Atopic dermatitis or Eczema is a chronic condition of the skin which may improve and then recur over time.  Many patients who have atopic dermatitis also have other allergic condition including food allergy, environmental allergies or asthma, but some patients with atopic dermatitis do not have another allergic condition.  Atopic dermatitis is usually a dry, scaly, itchy skin condition.

What causes Atopic Dermatitis or Eczema?

Each patient may have different triggers or causes of their rash.  Common triggers include allergens including foods and pet allergens.  Eczema may be triggered by harsh detergents or soaps, by additives in lotions and by certain fabrics.  Eczema often worsens during an acute infection such as a cold or the flu.  Emotional stress can also trigger eczema.  Finally, for some patients the trigger or cause is unclear, but the rash can still be treated effectively.

How is Atopic Dermatitis treated?

Eczema or Atopic Dermatitis is treated with a combination of techniques to maximize skin hydration with anti-inflammatory treatment as well.  For some patients, treatment of skin infection or bacteria overgrowth is also important.  Finally, for many patients suppressing the "itch-scratch" cycle of Eczema is critical for improving the condition of the skin.

What is the natural history or prognosis of Atopic Dermatitis?

For the majority of children with Eczema or Atopic Dermatitis, the rash will progressively improve and may entirely resolve by age 5.  For a smaller group of patients, they will continue to have the rash for many years and possibly for their entire life.

Why should I treat my Atopic Dermatitis?

Treatment of Eczema/Atopic Dermatitis improves quality of life and sleep quality.  Treatment also decreases the risk of skin infections.