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Eczema / Atopic Dermatitis Eczema Diagnosis Atopic Dermatitis


Physical Examination Acute Poorly defined erythematous patches, papules, and plaques with or without scale. Edema with widespread involvement; skin appears “puffy� and edematous. Erosions: moist, crusted. Linear or punctuate, resulting from scratching. Secondarily infected sites: S. aureus. Oozing erosions and/or pustules (usually follicular). Chronic Lichenification (thickening of the skin with accentuation of skin markings): results from repeated rubbing or scratching. Fissures: painful, especially in flexures, on palms, fingers, and soles. Alopecia: lateral one-third of the eyebrows as a result of rubbing. Characteristic infraorbital fold in the eyelids (Dennie-Morgan sign).


Eczema treatment & examination Laboratory Examinations Current Treatment Herose Treatment

O

Bacterial Culture Colonization with Staphylococcus aurous is very common in the nares and in the involved skin; almost 90% of patients with severe AD are secondarily colonized/infected. Look out for methicillin-resistant Staphylococcus aurous (MRSA). Viral Culture Rule out herpes simplex virus (HSV) infection in crusted lesions (eczema herpeticum). Blood Studies Increased IgE in serum, eosinophilia.


Eczema treatment & examination Laboratory Examinations Current Treatment Herose Treatment

O The most common treatment is the application of

lotions or creams to keep the skin as moist as possible. These treatments are generally most effective when applied directly after bathing (within three minutes is a common recommendation) so that the moisture from the bath is "locked in." Cold compresses applied directly to itchy skin can also help relieve itching.


Eczema Treatment & Examination O

Laboratory Examinations Current Treatment Herose Treatment

The Herose Derma-zema is approved as a Chinese Proprietary Medicine in Singapore developed by a group of doctors headed by a military surgeon and dermatologist, Dr. Tang Jinghua, who has over 30 years of experience in Chinese medicine practice. Based on his rich clinical experience, Dr. Tang believes that what is commonly known as that variety of cold syndrome (insufficiency of both the Pi and the Shen) and stasis of body blood caused immune system disorder and he adopts the therapeutic method of tonifying the yang and promoting blood circulation and eliminating dampness to enhance and regulate immune system to treat eczema.


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