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Auxiliary criteria (most common): the onset of the disease at an early age (up to 2 years); fungal and frequent purulent and herpetic skin lesions; positive reactions to allergen testing, increased blood levels of general and specific antibodies; drug and / and food allergy, occurring in an immediate or delayed (up to 2 days) type; Quincke's edema, recurrent rhinitis and/or conjunctivitis (80%).
Typical for adults are frequent recurrences of atopic dermatitis under the influence of many external factors, moderate and severe course.
The disease can gradually move into a more or less long-term remission, but almost always the skin tends to itching, excessive peeling and inflammation. Atopic dermatitis on the face in adults is localized in the periorbital zone, on the lips, in the region of the wings of the nose, eyebrows (with hair loss).
In addition, the favorite localization of the disease is in the natural folds of the skin on the neck, on the back surface of the hands, feet, fingers and toes, and flexion surfaces in the joints. The main diagnostic criteria for skin manifestations of atopic dermatitis in adults: Severe itching in areas of sildenafil pills. Skin thickening. Dryness, peeling and weeping. Strengthening the picture. Papular rashes, eventually transforming into plaques. Detachment of significant limited areas of the skin (in the elderly).
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Skin lesions in atopic dermatitis are often complicated by lymphadenitis, especially inguinal, cervical and axillary, purulent folliculitis and furunculosis, skin lesions with herpes virus and papillomaviruses, fungal infection. Often develop blanching, softening and loosening of the lips with the formation of transverse cracks (cheilitis), conjunctivitis, periodontal disease and stomatitis, pallor of the skin in the eyelids, nose and lips (due to impaired capillary contractility), depression.
Unlike children, exacerbations usually occur after neuro-emotional overstrain and stressful situations, exacerbations of other chronic diseases, and taking any medications. With increasing age, the foci acquire a local character, the skin becomes thick and rough, and more flaky.
The goals of therapeutic intervention are: maximum reduction in the severity of symptoms; ensuring long-term control over the course of the disease by preventing relapses or reducing their severity; change in the natural course of the pathological process.
In adult patients with atopic dermatitis, unlike children, only complex treatment is always carried out, based on the removal or reduction of the effect of provoking factors, as well as on the prevention and suppression of allergic reactions and the inflammatory processes caused by them in the skin.
Elimination measures, that is, to prevent the entry into the body and the removal from it of viagra for sale of an allergenic or non-allergenic nature that increase inflammation or cause an exacerbation of the disease. In particular, most patients should take vitamins with caution, especially "C" and "B" groups, which cause allergic reactions in many. Preliminary carrying out of various diagnostic tests and other researches on identification of allergens is necessary.
The use of external anti-inflammatory therapy, which provides for getting rid of itching, treatment of secondary infection and restoration of the damaged epithelial layer. Treatment of concomitant diseases - foci of chronic infection in the body; allergic rhinitis and conjunctivitis, bronchial asthma; diseases and dysfunctions of the digestive organs (especially the pancreas, liver and gallbladder); complications of dermatitis, for example, neuropsychiatric disorders.
It is based on the exclusion from the diet of products: causing allergies; not being allergens for a particular patient, but containing biologically active substances (histamine) that provoke or intensify allergic reactions - histamine carriers; these include substances that are part of strawberries and strawberries, soybeans and cocoa, tomatoes, hazelnuts; having the ability to release histamine from the cells of the digestive tract (histaminoliberins), contained in citrus fruit juice, wheat bran, coffee beans, cow's milk.