Pointing out that atopic eczema is common in babies, Assoc. Dr. Hikmet Tekin Nacaroğlu warned the families. Nacaroğlu explains that atopic dermatitis, also known as allergic eczema, is a chronic and recurrent skin disease characterized by itchy rash that occurs as a result of the deterioration of the skin’s protective barrier and its ability to retain moisture. “Genetic and environmental factors play a common role in the formation of atopic dermatitis. Having an allergic disease in the family, that is, a genetic predisposition, is an important risk factor for the development of these diseases. A positive family history has been reported in 60 to 70 percent of cases in various studies. With the impairment of barrier functions in atopic dermatitis patients, allergens easily cross the skin and stimulate our immune system and cause allergic reactions. Again, the defense properties of the skin of patients with atopic dermatitis against microbes have also decreased. “Normally, microbes on our skin can cause infections in these patients.”
THESE FACTORS INDICATE THE DISEASE
Assoc. Dr. Nacaroğlu listed the reasons that exacerbate the disease as follows:
“With the impairment of barrier functions in atopic dermatitis patients, allergens easily cross the skin and stimulate our immune system and cause an allergic reaction. This increases the severity of atopic dermatitis, which causes the skin to become worse. Itching and scrubbing irritate the skin and even worsen the condition. Again, the defense properties of the skin of patients with atopic dermatitis against microbes have also decreased. Microbes normally found on our skin can cause infections in these patients. Infections both increase the severity of atopic dermatitis and may negatively affect the response to treatment. In addition, irritating chemical products applied to the skin, soap, detergent and some skin care products may cause the disease to exacerbate from time to time due to factors such as air change, extreme hot air, and sweating.
BE CAREFUL WITH TRIGGER FOODS
Pointing out that foods also exacerbate atopic eczema, Assoc. Dr. Nacaroğlu said, “Another important issue is that some foods such as milk, eggs, wheat, peanuts, tree nuts, fish, nutritional additives may exacerbate some of the cases with moderate and severe eczema. In addition, respiratory allergens such as house dust mite, animal hair, and pollen may exacerbate symptoms. Allergy tests should be done to detect trigger allergy. Allergy tests can be done using blood samples and allergy drops on the skin. A well-known mistake is that skin tests cannot be performed on babies and young children. Both methods can be applied safely in all age groups from birth. While allergy skin tests for food allergies can be performed at an early age, allergies to spring allergies rarely develop before the age of two, so they should be left to later ages. The skin test is painless and gives immediate results. In particular, the sensitivity of the test increases with age from 3 months of age. The test method to be used is determined by considering the patient’s history and complaints. For this reason, tests must be done by pediatric allergy specialists in allergy clinics, ”he said.
“FAMILIES SHOULD LOOK FOR THESE SUGGESTIONS”
Assoc. Dr. Nacaroğlu made the following warnings to families regarding the measures to be taken:
“Patients’ skin should be protected by moisturizing regularly. Moisturizing treatment should be individualized and it should not be forgotten that the moisturizer form to be used on which patient may vary depending on the patient’s skin characteristics and the diseased area to be applied. It is very important to take a shower with warm water, to use non-alkaline, moisturizing soaps that do not dry in the bath, to dry the skin without irritation after a short-term warm bath, and to moisturize the skin immediately after bathing. Cotton and soft textured clothes should be preferred. Food and respiratory allergens that cause exacerbation of atopic dermatitis should be determined and contact with these factors should be avoided. To prevent scratching and scratching, nails should be cut short and gloves should be worn on young babies’ hands. It is very important to use the treatments appropriate to the degree of the disease and the age of the patient as described under the control of your allergist and without delay in order to prevent eczema exacerbations.