Living with Eczema : Mom Asks, Doc Answers!, 2014, pp.137-144
A lot of the features of atopic dermatitis (AD) in children count for adults. These include features of symptoms, mechanisms, triggers and treatment. AD is mainly a disease of childhood, with the highest prevalence in young children. Most children grow out of AD, dependent on severity and triggers (allergy induces more persistent lesions). Allergic reactions, mainly to house dust mites, seem to be the major maintaining factor, leading to persistence of AD into adulthood. Therefore, AD in adulthood is mainly AD that persisted through childhood, through puberty and into adulthood. Usually adults with AD were former children with severe AD, house dust mite allergy and severe colonisation of the skin with Staphylococcus aureus . Other types of AD in adults are late onset AD, which is uncommon, and contact dermatitis, which is more common in adults than in children. Taken together, AD in adults is characterised by severe bacterial colonisation and by an underlying house dust mite allergy. Food allergy is by far less common. Moreover, skin lesions are mainly consequences of past bacterial infection and scarring, resulting in pigment abnormalities (hypo- and hyperpigmentation).
Part 2 Living With Eczema
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