Although atopic dermatitis does not lead to serious problems, it is an annoying dermatological disorder for those who suffer from it

Who is affected?

It usually begins at puberty, and is most common in the third and fourth decades of life, and in people with lighter and oily skin . People who have seborrheic dermatitis in adulthood may have had infantile forms. The so-called cradle cap is one of them, and is manifested by yellowish and fatty crusts on the scalp in the newborn and during the first year of life.

Another way is false ringworm amiantacea, later a form of cradle cap scaly plates forming caking hair in children.

What symptoms does it cause?

The lesions of seborrheic dermatitis are red, fat-flaking plaques that affect very typical areas: the nasolabial fold, the areas of the eyebrows and eyelashes, the skin behind the ears, the center of the chest or back, and the scalp in general. In some cases it only causes flaking (dandruff) and in others there is inflammation, water pimples , redness and very annoying itching. The aesthetic impact can also be important. The course of the disease is chronic and recurrent with periods of exacerbation and remission.

What triggers do you have?

Patients suffering from the disease explain that outbreaks are related to physical and emotional stress, seasonal changes, or the application of greasy cosmetics. Many patients have a flare from any serious illness that triggers alterations in the immune system. Most patients tend to improve in summer and worsen in winter.

How is it treated?

Seborrheic dermatitis responds well to topical corticosteroids , because they reduce inflammation and itching, and also to antifungals, both topical and oral. This is because, although the disease is not a fungal infection, the lesions are colonized by a microorganism called Pityrosporum that increases inflammation and flaking. If we treat the Pityrosporum , we will improve the dermatitis. Antifungals are often used in the form of a shampoo, cream, or lotion .

The disadvantage of controlling the disease with corticosteroids cream is that the skin gets used to them and more and more quantity and application are required to obtain the same result. If they are abruptly abandoned, they can cause a “ rebound effect ”. In addition, corticosteroids can cause other facial dermatoses such as rosacea or perioral dermatitis if they are used in excess on the face.

Therefore, a good alternative for patients who must treat their seborrheic dermatitis very frequently are topical immunomodulators such as tacrolimus or pimecrolimus . There are also quite a few cosmetic products that improve seborrheic dermatitis, such as those that contain mild cleansers such as keluamide or salicylic acid.

What is your prognosis?

Seborrheic dermatitis is not curable, but if the patient follows the instructions of their skin doctor in delhi and learns to treat the flare-ups with the available therapeutic options, the disease is easily controlled.

What you should know…

  • Although it does not carry serious problems, it is an annoying dermatological disorder for those who suffer from it.
  • It causes red patches with oily scaling that affect the nose, eyebrows, eyelashes, behind the ears, center of the chest or back, and the scalp in general.
  • It is not curable, but if you follow the dermatologist’s instructions and learn to treat outbreaks, it is manageable.

Bullous epidermolysis

Epidermolysis bullosa or bullosa refers to a group of rare inherited diseases that cause blistering of the skin.

What injuries does it cause?

The genetic defect in these patients affects the proteins that hold the skin together. These anchoring or holding proteins work poorly and cause the epidermis to detach, a fact that causes the formation of blisters and erosions, both in the skin and in the mucous membranes (mouth, pharynx, esophagus, eyes, etc.). Depending on the level of blister formation, EBs are classified into three types:

  • Simple or epidermolytic : detachment takes place within the epidermis. They are the most frequent and mild because the detachment is superficial and leads to wounds that heal easily.
  • Junctional or union : detachment occurs at the base of the epidermis.
  • Dermolytic or dystrophic : detachment occurs below the base of the epidermis. They are the most serious, since the continuous formation of blisters and deeper erosions can create irreparable scars.

How is it diagnosed?

The diagnosis of these diseases is reached based on a combination of clinical findings, biopsies, and genetic studies . As these diseases are hereditary, there is the possibility of testing the whole family and having genetic counseling in case of wanting to have children, since it can offer an estimate of the probability that a child is affected. In some cases, prenatal diagnosis is also possible, important in the most serious forms, since it can be a reason for abortion.

What is the life prognosis of these patients?

Fortunately, simple BEs are the most common and with correct skin care these patients can lead normal lives. The blisters heal without loss of tissue and, in addition, affected people may improve over time. Severe forms can lead to scars, retractions, and amputations , as well as internal disturbances such as narrowing of the esophagus. In the long term they cause disability and premature death.

What is the treatment based on?

There are few professionals with experience in these rare diseases, although the pediatric dermatology units of large hospitals can undertake the management of these patients with all the guarantees. Your life, especially those with severe forms, depends on taking care of your skin.

Family training is essential so that they learn to care for the patient with protective bandages and protect the skin. Ideally, the critically ill patient should be cared for by a multidisciplinary team that includes dermatologists, pediatricians, nutritionists, surgeons, orthopedists, ophthalmologists, physiotherapists, psychologists, and trained nurses. However, there is no specific treatment .

What you should know…

  • Epidermolysis bullosa or bullosa (EB) manifests itself with the formation of blisters and erosions on both the skin and mucous membranes (mouth, pharynx, esophagus, eyes, etc.).
  • Being a group of hereditary diseases, the whole family can be tested and genetic counseling available that calculates the probability that a child is affected.
  • Simple BE are the most frequent and with correct skin care these patients can lead a normal life.
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