Monthly Archives: December 2021

Eczema Wet Wrap Treatment

Eczema Wet Wrap Treatment

Credit: NIAID

Atopic dermatitis, also known as eczema, is a non-contagious inflammatory skin condition. It is a chronic disease characterized by dry, itchy skin that can weep clear fluid when scratched. People with eczema also may be particularly susceptible to bacterial, viral, and fungal skin infections.

Eczema, or atopic dermatitis, is an inflammatory skin condition that affects an estimated 30 percent of the U.S. population, mostly children and adolescents. It is a chronic disease characterized by dry, itchy skin that can weep clear fluid when scratched. People with eczema also may be particularly susceptible to bacterial, viral, and fungal skin infections.

NIAID conducts and supports basic research in allergy and immunology that increases our understanding of the immune system and how it contributes to the development of atopic dermatitis and its complications. NIAID also funds patient-centered research to explore the genetic determinants of eczema and to evaluate new strategies to prevent and treat the disease.

Acombination of genetic and environmental factors appears to be involved in the development of eczema.Children whose parents have asthma and allergies are more likely to develop atopic dermatitis than children of parents without allergic diseases. Approximately 30 percent of children with atopic dermatitis have food allergies, and many develop asthma or respiratory allergies. People who live in cities or drier climates also appear more likely to develop the disease.

The skin of people with atopic dermatitis, or eczema, lacks infection-fighting proteins, making them susceptible to skin infections caused by bacteria and viruses. Fungal infections also are common in people with atopic dermatitis.

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Eczema (Atopic Dermatitis) | NIH: National Institute of ...

Over 31 million Americans experience some form of eczema a type of dermatitis that causes the skin to become dry, red, and itchy, or have rash-like bumps.

There are seven different kinds of eczema, one of which occurs specifically in the hands. Hand eczema is particularly common among people who regularly handle chemicals and other irritants, such as hairdressers, professional cleaners, food handlers, and healthcare workers.

People with hand eczema may experience:

Dermatologists say the following home eczema treatments can help relieve itching, dryness, and other common symptoms.

When the outermost layer of your skin, or skin barrier, becomes weakened or damaged, allergens and irritants can seep into your skin more easily.

When your immune system then recognizes these allergens or irritants, it responds with inflammation, which causes eczema symptoms.

Other factors that might contribute to eczema include:

A 2013 study found that psychological stress is a significant contributor to atopic dermatitis, the most common type of eczema. Researchers believe the link relates to the direct and indirect negative effects stress can have on immune response and skin barrier function. Additionally, a small 2018 study found stress increases the urge to scratch, which can then make eczema symptoms worse.

Contact irritants are the most common cause of hand eczema. So, it's important to identify what substances may be triggering your hand eczema. Common causes of contact sensitivity include touching:

Take note of the ingredients in cleaning and other household products you handle regularly. Laundry detergents, fabric softeners, and dryer sheets can cause an allergic reaction because they often contain fragrances. Ideally, look for products labeled hypoallergenic, fragrance-free, or "for sensitive skin."

Wearing impermeable hypoallergenic gloves made of synthetic nitrile may help protect your hands when dealing with potential irritants. Just avoid latex or rubber gloves, as these common irritants can exacerbate eczema, says Cybele Fishman, MD, a board-certified dermatologist with Advanced Dermatology, P.C.

Washing your hands strips away the natural oils on your skin, which can exacerbate the dryness, itchiness, and other symptoms of eczema.

That's why you'll want to apply a moisturizer immediately after washing your hands, says Erum Ilyas, MD, a board-certified dermatologist with Schweiger Dermatology Group. A moisturizer can help to protect the outer layer of your skin.

Look for a rich hand cream or ointment with high oil content. Ingredients like glycerin, shea butter, hyaluronic acid, and ceramides help your skin to maintain and attract moisture, says Fishman. Petroleum jelly is also very effective at locking in moisture.

Quick tip: Leaving your hand cream or ointment by the sink can help you remember to use it every time you wash your hands.

Fishman also recommends applying moisturizer before you go to sleep at night and wearing cotton gloves to help your skin better absorb it.

There's a reason why hand eczema can get worse for some people in response to extreme weather like the frigid conditions of wintertime.

"Dry, cold air can pull away moisture from your skin," says Ilyas.

Fishman and Ilyas agree that wearing gloves or mittens can help protect your skin and prevent this from happening. Wool and some synthetic fabrics can make itching worse, so opt for cotton or silk gloves instead.

Using a humidifier in your home during the dryer months may also prove helpful.

Since hot water can dry out skin and increase inflammation, Ilyas recommends using lukewarm water and a fragrance-free soap to shower and wash your hands.

Antibacterial and antiseptic hand washes tend to be very harsh on the skin, so try a milder soap but make sure to follow proper hand hygiene, like washing your hands for a minimum of 20 seconds, to get rid of illness-causing bacteria.

Note: Keep in mind that hand sanitizers tend to be even harsher than hand soap, but whichever you use, applying a moisturizer after cleansing is key.

Always remember to remove rings before washing, as jewelry can trap irritants and water against the skin on your fingers, thus potentially triggering or worsening eczema. After washing your hands, gently pat them dry rubbing vigorously can further irritate your skin.

If you suspect life stressors may be contributing to your eczema flare-ups, prioritize self-care getting enough sleep and regular exercise and try stress management techniques such as meditation and deep breathing exercises.

Consider connecting with a therapist if stress has an ongoing impact on your mood or emotional health.

While it can be tempting to scratch itchy skin, Fishman says it's important to avoid this as much as possible. Scratching can actually make eczema worse because it triggers the inflammation response. Not only that, scratching vigorously enough to break the skin leaves you more prone to scarring and infection.

Keeping your fingernails short can help minimize damage when you can't resist the urge to scratch.

Hydrocortisone creams and ointments can reduce inflammation and ease some eczema symptoms, like redness and itching. To minimize any potential side effects like temporary skin thinning, stinging, or burning, apply a thin layer once daily to the affected area, avoiding any cuts, and always follow the product instructions.

While the ideal strength will depend on the severity of your eczema, 1% hydrocortisone is generally a safe amount for this condition, says Fishman.

Important: Using hydrocortisone for extended periods of time can cause your skin to become thinner, which can increase your chances of experiencing eczema. It's best to use hydrocortisone only until your symptoms get better.

If you don't notice improvement within a week, check in with your doctor before you continue using these over-the-counter medications.

If your symptoms don't improve or you keep getting frequent flare-ups despite trying the above treatments for eczema, Fishman recommends reaching out to a dermatologist or your regular doctor.

Some signs that you should connect with a doctor as soon as possible are:

Not only can a doctor help to identify allergens and irritants through skin and blood tests, but they can also prescribe medication, including:

"For some resistant cases, other interventions, like light therapy, may be considered," says Ilyas.

Phototherapy, also known as light therapy, is an FDA-approved intervention that exposes your skin to ultraviolet (UV) light. UV light exposure can suppress the inflammatory responses that trigger eczema and reduce your risk of infection.

Light therapy typically involves:

There's no known cure or single cause of eczema, but most cases are triggered by contact with irritants and allergens such as those found in many cosmetic and household cleaning products. Dermatologists advise avoiding common irritants by seeking out hypoallergenic and fragrance-free products, as well as protecting your skin by washing hands with lukewarm water, moisturizing often, and wearing gloves in the cold.

Over-the-counter hydrocortisone creams and ointments can help, but if symptoms don't get better in a week or so, check in with your doctor. They can offer more guidance on identifying potential triggers, plus prescribe a stronger topical treatment or other intervention, like phototherapy.

See the original post:
Eczema on hands: Causes, remedies, when to call a doctor - Insider

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HealthPublished: Tuesday, 28 December 2021 18:10 Joanne Wallenstein

Figuring out when to introduce babies and children to foods that have a high potential of causing an allergic reaction can be one of the trickiest questions to consider as a parent. To help soothe parents anxiety and ensure they are giving their children the proper introduction to these foods, I work closely with families to update them on the latest food-allergy guidelines. Here are some tips that will help you confidently introduce these foods to your kids.

What foods are the most likely to cause potential allergies?The major food allergens include milk, egg, wheat, soy, peanut, tree nuts, fish, shellfish, and sesame. The most common food allergens for children are peanut and milk, with cow's milk the most common food allergen in early life.

What is the right approach for early introduction of these potential food allergens?

Fearing adverse reactions, many parents historically preferred to wait before introducing these potential food allergens to their kids. But thats no longer the prevailing wisdom among experts. Doctors no longer believe that waiting until baby is older prevents food allergy. In fact, there is evidence that introduction to peanut in the first year of life can prevent the development of peanut allergy. Especially in infants who are at high risk of developing food allergy, the emphasis is now on early introduction of peanut and egg, rather than avoidance.

Typically, in babies without eczema or any food allergy, I recommend introducing age-appropriate allergenic foods in the first year of life in accordance with family preferences and cultural practices. I suggest prioritizing the introduction of peanut and egg, which has demonstrated evidence of benefit. There are currently no specific guidelines on order of egg and peanut introduction but it should be a shared decision made between parents and the babys doctor.

For babies with mild to moderate eczema, we recommend introducing peanut-containing foods at around 6 months of age. If your baby has severe eczema, you are concerned that he/she has an egg allergy and you have not yet introduced peanut, I recommend seeing an allergist as early as 4 to 6 months of age to determine if peanut should be introduced and, if so, the preferred method of introduction. If your baby has severe eczema and/or egg allergy, and you had already introduced peanut which he/she tolerates without any problem, please continue feeding your baby peanut to reduce the risk of peanut allergy once you start avoidance.

What is the best way to introduce these foods?

Once your baby has successfully eaten other solid foods (like single-grain cereals, followed by fruits, vegetables), you can begin to introduce allergenic foods in age-appropriate forms. That doesnt mean Eggs Benedict or a PBJ sandwich, of course! Follow these tips for easy introduction of these tricky foods:

Start with a small amount: just a spoonful or two of any allergenic food is enough to give baby a taste of the flavor and watch for potential allergic reaction.

For peanut, the National Institute of Allergy and Infectious Diseases (NIAID) recommends infant-safe forms in the amount of 2 teaspoons, 3 times per week (for a total of 6 grams of peanut protein).

To prevent choking in infants, try thinning peanut butter with water, milk, or pureed fruit. This dilution may be necessary until children are able to safely eat foods with the consistency of peanut butter spread thinthat can be after 12 months of age or based on individual developmental abilities.

During the initial feeding period, serving single-ingredient foods, one at a time, is recommended to observe for symptoms of allergy. Once foods are tolerated, they can be combined.

There is no evidence guiding how long a given food must be fed before moving on to the next new food. However, generally, when offering a potential food allergen, I advise parents to give baby an age-appropriate serving size at least 3 times over 3-5 days to confirm tolerance.

What are the different types of allergic reactions in infants and toddlersand how serious are they?

Recognizing allergic reactions in infants and toddlers can be challenging for not only parents and caregivers, but also providers, as your baby is unable to verbalize what they are feeling/experiencing when they are having an adverse food reaction. Behavior changes that may be noted during a reaction can include clinginess, fussiness, or inconsolability, but it is important to note that these behaviors alone may also be present in healthy infants not experiencing an allergic reaction.

Skin, gastrointestinal, and respiratory symptoms were most frequently reported in infants and toddlers, although symptoms involving other organ systems can also occur.

The type of skin reaction may be itching, rash, hives or swelling. Please note the location of the skin reaction with respect to where the skin had contact with the allergen so we can determine if the reaction was the result of a topical contact reaction or a systemic reaction, the latter of which is more concerning. Please take pictures as they are worth a thousand words when you seek consultation with an allergist.

The most common gastrointestinal symptom is vomiting, although diarrhea can also be considered a potential allergic symptom.

Belly breathing, fast breathing, nasal flaring, chest or neck tugging, wheezing, hoarse voice, hoarse cry, and repetitive cough are all examples of respiratory symptoms.

Timing of the adverse reaction relative to when your baby consumed a potential culprit food is extremely essential, as there are different types of food-induced reactions including scenarios where administration of epinephrine, the first-line treatment of anaphylaxis (a severe life-threatening allergic reaction) is indicated. Diagnostic testing and management can be very different for each type of food-induced reactions; for example, skin testing and an epinephrine auto-injector prescription likely are not appropriate for food intolerances,and concerns that certain foods may exacerbate underlying eczema would warrant a separate discussion. I recommend keeping a food diary when you start to notice these reactions in your baby, particularly if they become recurrent so that you and your allergist can have a full conversation about how to proceed.

While introducing baby to allergenic foods can be a stressful experience, it is so important for their growth and development! The goals of early infant feeding are to introduce foods of varying flavors and textures to encourage future food preference, and to provide nutrition in a balanced and proportional manner for growth and development. Increasing the diversity of both food and food allergen intake in the first year of life is associated with a lower prevalence of food allergysomething all parents are hoping for.

Dr. Angela Chan is a board-certified pediatrician and allergist-immunologist at the Scarsdale Medical Group in Harrison. For an appointment, please call 914-723-8100.

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Introducing Kids to Allergenic Foods: What You Need to Know - Scarsdale10583.com

Whether a deadly disease like cancer and Alzheimers or a lifelong affliction like diabetes, eczema, or arthritis, 2021 has been a year of breakthroughs and advancements.

Beyond COVID-19 and the developments of the mRNA vaccines created to halt the pandemic, medical researchers around the world continued to focus on the long-entrenched problems that have plagued our health for centuries.

Here are some of the top Health stories from 2021:

Routinely polled as one of the most-feared diseases, Alzheimers researchers have hailed several achievements this year.

One fascinating focus has been on prevention, or what contributes to the disease.

A neuroscientist who authored a book called The First Survivors of Alzheimers is not so much focused on drugs as he is focused on brain prevention and is achieving results never before seen in the history of Alzheimers treatment. (Read more)

The findings of a drug that seemed to restore normal cognition in a variety of cases ranging from traumatic brain injury, to noise-related hearing loss, to neurodegenerative disease seem to suggest, its creators write, that age-related cognitive loss may be down to a physiological blockage rather than permanent damage. (Read More)

As seen many times before, sometimes the best new cure is an old drug. Four drugstwo non-steroidal anti-inflammatories, along with two anti-hypertensives, proved effective at reversing Alzheimers disease and neutralizing symptoms in mice suffering from various stages of the illness. (Read More)

As long as theres lifeforms, there will be cancer, but that doesnt mean we cant learn how to treat it, strike at the root cause, and hopefully turn at least some forms of it from one of the major killers to a minor inconvenience.

With 12,000 Britons diagnosed with head and neck cancer every year, the results of a phase III trial that saw complete eradication in some patients, and side-effect-free life extension in others, has the country excited. (Read More)

Discovering an RNA molecule that regulates a key driver in the growth of prostate cancer cells is noteworthy because prostate cancer is one of the most common in men around the world, and because most drugs work for a short period of time before the cancer becomes resistant to it. (Read More)

Despite the gradual awareness of the harmful effects of sugar and bread on the body, chronic diabetes and juvenile diabetes continues to be a major problem in our society.

It turns out that all it takes for this potential cure to rid a patient of a debilitating autoimmune disease is a small piece of adult skin no larger than a housefly. With FDA trials underway, hundreds of thousands of Type-1 diabetics have a chance at a potential cure. (Read More)

Nearly 500 million diabetics around the world need to mildly stab themselves in order to ensure they are in no danger of going into shock. An Australian med-tech company has a new solution. (Read More)

Afflicting a quarter of all Americans, and the leading cause of workplace disability resulting in $303 billion in lost productivity, arthritis took a step towards a cure in 2021.

An alternative to highly addictive painkillers is offering those who undergo knee replacements a large measure of safe relief. Many arthritis patients have knees and hips replaced in the hope of regaining some measure of mobility later in life, but the resulting pain and stiffness can sometimes only be treated with opioids. (Read More)

Osteoarthritis is the most common form, and it affects 8.5 million people. Nasal cells come from a special class of adaptive tissues produced in the brain and spinal cord that can be used to relieve chronic inflammation in the knee and lay the groundwork for a therapeutic treatment that spares patients of surgery and prosthesis. (Read More)

It would seem silly to write a list such as this without addressing the elephant in the room, but as the pandemic petered on through 2021, breakthroughs continued to be made.

One of Americas most favorite medicines was found, unsurprisingly to some doctors, to have as strong an effect as vaccines in some cases at mitigating the severe symptoms of COVID-19. (Read More)

Along with an Israeli nasal spray that prevented infection in 99% of patients, another was found in trials at the University of Oxford which killed 99% of the virus in the nasal passage. (Read More)

Some demonstrations of prosthetic internal organs have shocked the world in 2021, providing a glimpse of a sci-fi future for human anatomy.

A bio-tech implant that allowed a 78-year old blind man to see his family again actually binds with the inside of the eye-socket in a way that had never been done before. (Read More)

The worlds first legit prototype for an artificial kidney was successfully tested when the blood filter and bio reactor components were demonstrated to work together, offering hope to free kidney disease patients from dialysis machines and transplant lists. (Read More)

Ticks, as awful as they are, have their place in the Web of Life. Researchers have identified a soil microbe that eliminates Lyme Disease but essentially nothing else, not even the ticks, opening the door to ecosystem wide treatment against Lyme Disease. (Read More)

Stem cells prepared with the patients own bone marrow were used to repair damaged spinal cords and restore mobility and motor functions in more than half of a Yale scientists trial. (Read More)

An incurable autoimmune disorder that results in progressive motor function loss and neurodegeneration, an MS breakthrough was achieved using the same mRNA vaccines that worked so well originally to stop the COVID pandemic. (Read More)

A monoclonal antibody that reduces the amount of inflammatory molecules that cause a hormonal dysregulation leading to eczema was a treatment generated by this totally surprise finding. (Read More)

Habit Cough the name for a cough without a cause has been cured through a YouTube video relying mostly on the power of suggestion. While this may seem a little sketchy, many people with habit cough have no underlying respiratory condition of any kind, and therefore an ounce of suggestion may beat a cure. (Read More)

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Best 2021 Medical Breakthroughs And Treatments to Beat Cancer, Alzheimer's, Diabetes & More - Good News Network