A. atopic dermatitis (eczema) WHAT?
Chronic, recurrent, pink-colored, textured surface that are itchy rash. Active lesions all over the body
or in a common area may be limited. They are pink, sulantıl, itchy lesions may form.
As a result of excessive scratching can be infected. The continuous improvement of the lesions recurred or
skin thickening in the period, creases, peeling and darkening of color may be. disease
The age of onset varies according to the distribution of lesions in the body.
1 Infantile (in infancy) Atopic Dermatitis:
Occurs in children between the ages of 2 months-2. Lesions especially on the face (cheeks often), scalp,
neck, back, knee or elbow regions occurs. During this period, the disease began three years
recover or forward in childhood can continue.
2 Childhood Atopic Dermatitis:
Is seen between the ages of 2-12. Skin lesions often in front of the elbow, knee, back, neck, wrist and foot
is seen on the wrist. Dryness of the skin areas where the lesion, streaking, tearing and itching are.
Period 3 adults in Atopic Dermatitis:
Continuation of childhood atopic dermatitis or skin starting the first time between the ages of 12-20
may manifest as disease. Skin lesions are often located behind the elbows and knees in front. sometimes
may be in the hands. Generally streak on the skin, causes thickening and brown color.
Sometimes the skin around the eyes and around the mouth, dryness and may be accompanied by loss. often chronic
courses.
The findings may be associated with atopic dermatitis:
· Hand and foot base line to become evident
· Dark Under Eye shadows
· Cheek, back, arms and legs pale demarcated regions
· Infants with atopic dermatitis or allergic rhinitis, asthma in later years may be
Atopic Dermatitis (Eczema) How is it treated?
1.Koruyuc Measures:
Of these patients, excessive dry skin. Skin dryness can cause exacerbation of symptoms. Thus
It is extremely important to moisten the skin continuously. Also they normal soap
You should not use. Of cream soap is recommended. Sweating is increased complaints, particularly
It is recommended to be careful in hot weather. Research any allergens that cause the symptoms (
cow's milk, eggs, such as house dust mite) is detected, it was recommended by doctors to refrain from allej
measures must be taken.
2.İlaç Treatment:
1.Kaşınt inhibitors (antihistamines-syrups, tablets)
This is the major complaint of patients is itching. For the disappearance of these symptoms your doctor
during periods of exacerbation of complaints that suggest the drug should be used.
2.Lokal Corticosteroids (ointments, creams)
During periods of active lesion of skin lesions externally as a thin layer on your doctor
considering the proposed duration of use is applied. These drugs recommended by doctors and skin moisturizer
After moistening should be applied.
B. Urticaria (hives) and / or angioedema (diphtheria)
Which significantly limits the pink color, which may sometimes mid-breath, the elevated, itchy, diameter of a few
ranging from millimeters to a few centimeters into the skin rash called hives. This rash
in any part of the body may be. Angioedema is often eyelids, lips and tongue as
In some parts of the face, swelling of the skin and subcutaneous layer status. Angioedema color
It does not change and there is no itching. Rarely larynx (inlet region of the trachea) or pharynx (
toward the entrance of the dining area) in the angioedema hoarseness, difficulty in breathing, such as
may cause a serious statement. Urticaria and angioedema sometimes be seen together in the same patient.
Urticaria and Angioedema Types of Clinical What are they?
1 Acute Urticaria and Angioedema: Recipes sudden emergence of the typical itchy rash
situation. Lesions usually disappears within 24 hours, but again intermittently for a period of 6 weeks
may occur. Sometimes it may be accompanied by urticaria, angioedema.
2 Chronic Urticaria: Recurrent urticaria and angioedema of the table to take longer than 6 weeks
If it is called chronic urticaria. Drugs, food additives, allergens, parasites or other
Some infections may cause. In 10% of patients, but the factors that cause can be determined.
3 cholinergic urticaria: Center of the situations that cause body temperature to rise (hot shower, or
As exercise) is case of occurrence of eruptions in a few minutes.
4 Physical Urticaria:
1.Demografizm: Hard with a pointed object or nail to scratch the skin within a few minutes following
plotted is the situation created in the region bulging pink. In patients with acute or chronic urticaria
There is often pressure urticaria.
2.Basınç Urticaria:
1 Early type of pressure urticaria: the skin that occur within a few minutes after application of pressure
red, burning rash that is a condition of the formation. Generally, it takes 30 minutes.
2 Delayed pressure urticaria: a pressure to the skin following the application of long-term (a heavy bag
Prolonged shoulder hanging strap, obtained transporting luggage, such as prolonged sitting) 30 minutes and 9
hours in an area subjected to pressure is a condition where the formation of debris. Sometimes fever,
tremors, headaches may be associated.
1 Solar Urticaria: Strong light or to ultrviyol (sun rays) after exposure to light several
urticarial lesions occur in minutes or a few hours situation.
2 Cold Urticaria: After contact with cold air or cold water, a burning sensation on the skin within minutes
The cases of urticaria that is. Sometimes, fainting, headache, respiratory distress, head
may be accompanied by dizziness and pulse rate. Which can occur several hours after contact with the cold
There are clinical forms. After diagnosis of these patients do cold to swim
should be avoided.
3 Adrenergic Urticaria: People of situations that create psychological stress, followed by a few millimeters
sized pink rash is a state of emergence in groups.
1 Contact Urticaria: People sensitive skin comes into contact with a substance that caused
an urticarial rash. In recent years, most accused substances is LaTeX. Latex surgical gloves and
It is a product that is used in many medical supplies. In people with latex allergy, latex-containing materials
After medical intervention severe allergic condition called urticaria to anaphylaxis, ranging from
reactions may occur. Persons diagnosed to be allergic to such a strong recognition by appropriate tests
and medical attention should be put before the necessary measures should be taken.
2 exercise-induced urticaria: People allergic skin rash after doing the exercise to be
state. Sometimes accompanying angioedema, bronchospasm (shortness of breath, wheezing), hypotension, and syncope
I might.
Urticaria and Angioedema How recognized?
1. Absolute Alma and Approaches:
Accompanied by one skilled urticaria and occurrence time of the reaction, shape, duration, and
received about triggering factors detailed history is the most important part of the diagnosis. Also the patient's
all other possible factors which may cause rash (environmental conditions, the use of drugs, his
conditions, etc) should be considered carefully. This story needs to be taken by an allergy specialist.
2.Spesifik Approach:
After taking a detailed history, careful physical examination should be performed. According to the type of urticaria (acute, chronic
or other types of urticaria) patients required laboratory tests are required.
Urticaria and Angioedema How is it treated?
1.Eliminasyo's: Onset of symptoms perceived to have caused or determined by tests food,
pharmaceutical, and other materials avoiding the factors is recommended. They are suitable for use in place of
provides information about the patient. If the infection is treated. Patients who experience severe reactions in the emergency
If they were able to exercise their preparations containing epinephrine is recommended.
2.İlaç Treatment:
1.H1 receptor antagonists (antihistamines) (syrups, tablets): The most important drugs in the treatment group
drugs. 1 and 2 within the H1 receptor blockers generation drugs are divided into two groups. a
groups of drugs alone or combined use of two drugs is sometimes necessary as
There are methods of treatment. Doses of these medications as recommended by your doctor and you need to use as possible.
2.H2 receptor blockers (tablets): H1 receptor blockers did not respond to treatment with sufficient
In cases of allergists recommend added to treatment with drugs.
3.Kortikosteroid (tablets, injection) for the treatment of severe acute reactions or other resistance
a single dose or for a certain time, which necessarily must be used under medical supervision
drugs.
Adrenergic agents (injection): urticaria or angioedema, which may cause difficulty in breathing accompanied
larynx applied immediately in the case of drugs. Who had recurrent attacks of angioedema
the patient can carry it with these drugs, in case of sudden respiratory tract obstruction arm subcutaneous injection
application öğretilirç drug dose syringes are prepared in the commercial presentation (Epipen, Anahelp).
