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Eczema (Atopic Dermatitis)

Atopic dermatitis is a very itchy chronic skin condition that can affect people of all ages. It is commonly known as eczema. Atopic dermatitis is most prevalent in childhood and is associated with a family history of asthma, seasonal allergies and pencillin allergy. Although atopic dermatitis may resolve over time, many individuals experience occasional flares into adulthood.

atopic dermatitis
Picture 1: Wide spread Alopecia Areata

Diagnosis

Actinic keratoses develop in sun-exposed areas. A single or several lesions may be present. The signs and symptoms of an actinic keratosis include a rough or scaly, flat to slightly raised bump that ranges in color from red to brown. Intermittent itching, burning or tenderness in the affected area can occur. Actinic keratoses are readily diagnosed upon professional evaluation. Rarely, further testing is needed, such as a skin biopsy, where a small sample is collected and sent for microscopic analysis.

Management

When atopic dermatitis is active treatment with a topical steroid is often needed to achieve control. A topical steroid is not to be used for extended periods of time or to prevent flares. A two week course should be sufficient to quiet a flare. Taking an oral antihistamine can also be effective in controlling itch. For very severe widespread flares a course of oral steroid (prednisone) may be needed.

The key to managing atopic dermatitis is proper daily skin care. It is important to bathe with a gentle soap in cooler water and to apply a moisturizer liberally after bathing. Avoiding irritating fabrics such as wool can also be helpful. In some children food allergies may play a role and evaluation by an allergist may be necessary.

Prevention

Since atopic dermatitis flares can be triggered by extremes in heat or cold, rapid temperature fluctuations and sweating, maintaining environmental temperature without excessive humidity or dryness is ideal. Clothing should be constructed of non-irritating absorbent material. Clothing should be laundered in fragrance-free and dye-free detergent and rinsed well. The use of dryer fabric softener sheets should be avoided.

Excessive bathing should be avoided. Excessive washing can strip the skin of oils. Key to prevention is the use of gentle soap, cooler water and liberal daily application of moisturizer. Bubble baths should be avoided since the detergent can be drying to the skin.

Stress can also sometimes stimulate an atopic dermatitis flare. Ensuring opportunity for adequate rest can be helpful. Stressful life situations should be managed with professional guidance or relaxation techniques such as yoga.

Seeking treatment from a qualified health care provider at the onset of activity can prevent widespread flares.

How can we help you?

SKIN

# of surveys: 3749
Last updated: 05/18/2017 4:45 PM,

PATIENT RATINGS

Would you recommend us?

definitely
93.1%
probably
6.16%
maybe
0.58%
not likely
0.08%
no
0.02%

Compare our service to other similar practices

excellent
87.9%
very good
10.1%
good
1.8%
poor
0.06%
very poor
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Overall doctor performance

excellent
94.2%
very good
4.89%
good
0.80%
poor
0.03%
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The doctor listened to you attentively

excellent
93.9%
very good
4.97%
good
1.05%
poor
0.05%
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The doctor took time to answer your questions

excellent
94.0%
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good
1.27%
poor
0.02%
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The doctor explained treatment options

excellent
94.3%
very good
4.16%
good
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poor
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very poor
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The doctor explained treatment options

excellent
92.0%
very good
5.69%
good
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poor
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Front desk performance

excellent
85.6%
very good
10.2%
good
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poor
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very poor
0.08%

Aesthetician performance

excellent
88.6%
very good
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good
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Office comfort

excellent
90.9%
very good
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good
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Parking

excellent
66.4%
very good
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good
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poor
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0.9%

Friendliness of the staff during appointment

excellent
90.9%
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good
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What WE DID WELL

(Answers:674)

all people very nice.

#12017-08-07

Every aspect was oustanding, most importantly the expertise of the physician.

#22016-10-19

aNDREA AND DR RINGFEIL WERE ABS0LUTELY TERRIFIC AND VERY FRIENDLY

#32016-11-10

How nice and welcoming everyone is!

#42017-05-22

The entire staff was very kind. Linda made me feel safe throughout the procedure.I also enjoyed the art which was beautifully displayed.

#52012-12-14 09:58:48

Patience and Politiness

#62017-01-19

Office atmosphere was wonderful, which made the experience that much better. It was nice to see Dr. Ringfeil in a not so hectic setting (like Jefferson Dermatology!)

#72016-11-05

Friendliness of all staff.

#82017-06-11

The professionalism of the staff and doctor. Everyone was easy to talk to and my questions were answered.

#92017-07-15

the office looks great, doctor is very nice and helpful

#102017-07-19

What can we do better?

(answers:373)

Service was excellent, keep up your service as is.

#12016-12-06

I am completely satisfied with the current level of service and really can't think of anything that you could improve upon. This survey is a good thing.

#22010-10-13 09:38:13

I think everything was wonderful. Keep up the good work!

#32011-02-22 09:25:17

Information for patients to take on latest findings/research in the field

#42017-09-12

less waiting time in the room

#52017-08-05

smile more

#62010-09-09 10:34:11

any information on services provided for enhancing skin apperance

#72017-08-04

move closer to home

#82010-11-08 09:51:29

Provide some written information for questions asked. I can't remember everything said.

#92017-04-15

Everything was wonderful - no complaints at all!

#102017-07-20
Customer Rating : 4.3

Based on 33 ratings