Weight management

What is the best treatment for eczema?

Eczema is a common inflammatory skin disease of the epidermis and superficial dermis caused by a variety of internal and external factors. It is generally believed that it has a certain relationship with allergic reactions.

the best skin-care routine for eczema according to top dermatologists

1. How to judge eczema

The basis for diagnosis is mainly based on the history of the disease, the shape and course of the rash. Generally, the skin lesions of eczema are polymorphic, mainly erythema, papules, and papules. The center of the rash is obvious, and it gradually spreads out to the surrounding area. The realm is unclear, diffuse, and there is a tendency to exudate. Chronic patients have infiltration and hypertrophy. The course of the disease is irregular, recurring, and intense itching. Laboratory examination of inspection items: No specificity, eosinophils in the blood may

2. How to treat eczema

1. General treatment (1) should try to find the cause of the patient’s disease or aggravation, and learn more about the medical history, working environment, living habits, thoughts and emotions, etc.; do allergen tests, such as skin prick test or intradermal test, specific IgE antibody and patch screening test, etc., to find possible allergens. (2) Avoid external adverse stimuli as much as possible, such as hot water washing, violent scratching, etc.; try not to wear chemical fiber underwear, fur products; avoid eating easily allergenic and irritating foods, such as seafood, chili, wine, coffee, etc. (3) Keep the skin clean, prevent skin infection, avoid overwork, and maintain an optimistic and stable mood. 2. Topical treatment should be mild and non-irritating. The specific medication depends on the disease stage and skin lesion. (1) Acute eczema: When there is no exudation, calamine lotion, 4-6 times a day for external use. When itching is obvious, add glucocorticoid cream for external use. Such as 1% hydrocortisone cream or 0. 0. 1% hydrocortisone butyrate ointment, 0. 1% triamcinolone acetonide cream or 0. 1 momethasone furoate cream (trade name iroxone), etc., for external use 1-2 times a day. When there is exudation, first use 2% -3% boric acid solution or normal saline as a cold wet compress, 30-60 minutes each time, 2-4 times a day wet compress or continuous wet compress, wet compress intermittent or at night can be used 40% zinc oxide oil topical application, exudation reduced after the zinc oxide paste. (2) sub-acute eczema: optional paste, such as zinc oxide paste or 5% bran distillate paste, glucocorticoid cream, 2-3 times a day for external use. (3) chronic eczema: optional glucocorticoid cream, ointment or ointment, zinc oxide ointment tar ointment.

glucocorticoid: more use 1% hydrocortisone cream or 0. 1% hydrocortisone butyrate ointment, 0.05% beclomethasone ointment, 0. 1% triamcinolone acetonide ointment, 0. 1% mometasone furoate ointment, 0.05% halometasone cream (trade name Aoneng skin cream) or compound halometasone cream (trade name Xinsude), 0. 02 clobetasol propionate cream (trade name En skin cream), etc., choose 1-2 of them, 2-3 times a day for external use; 15% zinc oxide ointment, 2-3 times a day for external use; tar, such as 5% -10% black bean distillate ointment, 10% tartar ointment, 10% bran distillate ointment, etc., choose 1 of them, 2-3 times a day for external use. Non-glucocorticoid anti-allergic topical preparations can also be used, such as 5% ethoxybenzalix ointment (trade name Edith), 5% -10% sodium cromoglycate cream or ointment, 2-3 times a day for external use, 2-4 weeks as a course of treatment.

For hypertrophic stubborn skin lesions, you can use anti-inflammatory pine urea ointment, 0. 1% de-inflammatory pine dimethyl sulfoxide solution; the above ointment can also be packed with plastic film or cellophane, once a night; you can also use a hard ointment containing glucocorticoid hormones to stick to small pieces of hypertrophic skin lesions.

(4) Secondary eczema infection: such as secondary bacterial infection, in addition to using anti-infectious wet compress such as 0. 05% berberine solution wet compress, can be used glucocorticoid antibiotic mixed preparations, such as triamcinolone acetonide chloramphenicol cream for external use, or add 2% mupirocin ointment (trade name Baiduo) or 2% fusidic acid cream (trade name Ristin) or 1% erythromycin ointment for external use, 2-3 times a day; such as secondary fungal infection, can be combined with external antifungal drugs. Commercially available glucocorticoid, antifungal drugs and antibiotic mixed external preparations, such as Picone cream, Perisone ointment, compound Connor cream, etc., can be selected as appropriate. (5) Glucocorticoid intradermal injection: for small pieces of hypertrophic and stubborn damage and numismatic eczema, such as 2. 5% -5% Prednisolone Acetate Suspension or Triamcinolone Acetonide Suspension or Betamethasone Injection (trade name Deborosone, 1ml contains Betamethasone Dipropionate 5mg, Betamethasone Sodium Phosphate 2mg) plus an equal amount of 1% -2% procaine or 2% lidocaine for local closure injection in the lesion or superficial dermis. Multi-point injection is appropriate. The dosage depends on the size of the skin lesion. Prednisolone Acetate Suspension is injected once every 1-2 weeks, and the latter two drugs are injected once every 3-4 weeks for a total of 3-4 times. It should be noted that side effects such as local skin atrophy occur. 3. Systemic therapy (1) Antihistamines: Traditional antihistamines have a central sedative effect, such as chlorphenamine, 4-8mg, taken orally 3 times a day; decloxazine, 25mg, taken orally 3 times a day; cyproheptadine, 2mg, taken orally 3 times a day. New-generation antihistamines have few or no side effects such as central sedation and dry mouth, and can also be selected. Such as cetirizine, 10mg or levocetirizine (trade name Youze), 5mg, oral once a day, loratadine (trade name carretan), 10mg or desloratadine (trade name Enlis) 5mg, oral once a day, imidazolastine (trade name Dicillin), oral once a day, you can choose 1-2 of them as appropriate. Safer drugs for children are 0. 2% diphenhydramine syrup, dosage 1ml/kg daily, divided into 3 oral; or chlorphenamine, 2mg, oral 3 times a day. (2) Non-specific desensitization treatment: 10% calcium gluconate, 10ml or sodium thiosulfate, 0. After dissolving 64g with 10ml of water for injection, intravenous injection once a day; or combined with 5% -10% glucose solution 500ml plus vitamin C2.0-3.0g, intravenous drip once a day; also can use diammonium glycyrrrhizinate (trade name glycyrrhizin) 150mg or compound glycyrrhizin injection (trade name Meineng) 40-60ml, add 5% glucose solution 500ml, intravenous drip once a day, 1-2 weeks for 1 course of treatment. (3) Glucocorticoids: can quickly control symptoms, but it is easy to relapse after stopping the drug, so it is generally not recommended to apply.

Only in patients with severe acute eczema, extensive rash or eczema erythroderma, when other treatments are ineffective and there are no contraindications to glucocorticoid use, it can be selected as appropriate, such as prednisone for adults, 30-40mg/d, divided into 2-3 oral doses, or dexamethasone 5mg, once a day intramuscular injection or intravenous jug, gradually reduce the dose to complete withdrawal after the disease is relieved; Betamethasone injection can also be used, 1ml intramuscular injection each time, once every 3-4 weeks, 2-3 injections depending on the condition.

Be careful not to reduce or stop the drug too quickly, so as to avoid the phenomenon of rebound and repeat the disease.

(4) Tripterygium wilfordii preparations currently use Tripterygium wilfordii polyglycoside tablets, 20mg, orally 3-4 times a day.

Related Posts

mi limits in weight management treamtent obesity

mi value?

How to calculate the is an indicator to measure the metabolic level of the human body, which can reflect the health of the human body. The normal range…

10 steps korean skin care night routine

The top ten Korean skin care product rankings go?

The top ten Korean cosmetics rankings include Sulwhasoo, Whoo Hou, He Yan, Yisi, Ohui, Mengzhuang, Yueshifengyin, Laneige, Su Mi 37 °, Chunyu. The following introduces 5 products 1….

younique daily skin care routine

Which brands are there on Atlantis Shopping Avenue?

Atlantis Shopping Avenue is a famous commercial district on Hainan Island, China, which gathers many well-known domestic and foreign brands. Here are some of the brands on Atlantis…

best oil control skin care routine

How to use Yasar tea tree oil control water?

First, wash your face first. For oily skin, use an oil control facial cleanser to wash your face with warm water. Draw circles on your face to thoroughly…

best drug store skin care routine

Which step should glycerin be used in skin care?

1. Put it behind the lotion when using: Skin care glycerin is used after skin care, that is, behind the lotion. 2. Just apply it directly: Generally, the…

uriage skin care routine

How to wear adult diapers?

1. First hold the two ends of the diaper and stretch it for 2 or 3 times. When you see the three-dimensional protective enclosure standing up, put the…

Leave a Reply

Your email address will not be published. Required fields are marked *