Regarding atopic dermatitis

Like allergic skin symptoms among COVID symptoms

Have you heard that there are symptoms where the whole body turns red and blotchy?

I was worried because of the recent news of the increase in confirmed cases and hearing about people around me testing positive,

I was even scared of the skin rash.

I thought it would be more concerning for those with pre-existing atopic dermatitis,

I brought this to share some related news.

They say it is good to avoid greasy and flour-based foods.

Please keep this in mind, and let's manage both COVID-19 and atopic dermatitis well!

Recently, the National Health Insurance Service announced the treatment status of atopic dermatitis patients using health insurance treatment data. Atopic dermatitis is a chronic inflammatory skin disease characterized by itching and dry skin as its main symptoms, and it typically begins in infancy. In fact, it was revealed that patients aged 9 and under accounted for the largest proportion at 28.0%.

The number of patients with atopic dermatitis increased by 1.3% annually, from 920,487 in 2018 to 971,116 in 2022. As of 2022, the largest group of atopic dermatitis patients was those aged 9 and under at 28.0%, followed by those in their 20s at 16.7% and those in their teens at 15.5%.

Professor Jin-Wook Lee of the Department of Dermatology at Ilsan National Health Insurance Service explained, “Atopic dermatitis is a chronic inflammatory skin disease that begins in infancy and follows a varied natural course, showing the highest prevalence in children and a tendency to gradually decrease with age,” adding, “The prevalence of atopic dermatitis in the United States has been reported to be 10–20% in children and 3–7% in adults.”

Diagnostic criteria for atopic dermatitis in Koreans
The Korean Academy of Atopic Dermatitis has established the 'Diagnostic Criteria for Atopic Dermatitis in Koreans,' consisting of three primary diagnostic criteria and 14 secondary diagnostic criteria characteristically observed in atopic dermatitis in Koreans. The primary diagnostic criteria include pruritus, characteristic appearance and location of dermatitis, and personal and family history of atopy.

Atopic dermatitis is characterized by the distribution and pattern of lesions varying with age. In patients under 2 years of age, it primarily occurs on the face, trunk, and extensor surfaces of the limbs, while in patients 2 years of age and older, it primarily occurs on the face, neck, and flexor surfaces of the limbs.

The 14 auxiliary diagnostic criteria are as follows: xerosis △pityriasis alba △eczematous lesions or pigmentation around the eyes △eczematous lesions around the ears △cheilitis △nonspecific eczema of the hands and feet △scalp scaling △periporeal skin protrusion △nipple eczema △pruritus with sweating △white dermatographism △positive skin prick test △increase in serum immunoglobulin E △increase in skin infection, etc.

For atopic dermatitis, treatment tailored to the symptoms is important.
For atopic dermatitis, moisturization is the most important basic treatment, and it is necessary to avoid irritants and allergens that can worsen skin symptoms. Topical steroids are the most fundamental treatment for localized skin lesions. Topical calcineurin inhibitors are also used effectively and, unlike steroids, do not cause side effects such as skin atrophy.

Antihistamines are primarily used to relieve itching. Oral steroids may be used if necessary. Immunosuppressants are used in patients with severe atopic dermatitis.

Recently, dupilumab, a biological agent capable of blocking specific cytokine signaling that causes atopic dermatitis, is being used for patients with chronic severe atopic dermatitis. It is reported to have excellent therapeutic effects.

Patients with atopic dermatitis must avoid 'this food'
Patients with atopic dermatitis have skin that is more sensitive than normal skin, so they must try to avoid irritants as much as possible. Soap, detergents, chemicals, wool and nylon clothing, and exposure to abnormal temperatures or humidity are typical skin irritants.

Foods to Avoid for Patients with Atopic Dermatitis There are also other options. Dr. Jin-baek Choi (Saenggi Korean Medicine Clinic), a consultant in Korean medicine at Hidoc, stated, “While parents of growing children may want to let them eat whatever they want, parents of children with atopic dermatitis must be careful about the food their children consume,” and introduced foods to avoid for those with atopic dermatitis.

First is greasy food. Fatty foods, such as fried or oil-coated foods, worsen the inflammation of atopic dermatitis. Orders.
Flour-based foods also require caution. Gluten, a component of flour, is an insoluble protein that exacerbates the symptoms of atopic dermatitis. If gluten is not digested, residues remain in the small intestine, weakening intestinal immunity and causing inflammation. does.
In children, food allergies are the cause of more than half of atopic dermatitis cases. Dairy products, nuts, and eggs are the leading causes of allergies.
Finally, instant food with large amounts of chemical seasonings and trans fats is fatal to people suffering from atopic dermatitis.

Advice = Hidoc Consulting Physician Dr. Jinbaek Choi (Doctor of Korean Medicine at Saenggi Korean Medicine Clinic)
[Source] : https://www.hidoc.co.kr/healthstory/news/C0000822688 | Hidoc