Neurodermatitis (atopic eczema, atopic dermatitis) is a chronic skin disease from the atopic group of forms and therefore often occurs together with hay fever or asthma. About 10-20% of children and 2-3% of adults suffer from this disease, in which genetic factors play a significant role. The risk of a child suffering from atopic dermatitis is 50% or 75% if one or both parents are affected by an atopic disease.
Symptoms of neurodermatitis
- While the localization and morphology of eczema often differ and even change at different stages of life, all patients describe a characteristic seizure-like, excruciating itch.
- Wool intolerance is also common.
In addition to the typical clinical appearance and a detailed questioning of the patients regarding their own and family history or predisposition, the physical examination is of decisive importance.
Special features are typical for patients suffering from atopic dermatitis:
- Hertoghe sign (thin, light outer eyebrows)
- Dennie-Morgan crease (transverse crease parallel to the lower eyelid)
- white dermographism etc.
- Infants should be fully breastfed for 6 months and only then given complementary foods.
- Smoking during pregnancy and smokers in the home increase the risk of children developing atopic dermatitis.
- In case of known allergies, the triggers should be avoided or reduced if possible.
Infections in neurodermatitis
Complications of atopic dermatitis can occur in the form of viral and bacterial infections of the skin and require urgent dermatologic treatment.
Therapy for neurodermatitis
An important component in the therapy of atopic eczema is the consistent moisturizing care of the skin (by shower gel, body lotion, etc.). In the event of an acute worsening of the disease, various local and also systemic therapeutic agents are available. Some patients also benefit from treatment with UV light.
We will be happy to advise you in our practice about the therapeutic measures that are suitable for you.