Eczema/The eczema atopic of the adult

Eczema/The eczema atopic of the adult
Whereas the large majority of the clinical demonstrations related to the atopic dermatite (or eczema atopic) will disappear in the first years from life, approximately 30% of the patients will still present signs to the adulthood. Just like asthma, there thus exists a great diversity of evolution and intensity of pushed eczema.

Classically, eczema atopic improves very clearly towards the age from 4 to 5 years, leaving room only to one residual cutaneous dryness. Repetitions can be however observed towards the age of 15-25 years, but in an astonishing way, eczema will be located on zones different from those known in the child or the infant.

Indeed, it is frequent to observe in the adult of the lesions of eczema on the level of the hands and the feet which one calls dyshidrose. The folds of the elbows and the knees are also frequently reached. But the most frequent localization is the face and the neck with a very red aspect. Itchings are intense and the psychological impact of this form is not negligible because very posting.

Just like in the infant, the eczema of the adult will evolve/move by thorough over a few years with tops and the bottoms, worsened by the extreme temperatures, perspiration, the contacts irritating as the wool and the detergents (produced domestic but also inopportune use of products of hygiene as soaps). The stress is also a worsening factor, which makes say, wrongly, with the entourage of the patient who it is about a psychological disease whereas, let us recall it eczema atopic, is related to a genetic disease.

There exist 2 forms of eczema

More than 50% of the patients suffering from eczema atopic have an allergic eczema jointly.

It is thus necessary, vis-a-vis an eczema atopic of the adult, to practice an assessment allergologic in particular contact. Allergic eczema is of appearance identical to an eczema atopic, but it is consecutive with an allergic reaction with a substance allergisante in contact with the skin. The example of eczema of the most known contact is eczema allergic to the nickel which is observed at the level of the ear lobes by allergenic contact with jewels imagination containing of nickel. The contacts allergisants are thus multiple, related to contacts with chemical substances used daily (produced hygiene, of make-up) or by the means of the community activity (risk of allergy to capillary coloring in the hairdressers, with cement in the masons…).

It is thus important to practice tests épicutanés (tests stuck in the back and read at the end of 48-72 hours) in order to make the share of the things between the two forms of eczema, because in the case of an eczema of contact, the ousting of the substance allergisante allows the cure. This exploration is less frequently practiced in the infant and the child owing to the fact that the latter are in regular contact with less substances potentially allergisantes than an adult.

In the same way, for an eczema atopic, the treatments suggested for the adult differ appreciably from those which are prescribed at smallest and there exist alternatives to the use of the corticoids used by local way (often used since years!) to improve the daily newspaper of the patients