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An 8 Year Old Child with Recalcitrant Atopic Dermatitis

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Clinical Cases in Integrative Dermatology

Part of the book series: Clinical Cases in Dermatology ((CLIDADE,volume 4))

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Abstract

An 8-year-old child presents to the office with her mother for evaluation of recalcitrant atopic dermatitis. She has had eczema since the age of 3, currently has a diagnosis of mild intermittent asthma, and seasonal allergies to pollen and ragweed. She has been managed by her primary care doctor with mild topical steroids (1 and 2.5 % hydrocortisone) as needed, but this is no longer sufficient to control her symptoms. She is primarily bothered by itching, which is worse at night and not very responsive to oral diphenhydramine. She also feels that her skin is more red and flaky than before.

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References

  1. Pfab F, Huss-Marp J, Gatti A, Fuqin J, Athanasiadis GI, Irnich D, et al. Influence of acupuncture on type I hypersensitivity itch and the wheal and flare response in adults with atopic eczema—a blinded, randomized, placebo-controlled, crossover trial. Allergy. 2010;65:903–10.

    Article  PubMed  CAS  Google Scholar 

  2. Lee KC, Keyes A, Hensley JR, Gordon JR, Kwasny MJ, West DP, et al. Effectiveness of acupressure on pruritus and lichenification associated with atopic dermatitis: a pilot trial. Acupunct Med: J Br Med Acupunct Soc. 2012;30:8–11.

    Article  Google Scholar 

  3. Agero AL, Verallo-Rowell VM. A randomized double-blind controlled trial comparing extra virgin coconut oil with mineral oil as a moisturizer for mild to moderate xerosis. Dermatitis. 2004;15(3):109–16.

    Article  PubMed  Google Scholar 

  4. Evangelista MT, Abad-Casintahan F, Lopez-Villafuerte L. The effect of topical virgin coconut oil on SCORAD index, transepidermal water loss, and skin capacitance in mild to moderate pediatric atopic dermatitis: a randomized, double-blind, clinical trial. Int J Dermatol. 2014;53(1):100–8.

    Article  PubMed  Google Scholar 

  5. Msika P, De Belilovsky C, Piccardi N, et al. New emollient with topical corticosteroid-sparing effect in treatment of childhood atopic dermatitis: SCORAD and quality of life improvement. Pediatr Dermatol. 2008;25(6):606–12.

    Article  PubMed  Google Scholar 

  6. Verallo-Rowell VM, Dillague KM, Syah-Tjundawan BS. Novel antibacterial and emollient effects of coconut and virgin olive oils in adult atopic dermatitis. Dermatitis. 2008;19(6):308–15.

    PubMed  Google Scholar 

  7. Stewart AC, Thomas SE. Hypnotherapy as a treatment for atopic dermatitis in adults and children. Br J Dermatol. 1995;132:778–83.

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Reena Rupani .

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Rupani, R. (2015). An 8 Year Old Child with Recalcitrant Atopic Dermatitis. In: Clinical Cases in Integrative Dermatology. Clinical Cases in Dermatology, vol 4. Springer, Cham. https://doi.org/10.1007/978-3-319-10244-3_10

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  • DOI: https://doi.org/10.1007/978-3-319-10244-3_10

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-10243-6

  • Online ISBN: 978-3-319-10244-3

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