43. Atopic Dermatitis

Protocols

Clinical features:


1.Chronic itchy lesion 

2.Family history positive

3. Relapsing & Remission in nature

4. Face & flexural surface involvement 



D/D:

  • Contact Dermatitis
  • Seboeehic Dermatitis

Treatment:

🗒️Rx:

1.Skin:Aclobet ointment/cream( [post id="559" title="Clobetasol"])(0.05%) ..3 times daily ....1 month 

2. Face: Unicort cream(1%) ([post id="547" title="Hydrocortisone"])2 times daily....21 days 

3.Tab.Rupa([post id="542" title="Rupatadine"]) (10mg) ০+০+১.....১ মাস

4. Tab.Famotack([post id="395" title="Famotidine"])(20mg)

1+0+1......10days

5.Emolent ([post id="543" title="Emolent"])... 3/4 times daily

6. Use lip balm & vaselin 3-4 times 

If not improved :

1.Facid-BT([post id="540" title="CLICK"])..2 times daily ...4-8 weeks .

2.Remus ointment ([post id="549" title="Tacrolimus"]) ...2 times daily ...2-3 month

For 2ndry  infection:

 Tab.Phylopen-DS([post id="405" title="Flucloxacillin"]) (500mg) 1+1+1..... 7 days  

Or

Tab.Cefotil plus([post id="404" title="Cefuroxime"])

1+0+1......7 days

বাচ্চাদের skin oily রাখতে হবে 

কি কি দিয়ে oily রাখা যায় 

১)নারিকেল তেল 

২)olive oil 

3)luquid parafin

4)urea


🔯Advice:

1.Moisturize your skin at least twice a day.

2.Apply an anti-itch cream to the affected area.

3.Take an oral allergy or anti-itch medication. 

4.Don't scratch. 

5.Take a warm bath. 

6.Choose mild soaps without dyes or perfumes.