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Atopic dermatitis in children

What is Xerosis and what causes it?

Xerosis in dermatology we call what is commonly known as dry skin. Dry skin can have many causes and also these causes can vary according to age. It is not the same in an elderly person, who are normally patients who have an inability to synthesize lipids well, have an increase in transepidermal water loss, that causes dry, cracked, fissured skin that causes itching. In children, on the other hand, the most frequent cause of dry skin is atopic dermatitis, the well-known Atopy, which is a disease that has a genetic background and is caused by an alteration in the formation of the skin barrier. They genetically have a problem synthesizing the cement that would bind skin cells together.

 

What are the main symptoms?

The main symptom that Xerosis produces, dry skin, is itching. The itch induces the person to scratch, injuries, erosions, linear injuries are created many times by that wound that is self-inflicted. And with these injuries many times what that patient induces is eczema, inflammation, causes dermatitis in those scratching areas and also many times with it the over-infection of these injuries, with which we often see children with eczema, scratching , about infected and that it is a vicious cycle since it itches more. When a patient scratches a lot or rubs a lot in the same area because it causes a lot of itching, the skin has a defense mechanism that is lichenification, which becomes plumper, and that is even worse because it is a vicious cycle that causes that the skin itches much more,

 

Does it affect children more often?

Xerosis in children mainly appears in atopic dermatitisand atopic dermatitis is a disease that in the last three decades has experienced an increase of up to 20% in incidence in neighboring countries, generally industrialized countries. It is the second cause of visiting the dermatologist at these ages. The reason why it affects pediatric age more than adults is probably because the cause of atopic dermatitis actually originates from a genetic disorder whereby these children are not able to synthesize mature skin, correct skin that serve as a barrier against external aggressions. And what usually happens is that slowly throughout the first years of life that skin matures and it already learns to create that barrier.

 

What does the treatment consist of?

The treatment of dry skin is basically hydration. One thing is hydration in maintenance, not in an acute outbreak of eczema, when there is already skin involvement and inflammation and dermatitis are already seen on the skin, which would be maintenance through grinding, moisturizing … we must even help sometimes with good hygiene products for the bathroom. Another thing is the outbreak treatment. The treatment of an atopic dermatitis, for example in an outbreak, when there is already that redness, that peeling, we must use treatment creams that would be based on corticosteroids many times, corticosteroids of very different strength, depending on the age of the child, on the location ; with very different vehicles, it is not the same to give a cream, a lotion or an ointment. And sometimes other types of treatments,

Clinical dermatology

Despite the fact that skin doctor delhi treats a large number of diseases, the most common are acne, rosacea, warts, all kinds of dermatitis, moles or skin inflammations produced by the hypersensitivity or reactivity of atopic skin.

·         Acne

Our protocol for the treatment of acne and its scars has been developed after years of experience and using the best technology. We combine oral treatment, lasers, peels formulated by our team of dermatologists and Kleresca® according to the patient’s needs.
Kleresca® is a treatment based on biophotonic therapy (the use of light for therapeutic purposes), which reduces the inflammation of the skin caused by acne, achieving a considerable improvement in its functionality from the first sessions. It is indicated to treat both adolescent and adult acne, and is a very beneficial technique for all those patients who are not candidates for certain topical or oral treatments.

·         Rosacea

Rosacea is a skin disease that presents inflammation of the facial capillaries.
Our specific protocol combines the genesis laser, the 600 nanometer light together with master formulas to finish it in a few months.

·         Dermatitis

Dermatitis is inflammation of the skin, it can have different causes and manifest itself in many ways. It usually produces an itchy rash on red, inflamed skin.
Skin affected by dermatitis may blister, ooze, crust, or flake. Within dermatitis, we highlight atopic dermatitis (eczema), dandruff and skin eruptions caused by contact with different chemical substances, such as aggressive cosmetics or synthetic fabrics that irritate the skin.
Dermatitis is a common condition that is not contagious, but it can make the sufferer uncomfortable and self-conscious.

·         Moles or dermatological lesions

Moles (also called nevi or nevus) are small, usually dark skin growths that develop from the pigment-producing cells of the skin (melanocytes).
When patients develop atypical moles, they should be biopsied to rule out possible melanomas.
Most non-cancerous (benign) moles do not require treatment, but those that are uncomfortable or pose a cosmetic concern can be removed with laser technology.

Also, the proportion of patients who are referred to the specialist is highly variable according to the studies. This depends on several factors, such as the experience of the PC doctor, their interest in skin diseases or the type of environment, since fewer patients are usually referred in rural areas than in urban areas 10 . The proportion of referrals obtained in our study is similar to that of other national and foreign studies 10 .

In conclusion, dermatological problems affect a large part of the population and represent a significant percentage of the reasons for consultation in PC. In addition, they represent a considerable volume of consultations for specialized care. This interest is a direct reflection of the economic problem that dermatology poses in the health system. The measures proposed to improve this situation would be: to increase the quality of the training of family residents, update and improve the training in dermatology of PC doctors and promote a greater dialogue between the PC doctor and the specialist. This would undoubtedly increase the quality of care and even with a relative decrease in the additional cost of poorly targeted diagnoses and treatments.

 

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