Preventing the Itch-Scratch Cycle
Medical Treatment
Atopic Dermatitis
“ Atopic dermatitis is the most common type of eczema , and the two terms are often used interchangeably ”
SHEALD Recovery Balm contains bioidentical ceramides and ingredients like Kava Kava Extract that alleviate itch and discomfort .
• Daily use of plain , fragrance-free moisturizers helps prevent dry skin and strengthen the skin barrier . Ideal options include bland emollients like petroleum jelly , or thicker fragrance-free moisturizing creams .
Preventing the Itch-Scratch Cycle
Along with moisturizing , it is important to abstain from scratching the irritated areas of the skin . Continuous scratching often perpetuates more scratching , which can eventually cause the skin to break and introduce bacteria , leading to infection . Adhering to a simple daily skin regimen can keep the skin moisturized and alleviate itching .
Medical Treatment
• The treatment of eczema includes topical corticosteroids of varying strengths depending on the location and extent of the rash . Steroids help reduce itching and calm inflammation . Long-term steroid use can cause thinning of the skin ( atrophy ); therefore , its use is typically limited to two weeks at a time with a one to two-week break .
• Topical immunomodulators like tacrolimus and pimecrolimus have been effective for use on eczematous rashes . They work by keeping the immune system from overreacting to allergens . These topicals may be used daily along with corticosteroids and can help prevent the long-term side effects of topical steroids .
• Dupilumab is a monoclonal antibody that was recently FDA approved for treating severe atopic dermatitis .
• Oral or topical antibiotics like mupirocin may be prescribed if infection is suspected .
• Oral antihistamines like diphenhydramine and hydroxyzine can help reduce itching and allow for more restful sleep .
• Allergy testing should be considered for cases that are severe or are refractory to standard treatment .
56 iS Skin Source