinguisher, without taking into account the type and severity of the fire, and ignoring the many differences between patients and outbreaks.
Atopic dermatitis attacks severely in summer, and it is easier to repeat the vicious cycle of “itching, scratching, inflammation, itching, scratching…”. Many parents think that “as long as it’s not itchy, you can don’t care too much.
After all, drugs have side effects, so don’t rub them for a long time.” As a result, the skin inflammation cannot be disappeared through proper treatment in the acute stage, and the function of the stratum corneum barrier cannot be restored to normal. Therefore, only by actively cooperating with the doctor’s treatment can the patients who often relapse finally stabilize their condition and enter the stable stage of only moisturizing cream maintenance.
Fear and love steroids? What are the new treatment options?
A dermatologist will tailor treatment to the severity of a patient with atopic dermatitis. Most patients with mild disease have small lesions, mild inflammation, and rough and dry skin. The importance of moisturizing cream is self-evident; even if there is an occasional acute attack, it can be quickly controlled with only moderate or weak topical steroid ointment. If the disease is a moderate disease, not only the lesion area is larger, but it is also prone to severe itching; if it enters a more severe acute attack, the dermatologist will prescribe a very short-term oral steroid according to the severity, or use a relatively short-term oral steroid.
Strong topical steroid creams stabilize the condition for a short period of time. Although it is easier for patients with mild and moderate symptoms to improve their condition, if the patient has been in an unchangeable external environment for a long time, causing repeated attacks, it is difficult to stabilize or even completely relieve it for a long time.
Although steroid ointment is the first-line drug for the treatment of atopic dermatitis, it is a pity that many parents do not dare to follow the doctor’s prescription for regular medication due to the possibility of side effects in long-term use.
In recent years, due to the continuous development of drugs, it is hoped that the most important inflammatory substances can be more precisely targeted and inhibited, in order to achieve the maximum efficacy and the least side effects. Dr. Huang Baihan explained that phosphodiesterase type 4 (PDE4) inhibitors can reduce inflammation by inhibiting PDE4, and are non-steroidal drugs.
PDE4 is an intracellular enzyme involved in the production of pro-inflammatory cytokines and is considered to be a therapeutic target for controlling the inflammatory response associated with atopic dermatitis. After use, it not only effectively relieves the itching symptoms of mild and moderate patients, but also reduces the severity of the lesions. It also has no safety concerns related to topical steroid ointment.
It is a considerable progress in clinical dermatology in recent years.
Dr. Huang Pakhan emphasized that during the consultation, many patients encountered repeated attacks because they did not cooperate well with the treatment, especially when the lesions were severe, steroid drugs were used to suppress the inflammation. Therefore, he suggested that if the external environment cannot be improved or it is easy to deteriorate and relapse for a long time,
try to discuss non-steroid drug treatment with the doctor, which can not only reduce the long-term side effects of steroid ointment, but also reduce the long-term instability of the disease caused by incomplete treatment. It is hoped that patients and doctors will work closely together to understand and join in the implementation of tailored treatment strategies, so that the summer of atopic dermatitis is no longer always “itchy”.