Dr. Vikash Paudel
Dermatology
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Patient's Query
Hi doctor,
I have been experiencing flare-ups for weeks now. I do not know if this has something to do with the change of weather. I have been having trouble sleeping lately since I am very uncomfortable right now. I am using Cetaphil gentle wash and shampoo because my scalp gets itchy as well. I am using Elica ointment and somehow it helps me with some of the areas that are not really that worse, however, the uncomfortable feeling is still there. Sometimes I take antihistamines, however, I do not think that it helps me feel relieved with my atopic dermatitis. I am 28 years old and a project manager. My clients are in the US and I need to follow their timezone, my shift starts at 10 PM to 7 AM. I weigh around 190 lbs and I am 5'1". I also have an irregular menstrual cycle, and I usually get my period every quarter. I have asthma and I am currently taking Seretide inhaler as prescribed by my doctor. Please help.
Hi,
Welcome to icliniq.com.
Atopic dermatitis is relatively more sort of relapsing with seasonal aggravation. It has a genetic and familial component as well. If you have severe symptoms which is hampering your daily activities you need to start with systemic immunosuppressants like Prednisolone and or Azathioprine. Use Elica ointment i.e. Mometasone is good enough for skin lesions. But I would rather add on Tacrolimus gel 0.1% over the inflamed lesions. But you need to use moisturizers very frequently than previous. You need to take antihistamine on a daily basis. Reduce your stress. Avoid wool and strong soaps. Practice wet wrap therapy. I hope this helps.
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Dermatology
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