Atopic dermatitis secondary prevention

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Shalinder Singh, M.B.B.S.[2]

Overview

Secondary prevention applies to the patients with diagnosed atopic dermatitis. Its main goal is to reduce the severity of presentation of skin lesions as well as the use of medical therapy in treating atopic dermatitis.

Secondary Prevention

Secondary prevention involves protecting and restoring the epidermal skin barrier function including:[1][2][3][4][5]

  • Patients should:
  • Abstain from using soap, cosmetics, dyes, fragrances and detergents.
  • Wash new clothes before wearing them.
  • Keep air temperature around 18–22°C.
  • Avoid frequent and sudden climate changes.
  • Use air humidifiers in winters.
  • Avoid excessive exposure to UV radiations and use SPF sunscreens.
  • Apply of emollients every 6 hours

References

  1. Oszukowska M, Michalak I, Gutfreund K, Bienias W, Matych M, Szewczyk A, Kaszuba A (December 2015). "Role of primary and secondary prevention in atopic dermatitis". Postepy Dermatol Alergol. 32 (6): 409–20. doi:10.5114/pdia.2014.44017. PMC 4697018. PMID 26755903.
  2. Cork MJ, Danby SG, Vasilopoulos Y, Hadgraft J, Lane ME, Moustafa M, Guy RH, Macgowan AL, Tazi-Ahnini R, Ward SJ (August 2009). "Epidermal barrier dysfunction in atopic dermatitis". J. Invest. Dermatol. 129 (8): 1892–908. doi:10.1038/jid.2009.133. PMID 19494826.
  3. Cho JS, Xuan C, Miller LS (December 2010). "Lucky number seven: RNase 7 can prevent Staphylococcus aureus skin colonization". J. Invest. Dermatol. 130 (12): 2703–6. doi:10.1038/jid.2010.294. PMID 21068735.
  4. Arndt J, Smith N, Tausk F (July 2008). "Stress and atopic dermatitis". Curr Allergy Asthma Rep. 8 (4): 312–7. PMID 18606083.
  5. Ständer, Sonja; Ropper, Allan H. (2021). "Atopic Dermatitis". New England Journal of Medicine. 384 (12): 1136–1143. doi:10.1056/NEJMra2023911. ISSN 0028-4793.