Healing from Within: A Holistic Approach to Atopic Dermatitis Care
May 4, 2023
9 min read
Discover the life-changing benefits of advanced atopic dermatitis treatments! Unlock the secret to soothing itchy, inflamed skin and reclaim your confidence with targeted therapies and lifestyle adjustments custom-designed to transform your daily life.
Treatment Options for Atopic Dermatitis
Topical Corticosteroids
Topical corticosteroids are a standard first-line treatment for atopic dermatitis. These medications help reduce inflammation, redness, and itching in affected areas. Available in various strengths, they can be prescribed as creams, ointments, or lotions.
However, a healthcare professional should closely monitor use, as overuse or long-term application can cause side effects like skin thinning, stretch marks, and discoloration.
Patients are often advised to use the lowest potency steroid that effectively manages their symptoms and to apply the medication for the shortest time necessary to achieve relief to minimize these risks.
Topical Calcineurin Inhibitors
Topical calcineurin inhibitors are non-steroidal medications that help control inflammation and itching associated with atopic dermatitis. They work by suppressing the immune system's activity in the skin, reducing inflammation.
These medications are often prescribed for patients with moderate to severe atopic dermatitis who do not respond well to topical corticosteroids or experience side effects from steroid use. Although calcineurin inhibitors can be an effective treatment, they may cause temporary stinging or burning upon application.
In addition, long-term use has been associated with an increased risk of skin infections and, in rare cases, skin cancer.
Topical Phosphodiesterase-4 Inhibitors
Topical phosphodiesterase-4 (PDE-4) inhibitors, such as crisaborole, represent a newer class of medications for treating atopic dermatitis. These drugs block the PDE-4 enzyme, which plays a role in inflammation. crisaborole is approved for treating mild to moderate atopic dermatitis in patients aged two years and older.
Its primary advantage over topical corticosteroids and calcineurin inhibitors is its fewer side effects, making it suitable for long-term use. Common side effects include burning or mild stinging at the application site. Topical PDE-4 inhibitors can be an effective option for those who do not respond to other treatments or have concerns about steroid use.
Systemic Medications
Systemic medications are prescribed for severe atopic dermatitis cases that do not respond to topical treatments. These oral or injectable drugs include corticosteroids, cyclosporine, methotrexate, and mycophenolate mofetil. They work by suppressing the immune system, reducing inflammation throughout the body.
While systemic medications can be effective, they are generally used as a short-term treatment due to potential side effects, such as increased susceptibility to infections, kidney and liver problems, and blood pressure issues. In addition, patients taking these medications require regular monitoring by their healthcare provider to ensure safety and efficacy.
Wet Wrap Therapy
Wet wrap therapy is a non-pharmacologic treatment option for atopic dermatitis, particularly useful for moderate to severe cases. This technique involves applying a topical medication, such as a corticosteroid or moisturizer, to the affected skin and then covering the area with a wet dressing.
The wet wrap helps to hydrate the skin, improve the absorption of the topical medication, and provide a physical barrier against scratching. Wet wrap therapy can provide rapid relief from itching and inflammation and is typically used as a short-term intervention during severe flare-ups. Following a healthcare professional's guidance when using this therapy is essential to minimize potential risks and maximize benefits.
Light Therapy
Phototherapy, also known as light therapy, is a treatment option for atopic dermatitis that involves exposing the skin to controlled amounts of ultraviolet (UV) light. This can help reduce inflammation and itching by suppressing the immune system's overactive response in the skin.
Light therapy is often combined with other treatments and is typically administered in a specialized clinic or doctor's office. The most common light therapy for atopic dermatitis is narrowband ultraviolet B (NB-UVB). However, other forms may be used, such as UVA1 and PUVA (a combination of UVA and a photosensitizing medication).
While light therapy can be effective, it may not be suitable for everyone, and potential side effects include sunburn, premature skin aging, and an increased risk of skin cancer.
Biologic Medications
Biologic medications are a newer class of drugs that target specific proteins involved in the inflammatory process. Dupilumab is the first biologic medication approved for treating moderate to severe atopic dermatitis in individuals who do not respond well to other treatments or cannot use topical therapies.
This injectable treatment works by inhibiting the action of two proteins, IL-4 and IL-13, which play a key role in the inflammation associated with atopic dermatitis. Biologic medications can relieve symptoms significantly but may have side effects such as injection site reactions, eye problems, and increased susceptibility to infections.
Lifestyle Changes to Manage Atopic Dermatitis
Moisturizing
Regularly moisturizing the skin is a critical component of managing atopic dermatitis. Dry, irritated skin can exacerbate symptoms, so it is essential to maintain the skin's natural barrier by applying moisturizers. Choose a fragrance-free, hypoallergenic product, such as a cream or ointment, as these formulations typically provide better hydration than lotions.
Apply moisturizer immediately after bathing to lock in moisture and at least once more during the day. Reapply as needed, particularly during cold or dry weather, when symptoms may worsen. By consistently moisturizing the skin, patients can help reduce itching, inflammation, and the frequency of flare-ups.
Avoiding Triggers
Various factors, such as allergens, irritants, temperature changes, and stress, can trigger atopic dermatitis flare-ups. Identifying and avoiding these triggers is a crucial step in managing the condition. Common allergens and irritants include pollen, pet dander, dust mites, and harsh chemicals in some detergents and personal care products.
Minimize exposure to these factors by using hypoallergenic products, regularly cleaning your environment, and managing stress through relaxation techniques or exercise. Working closely with a healthcare provider to identify individual triggers and develop a personalized strategy for avoiding them is essential.
Bathing Tips
Proper bathing practices can help reduce the symptoms of atopic dermatitis. Bathe in lukewarm water; hot water can strip the skin of its natural oils, leading to irritation and dryness. Use a gentle, fragrance-free cleanser and avoid scrubbing the skin, which can cause further irritation.
Limit baths or showers to 10-15 minutes, as prolonged exposure to water can also contribute to dryness. After bathing, gently pat the skin dry with a soft towel instead of rubbing it. Immediately apply a moisturizer to damp skin to lock in moisture and help maintain the skin's barrier function.
Clothing Choices
The clothing you wear can have a significant impact on atopic dermatitis symptoms. Choose soft, breathable fabrics like cotton or bamboo that wick away moisture from the skin and allow air to circulate. Avoid synthetic materials, such as polyester, and rough fabrics, like wool, which can cause irritation and exacerbate itching.
Opt for loose-fitting garments that do not rub or constrict the skin, as tight clothing can worsen symptoms. Additionally, avoid excessive layering, as overheating can trigger itching and inflammation. Finally, launder clothes with fragrance-free, hypoallergenic detergents, and avoid using fabric softeners, as they may contain irritants.
By making thoughtful clothing choices, patients can minimize skin irritation and discomfort associated with atopic dermatitis.
Home Remedies for Atopic Dermatitis
Oatmeal Baths
Oatmeal baths can relieve the itching and inflammation associated with atopic dermatitis. Colloidal oatmeal, made from finely ground oats, can be added to a warm bath to create a soothing soak. The oats release avenanthramides, compounds with anti-inflammatory and antioxidant properties that help calm the skin.
Additionally, oatmeal has natural moisturizing properties that can alleviate dryness. Add a few cups of colloidal oatmeal to lukewarm water and soak for 10-15 minutes to prepare an oatmeal bath. After bathing, gently pat the skin dry and apply a moisturizer to lock in hydration.
Coconut Oil
Coconut oil is a popular home remedy for atopic dermatitis due to its natural moisturizing, anti-inflammatory, and antimicrobial properties. Applying coconut oil to the affected areas can help reduce dryness, itching, and inflammation. Virgin or cold-pressed coconut oil is recommended, as it has not been processed with chemicals that could irritate the skin.
To use coconut oil, gently massage a small amount into the affected skin to avoid open wounds or cracked skin. Coconut oil can be applied as needed, but it is essential to patch-test a small area first to ensure no adverse reactions occur.
Aloe Vera
Aloe vera gel, derived from the plant's leaves, has long been used to heal and soothe various skin conditions, including atopic dermatitis. Aloe vera possesses anti-inflammatory, antimicrobial, and moisturizing properties that can relieve itching and inflammation while promoting healing.
To use aloe vera, apply a thin layer of pure, unprocessed gel to the affected areas. Avoid using products with added fragrances or preservatives, as these can cause further irritation. While aloe vera can be an effective home remedy, testing a small area first is essential to ensure no allergic reactions occur.
Honey
Honey is a natural remedy with antimicrobial, anti-inflammatory, and wound-healing properties that can benefit those with atopic dermatitis. Applying raw, unprocessed honey to the affected areas can help reduce inflammation, soothe itching, and promote healing. To use honey, gently apply a thin layer to clean, dry skin and leave it on for 20-30 minutes before rinsing with lukewarm water.
While honey can provide relief for some individuals, it may not be suitable for everyone. Therefore, it is essential to test a small area first to ensure no adverse reactions occur and avoid using honey on open wounds or severely cracked skin.
Atopic Dermatitis: When to Seek Medical Attention
Severe Symptoms
If you experience severe symptoms of atopic dermatitis, such as intense itching, widespread inflammation, or significant disruption to your daily life, it is crucial to consult a healthcare provider. Severe symptoms may require stronger medications or a different treatment approach to manage the condition effectively.
However, ignoring severe symptoms can lead to complications, such as skin infections or permanent scarring. A healthcare provider can help develop a personalized treatment plan to address your specific needs and provide guidance on appropriate lifestyle changes to minimize flare-ups and improve your overall quality of life.
Infection
Infections can develop in areas of the skin affected by atopic dermatitis, particularly if the skin has been scratched or damaged. Signs of infection include increased redness, warmth, swelling, pus, or a fever. If you suspect an infection, it is crucial to seek medical attention promptly.
A healthcare provider can diagnose the infection, prescribe appropriate antibiotics, and recommend additional steps to prevent further complications. Early intervention is essential to ensure proper healing and prevent the infection from spreading to other body areas or worsening.
Treatment Not Working
If your current atopic dermatitis treatment is not providing relief or your symptoms worsen, it's essential to consult your healthcare provider to discuss alternative options or adjust your treatment plan. Ineffective treatment may indicate that your condition has changed, you have developed a secondary infection, or the treatment is no longer suitable for your needs.
Your healthcare provider can assess your symptoms, review your treatment regimen, and make necessary adjustments to help improve symptom management and reduce the risk of complications.
Importance of Having Atopic Dermatitis Treatment
Effectively managing atopic dermatitis involves a combination of medical treatments, lifestyle changes, and home remedies. Adopting lifestyle changes such as moisturizing regularly, avoiding triggers, following proper bathing practices, and making appropriate clothing choices can significantly impact symptom management. Home remedies like oatmeal baths, coconut oil, aloe vera, and honey can relieve itching, inflammation, and dryness.
Working closely with a healthcare provider to develop a personalized treatment plan that addresses your specific needs is essential. Timely and appropriate treatment for atopic dermatitis is crucial to prevent complications, reduce symptoms, and improve the quality of life for those affected by this chronic skin condition. Inadequate treatment can lead to skin infections, scarring, and a significant impact on daily activities and mental well-being.
Partnering with healthcare professionals and following a tailored treatment plan can help manage atopic dermatitis effectively, minimize flare-ups, and promote healthier skin. By adopting a comprehensive approach that combines medical treatments, lifestyle changes, and home remedies, patients can better manage their atopic dermatitis and enjoy an improved quality of life.
