
Elbow fold eczema: atopic dermatitis or contact eczema?
the bend of the elbow is a frequent location of the’fold eczema. So he touches the kneethe pegthe wrist and the elbow sure.
“Eczema of the elbow folds is a localization that mainly affects children from the age of walking, explains Dr. Solange Moore, pediatrician at the Polyclinic du Parc in Saint Saulve. Adults are sometimes affected as well. »
Eczema of the elbow folds is one of the localization of the atopic dermatitis or constitutional eczema.
What is atopic dermatitis?
It’s about a chronic inflammatory skin disease which evolves in spurts. It occurs a favorable genetic background the development of allergies as a result of exposure to various allergens like the pollenthe animals… “There are families where we find atopic dermatitis,asthmaof hay fever “warns the pediatrician. Indeed, it is estimated that between 50 and 70% of children with atopic eczema have a mother, father, sister or brother who has been affected.
Does elbow fold eczema go away?
Good news ! This eczema tends to gradually disappear. » Its frequency decreases markedly at puberty where there is only 20% young people who suffer from it, then again between 4 and 5% in adulthood “, reassures the doctor.
« It is characterized by inflammatory lesions, red, itchysometimes oozingat the level of elbow folds », Details the pediatrician.
These lesions can be superinfectsr because, when the itching are intense, the child scratches through these clothes. The lesions can also thicken, become dry. They are then lichenified.
Can this eczema be prevented?
Several things can be put in place to limit as much as possible the risk of developing a atopic eczema or, at least, limit the number of crises and their intensity.
Opt for the breast rather than the bottle
« It is necessary, if possible, to privilege breast-feeding rather than the bottle of infant milk », recommends Dr. Moore.
A 2019 study by researchers from the Children’s National Health System shows the benefit of exclusive breastfeeding for at least the first three months of life. The latter limiting the risk of major flare-ups of eczema.
Prefer clothes made of natural materials
» The oldest boy is irritating and can be itchy, so best to avoid it,” advises Dr. Moore. For children suffering from eczema, we prefer natural materials such as cotton. « And for the underwearworn next to the skin, we also favor the White rather than colors,” adds the doctor. The less the clothes are colored, the more the risk of allergies is reduced.
And for the rest of the clothes, we check the labels when buying and we opt, there too, for natural materials: cotton, linen, silk…
Perform a double rinse
The French Eczema Association recommends the following advice:
• Prioritize the machine wash who leaves less laundry stains than that done by hand.
• Wash at 30 or 40 degrees.
• Opt for hypoallergenic cleansers and suitable for babies. Their formula is safer.
• Use detergent safely small quantity.
• Do not overload the machine to improve rinsing.
• Schedule a double rinse when possible on the machine. This action makes it possible to perfectly remove traces of detergent from the laundry.
Avoid pets
If, before having a child, there was already a dog, cat, rabbit or hamster at home, there is no question of getting rid of it.
« On the other hand, if there were no pets, we don’t bring them into the house in the presence of a child suffering from eczema, » advises Dr. Moore.
What precautions should be taken when the animal is already there? Think about vacuum daily ; ideally, prevent the pet from having access to the child’s roomthink about brush the dog or cat several times a month and preferably outdoors.
There are several things to put in place, both in terms of hygiene and care.
A shower rather than a bath
“It is better to give a quick shower, rather than a bath for her child, recommends the pediatrician. And once a dayr except is enough. » We preferably choose a syndet (dermatological bar or liquid gel), without soap or perfume.
In case of sports practice having led to sweatyou can take a shower right after, sweating can aggravate or cause a flare-up ofeczema.
After the shower we also think of dry the child wellespecially at the level of the folds, and by dabbing the skin with a towel and not by rubbing.
Hydrate the skin
Daily, it is important to moisturize the skin well with a emollient cream to be applied between once and twice a day.
During crises, thehydration of the skin with an emollient cream is not enough.
« It is then necessary to use a topical corticosteroid cream », explains the doctor.
Its concentration differs according to the age of the child. The cream treatment topical corticosteroids should be continued until the complete disappearance of the eczema flare-up.
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Biotherapy: a new treatment for eczema
« For severe cases of eczema in adults which do not respond to conventional treatments based on topical corticosteroids or calcineurin inhibitors, hospital teams, only on special prescription, offer treatment with biotherapy », explains the Dr Moore.
The latter is practiced by subcutaneous injection every 15 days for several months.
Biotherapy is a treatment of biological origin: based on DNA, cells, proteins, antibodies, the purpose of which is to block the inflammation linked to eczema.
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