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Get advice: Skincare in AD

Atopic Dermatitis (Dermatitis Atopica)

Atopic Dermatitis is a chronic and relapsing, inflammatory skin disease affecting the epidermis and dermis. It is characterised by strong itching, characteristic location of lesions and frequent co-occurrence of other atopic disorders (asthma, seasonal asthma, allergic rhinitis, urticaria, allergic conjunctivitis) in a given patient (or in their family). Typical lesion locations are around large joints, backs of hands, feet, neck skin, face and scalp.

Causes of Atopical Dermatitis are still poorly known and many factors remain undiagnosed. However, predisposing factors for the onset of the disease have been diagnosed. These can be divided into two groups:

  1. Genetic.
  • if a parent suffers/suffered from AD - the risk of the child having the disease is 30-50%, if both parents have it - the risk of the child having it is 50-80%.
  1. Environmental

Food allergens:

  • mainly cow's milk and eggs, other food allergens include fish, soybean, wheat and peanuts;
  • in approximately 50% of cases symptoms disappear with age and maturity of the gastrointestinal tract.

Allergens in the air:

  • primarily of animal origin (dust mites, epidermis) or plant origin (pollen, mould, spores);
  • allergy to aeroallergens occurs in 80% of children with AD.
  • Bacterial, fungal and viral infections:
  • the greatest threat is 'staphylococcus aureus' (20 times more likely to adhere to dry skin than normal skin).

Environmental pollution:

  • significant impact - primarily chemical compounds from fumes, plastics and pesticides.

AD is most likely the result of many factors acting simultaneously and, therefore, it is very difficult or even impossible to eliminate the causes of the disease.
The following are crucial in preventing AD:

  • breast-feeding for at least six months (prevents AD);
  • limiting exposure to aeroallergens (e.g. house dust mite);
  • avoiding direct contact with wool, flannel, silk;
  • not using detergents and whiteners, using hypoallergenic cosmetics;
  • using emollients (specialist skincare products).

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