Category Archives: Eczema

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There are steps people can take to reduce or ease flare-ups, experts say

WebMD News from HealthDay

By Mary Elizabeth Dallas

HealthDay Reporter

WEDNESDAY, April 2, 2014 (HealthDay News) -- Many children with eczema will continue to have symptoms of the skin condition as adults, new research suggests.

Although eczema, or "atopic dermatitis," often begins during childhood, the new study found that kids with eczema will likely experience flare-ups into their 20s. In some cases, the researchers added, people could be dealing with the skin ailment throughout their lifetime.

"Based on our findings, it is probable that [eczema] does not fully resolve in most children with mild to moderate symptoms," wrote a team led by Dr. David Margolis at the University of Pennsylvania Perelman School of Medicine. They said that doctors who treat children with mild to moderate forms of eczema should tell the patient and their caregiver that the illness could be lifelong "with periods of waxing and waning skin problems."

One expert said the study gives valuable new insight into the course of the illness.

"Eczema is a skin disease that usually occurs in young children. These patients have sensitive skin, prone to inflammation, infections and allergies," explained Dr. Joshua Zeichner, director of cosmetic and clinical research in the department of dermatology at Mount Sinai Hospital in New York City. "Itching is a hallmark of the disease and it is associated with significant health care costs, impairment of quality of life and interpersonal relationships, and lost time at school and work."

According to Zeichner, "it is generally thought that eczema resolves as young children get older. This study, however, followed the natural course of the disease over long periods of time and discovered that symptoms may persist longer than previously thought, lasting at least into the second decade of life or longer."

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Childhood Eczema Often Persists Into Adulthood, Study Finds

PUBLIC RELEASE DATE:

2-Apr-2014

Contact: Kim Menard Kim.Menard@uphs.upenn.edu 215-662-6183 The JAMA Network Journals

Bottom Line: Children diagnosed with atopic dermatitis (AD or eczema) may have symptoms persist into their 20s, and the condition is likely to be a lifelong illness marked by waxing and waning skin problems.

Author: David J. Margolis, M.D., Ph.D., of the University of Pennsylvania Perelman School of Medicine, Philadelphia, and colleagues.

Background: AD or eczema is a common skin disease that often begins in childhood, but little has been reported about the natural history of the condition.

How the Study Was Conducted: The authors examined the natural history of eczema using self-reported data from a group of 7,157 children enrolled in the Pediatric Eczema Elective Registry (PEER) study to evaluate the prevalence of symptoms over time. The average age of AD onset was 1.7 years.

Results: At every age (i.e. 2 to 26 years) more than 80 percent of the study participants had eczema symptoms or were using medication to treat the condition. During five years of follow-up, 64 percent of patients never reported a six-month period when their skin was symptom free while they were not using topical medications. It was not until age 20 that 50 percent of patients had at least one six-month period free of symptoms and treatment. The authors acknowledge that study participants may have had more severe disease and therefore more persistent eczema.

Discussion: "In conclusion, symptoms associated with AD seem to persist well into the second decade of a child's life and likely longer. Based on our findings, it is probable that AD does not fully resolve in most children with mild to moderate symptoms. Physicians who treat children with mild to moderate AD should tell children and their caregivers that AD is a lifelong illness with periods of waxing and waning skin problems."

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Study suggests symptoms of childhood eczema persist, likely a lifelong illness

(PRWEB) April 01, 2014

Singapore beauty, Juliana is helping a lot of Red Skin Syndrome sufferers more than what she could imagine. Her blog gets daily hits from people all over the world and it all started when she found the answer to her steroid induced eczema through the International Topical Steroid Awareness Network (ITSAN). She publicly thanks the non-profit for the published research and support she needed to endure the wearisome drug withdrawal all the way through.

Steroid addiction was documented and published in the 1979 International Society of Topical Dermatology Journal by Dr. Albert M. Kligman M.D. Ph.D. and Dr. Peter J. Frosch M.D.

Quote from the journal: "Addiction to (Topical) Steroids is a serious problem which reaches tragic proportions in some cases. It is more common than realized, sly and seductive and will be prevented only when the physician becomes as impressed with the capacity of the steroids to do harm as they are with their power to suppress, not cure, virtually any inflammatory disorder."

In 2003, Dr. Mark Lebwohl and Marvin Rapaport M.D. co-authored "Corticosteroid Addiction and Withdrawal in the Atopic:The Red Burning Skin Syndrome" published in Clinics in Dermatology. Japanese doctor, Dr. Fukaya M.D. also wrote a 2010 book on steroid addiction and made a video on it as well for You Tube. These resources offered on the ITSAN site offered a life ring to Juliana and so many others suffering like her.

Juliana suffered through graduated steps of more and more steroid cream until she searched the internet via Google which led her to the Addicted Skin website now called ITSAN.org. Even though there were only four photos of Red Skin Syndrome posted, Juliana could tell that she was experiencing the exact same condition also described as topical steroid addiction recognized by certified dermatologists.

It was a huge encouragement to learn that this was something that she could recover from in time and started a blog with progressive pictures to prove it. You can read her story on the highly visited blog and see how she helps many others who come to her site for support and encouragement through their own steroid withdrawal.

In her words, "back then before ITSAN was formed, it was just a small community of people going through the same thing, giving each other support and encouragement through the Google forum. Till this day, I think the non-profit group has not changed in that aspect, it is still striving to help others by being there for one another. While ITSAN is not a medical authority, we seek emotional comfort from other skin friends and share experiences that may help others. Steroid withdrawal is a very daunting journey, it is just like exploring a new found planet where every symptom is foreign and new to us.

It is through ITSAN that I managed to ease my worries during those times when no doctor can explain my conditions. Knowing that someone else is going through the exact same thing as you makes things appear more normal than you initially thought it was, and that makes things easier to swallow - that Im not alone in this fight. In unity, I find strength.

After having gone through steroid withdrawal, I am happy to say that this is the best decision I have ever made, even though when I was in the midst of it I could hardly ever convince myself so due to the pain and depression that I was in. It was a hard and tough journey, but it has strengthened me in ways I can never imagine. It has changed my skin for the better, and changed me into a better person.

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