The persistent Eczema is mostly seen in elderly people of a certain age, these patients have poor skin barrier function, most sebaceous glands are atrophied, the skin has become thinner, and the skin is weaker to adjust to external stimuli.
The occurrence of chronic eczema is greatly influenced by the climatic environment, but not only induced in dry weather, hot and humid weather also does not work, there are many patients who have attacks all year round.
When the weather is too dry, the skin dries out and the barrier function is affected, which can easily cause itching and scratching.
Patients With Dry Eczema Prefer A Humid Environment.
Wetness Is Divided Into 2 Types Of Conditions.
One is the climate of wet, humidity up to 80% or more, sweating, resulting in increased moisture on the surface of the skin, encountering a variety of external allergens, then the permeability of the skin will increase, allergens can easily “take advantage of the situation” to induce eczema.
Another kind of “wet” is due to occupational reasons, the hands are often in a wet state, such as health care workers (wear disposable gloves all day to sweat, wash their hands more than 20 times a day, frequent use of hand sanitizer, alcohol), as well as shampooers, chefs, kill chickens and sell fish people, long time skin soaked in water or contact with detergents, these people are a high incidence of eczema people.
The occurrence of eczema is also closely related to food, with eczema, drinking alcohol, eating seafood, eating tropical fruits such as durian mangoes may aggravate the skin disease.
In addition, workers engaged in the chemical, construction, decoration industry, often exposed to heavy metals, cement, paint and other chemical materials, but also easy to grow eczema.
The causes or triggers of eczema are related to almost every aspect of our daily lives and cannot be prevented!
Nowadays, many young people in their twenties and thirties are also plagued by chronic eczema, mainly due to bad habits such as staying up late, drinking and smoking, as well as the love of beverages (various additives are potential allergenic risks).
Eczema & Atopic Dermatitis Are Not The Same Thing
At present, in the dermatological community, there are no complete guidelines, standardized treatment or consensus on the treatment of chronic eczema, except for hand eczema. There are many doctors who confuse atopic dermatitis with eczema.
Atopic dermatitis has long been considered a special type of eczema, also called atopic eczema, atopic dermatitis, or genetic allergic dermatitis.
The clinical manifestations of atopic dermatitis are similar to those of eczema, both showing itching and eczema-like dermatitis-like damage, often with erythematous papules, blisters and vesicles.
The most significant difference between the two is that patients with atopic dermatitis have an atopic constitution, which means that they often have allergic rhinitis, allergic asthma and other allergy-related diseases, and have increased levels of an immunoglobulin called IgE in their blood, which is different from ordinary eczema.
Eczema Cannot Be Cured, But It Can Be Controlled With Standard Medication
Eczema is really difficult to treat, and there is no way to cure it completely, but it can be controlled, and patients can achieve longer-term relief through a variety of methods. Remind all patients not to easily so-called prescriptions, secret remedies to cure eczema.
The reason why eczema is difficult to treat is that its causes are too complex, if you can specify what food you are allergic to, then avoid eating, but eczema is often due to a variety of factors.
It is difficult to find a more effective way to prevent eczema. You can only do basic prevention, try to avoid contact with possible causes, such as hand eczema patients, it is best to wear gloves to do housework, avoid direct contact with detergents, eat seafood aggravate eczema, must be abstained from eating.
For the standard treatment of eczema, eczema mostly occurs locally, according to the condition, under the guidance of the doctor preferred topical drugs, such as the need for internal use, can choose less side effects of antihistamines.
If you can’t control the rash with conventional treatment, you should choose immunomodulators, hormones, and regulonoside tablets only if the rash is widespread and serious.
In the choice of medication, many eczema patients have indiscriminate use of drugs, blind fear of hormones and so on.
Topical hormone medications are safe when used topically in appropriate amounts. Glucocorticoid topical medications are classified as weak, moderate, strong, or super strong. For women and children, weak-acting ones, such as hydrocortisone butyrate cream, or medium-acting glucocorticoid creams, such as mometasone furoate ointment, can be used for a short time or intermittently.
Fluticasone propionate cream is a strong glucocorticoid, which needs to be used for one to two weeks for acute eczema without vesicles, and for 4-8 weeks or longer for chronic eczema where the rash tends to thicken.
Chronic eczema can not simply use hormone creams, but also need to do a good job of moisturizing and emollient skin. Protecting the barrier function of the skin is a key step in treating eczema. Like when the skin is hypertrophic and crusty or even cracked, you definitely need to apply moisturizing emollients.
Calcium-Regulated Phosphatase Inhibitors
Hormone-free, these include tacrolimus ointment and pimecrolimus cream, which are particularly suitable for areas where hormones should not be used for longer periods of time, such as the head, face and vulva.
When the disease is not well controlled by conventional treatment, immunosuppressive drugs such as cyclosporine, azathioprine, methotrexate, and the Chinese medicine regimen regimen polysaccharide tablets need to be considered, which have strong abnormal immunosuppressive and anti-allergic effects.
These drugs must be used under medical supervision to prevent adverse effects such as liver and kidney toxicity and impaired bone marrow hematopoiesis.
These drugs are effective in relieving itching and redness, and are divided into first- and second-generation antihistamines.
The first-generation antihistamines include paracetamol, benadryl, etc. The second-generation antihistamines include loratadine, cetirizine, etc.
This kind of drugs have side effects such as causing drowsiness, to work at height, drivers should be used with caution and accounted for, there are prostate enlargement elderly men using this kind of drugs may aggravate the urinary difficulties.