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Conditions and Diseases > Skin Forum > Treatment options for atopic dermatitis and eczema
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Q: Treatment options for atopic dermatitis and eczema
asked by: DoctorQuestion on May 5th, 2009
Hi,
for 2 years now, i've been suffering from a red, itchy, cracking, dry, peeling and sometimes weeping rash that originally started on my lips and then has gradually also spread to around my mouth...it flares up a few times during each day and then sometimes heals overnight.i do not have any other skin irritation on any other body parts. the only skin condition that i've had was during my childhood-eczema on limbs. i have used and tried a mixture of things including pharmaceutical steroids, natural remedies and most recently a healthier diet. i have seen a few local general practitioners-they believe it is eczema. i have sought advice from a dermatologist who was adamant that it was atopic dermatitis.And most recently i've been to see a naturopath who believes that from my diet diary and my bad habits that internally-my gut is damaged and is therefore reacting with the skin around my mouth.
Are there any other opinions? i'll appreciate any help as it is damaging to everyday living..


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Dr. Goce Aleksovski , MD
replied on May 9th, 2009
Skin Answer A6558



It is hard to say what your itchy, cracking, dry, peeling and sometimes weeping rash might be without seeing it.
Both atopic dermatitis and eczema are skin conditions in which the skin becomes red, itchy, dry and swollen. The skin might look similar in both conditions. Cracks might be present if the condition was not treated adequately, thus increasing the chances for bacterial skin inflammation.
The main difference between atopic dermatitis and eczema is that in eczema the allergen is in direct contact with the skin where as in atopic dermatitis the allergen might be in contact with other parts of the body rather then skin. Presence of eczema does not rule out atopic dermatitis. The heredity plays a big role in atopic dermatitis. It is also closely related to some other atopic conditions like: hay fever, asthma and allergic conjunctivitis.
The most important treatment in both cases is avoiding contact with the allergen. Using moisturizers might be help with the dryness of the skin and the cracks. In more severe cases corticosteroid creams are used to reduce the skin inflammation.
A dermatologist is the specialist who should recommend the adequate treatment.




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