How can one manage atopic dermatitis flare-ups?

Question

Hi doctor,

I have been experiencing flare-ups for several weeks, and I am unsure if the change in weather is contributing. I have been having trouble sleeping due to discomfort. My scalp is itchy as well, so I have been using a gentle wash and shampoo. For areas that are not as severe, I have been using a topical ointment, which helps a little, but the overall discomfort persists. Sometimes, I take antihistamines, but I do not feel much relief from my atopic dermatitis.

I work night shifts (10 PM to 7 AM) with clients in a different time zone, and I also have an irregular menstrual cycle, with periods occurring about every three months. Additionally, I have asthma and am using an inhaler as prescribed.

Can you please advise on how to better manage my symptoms?

Please help.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

Atopic dermatitis is relatively more prone to relapse with seasonal aggravation. It has a genetic and familial component as well.

Here is what you can do:

If you have severe symptoms that are hampering your daily activities, you need to start with systemic immunosuppressants like Prednisolone and or Azathioprine.
Using 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 more frequently than previously.
You need to take an antihistamine on a daily basis.
Reduce your stress.
Avoid wool and strong soaps.
Practice wet wrap therapy.

I hope this answers your query.

Please let me know if I can assist you further.

Thank you.