Is there a permanent treatment for chronic atopic dermatitis?

Question

Hello doctor,

I am an 18-year-old and have been suffering from atopic dermatitis for a long time. I visit a doctor every two to three months. They treat me with some steroids that heal the wounds on my hands for a short period, and then the itchy hands return. Is there any permanent treatment for my disease?

Kindly help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and understood your concern.

I understand how frustrating and exhausting it can be to deal with atopic dermatitis. The prescription you shared mentions infected eczema and not atopic dermatitis. Since you are a diagnosed case, I will guide you on how to manage it.

Atopic dermatitis is a chronic condition, and while there is no permanent cure yet, it can be managed effectively with the right approach.

I suggest you follow these instructions:

Regularly apply thick moisturizers two to four times per day on the affected area.
Avoid triggers such as harsh soaps, detergents, keeping cats or pets, use of carpets, and frequent handwashing.
Topical Steroids are helpful for controlling active inflammation, but for long-term care, non-steroidal options like Tacrolimus ointment are safer and effective.
When you have a flare of atopy on the hands, use Effidex ointment (Fluorouracil) in the morning and evening for seven days, and then on alternate days for an additional seven days.
Do not use it on the face or genital area. You can use it safely on the body.
Use Eczemous 0.1 percent cream after stopping the steroid Effidex. Eczemous contains Tacrolimus and is a steroid-free cream to control atopic dermatitis. You can use it safely on the hands for one to two weeks.
When the flare is controlled, try to maintain the skin barrier by applying moisturizers four times per day. Avoid harsh soap.

For itching, you can take Fexofenadine at bedtime. Another step you can try is phototherapy if topical medicines do not work. You can get it done by your local dermatologist, where the facility is available.

I hope that this answers your query.

Kindly follow up if you have more doubts.

Thank you.