Is there a solution for atopic dermatitis? Are the drugs covered by health insurance? Doctor: "This treatment" has low side effects and does not damage the liver and kidneys
Suffering from “atopic dermatitis”, the skin has symptoms such as hot redness, itching and scratches, which not only makes the appearance unsatisfactory, but may also cause psychological problems? Dr. Zeng Hanqi from the Dermatology Department of Kaohsiung Chang Gung Memorial Hospital said that patients with atopic dermatitis often have severely inflamed, broken skin and are full of scars; the lesions affect their appearance and may also affect their mental state. If you apply for health insurance medicines for treatment early, it will help relieve inflammation and itching, and help you regain a free life and normal skin quality.
Is redness, swelling and scaling on the skin atopic dermatitis or psoriasis?
Dr. Zeng Hanqi said that atopic dermatitis is a chronic inflammatory skin disease. Together with allergic rhinitis, asthma, chronic sinusitis combined with nasal polyps, etc., they are all allergies caused by immune imbalance and excessive type 2 inflammatory reaction activity. disease. Atopic dermatitis is not contagious, but its symptoms of itching, redness, inflammation, and scaling are often mistaken for psoriasis or other diseases.
Dr. Zeng Hanqi pointed out that atopic dermatitis often occurs when the dry and wet seasons alternate, in summer, and on consecutive rainy days. The lesions especially appear on the limbs, joints, head and neck. There is a lot of dandruff and a moist feeling, and the skin easily exudes tissue fluid. . On the contrary, psoriasis tends to occur in dry and cold winters. The lesions are most common on the scalp, and may also grow behind the ears and limbs. The scurf is thicker and drier.
Dr. Zeng Hanqi said that there was once a man in the clinic who mistook atopic dermatitis for psoriasis and inappropriately took medication for 2-3 years. It was not until the clinic sought treatment and found out the cause that he was given biological agents based on the severity of the condition. Systemic targeted therapy can achieve long-term and stable improvement and control of symptoms.
Atopic dermatitis has many comorbidities! Is it hard for the whole family if one person is diagnosed?
Dr. Zeng Hanqi said that about 370,000 people in Taiwan seek medical treatment for atopic dermatitis every year, and about 80% of them occur before the age of 6, and about half of the patients continue into adulthood. When atopic dermatitis attacks, patients not only suffer from itching symptoms, which may affect their sleep, mood, quality of life, schoolwork, and work. If they are left unchecked for a long time or the disease is poorly controlled, they may also easily develop depression, childhood obesity, asthma, and nasal allergies. Comorbidity risk. In addition, adult patients also need to prevent increased complications of cardiovascular disease, hypertension, and malignant tumors.
What is easily overlooked is that atopic dermatitis affects not only the individual, but also the entire family and caregivers. Dr. Zeng Hanqi gave an example of a female junior high school student: The female student was diagnosed with atopic dermatitis right after she was born. In order to improve her symptoms, her parents even used a hydrolyzed formula for milk powder, kept the air conditioner on at home, and purchased a dehumidifier and purified air. Machines and other household items.
However, the female student still had a severe outbreak of atopic dermatitis 5 years ago. Dr. Zeng Hanqi said that the patient’s body was extremely itchy every day, her wounds were bleeding and the skin was broken, she could not sleep well every night, and her skin flakes were falling out. Her peers even looked at her strangely, which seriously affected the female student’s psychological state. Fortunately, on the advice of doctors, the female student’s parents allowed their daughter to receive biologic treatment, and they gradually regained their daughter’s cheerful smile.
There are many weapons for moderate to severe atopic dermatitis! Early treatment helps improve quality of life
Dr. Zeng Hanqi said that many parents think that if their children’s atopic dermatitis will get better when they grow up, they should ignore it. However, clinical practice still places great emphasis on early treatment, mainly to control the inflammation as soon as possible and improve the quality of life; furthermore, if the body is left alone, Persistent and recurring inflammation is associated with poorer future prognosis.
In fact, the treatment of atopic dermatitis has made rapid progress in recent years, especially for moderate to severe atopic dermatitis. Clinicians have more and more therapeutic weapons at their disposal. Among the newer systemic targeted therapeutic drugs, small Molecular drugs are in oral dosage form, but patients still need to draw blood regularly to monitor liver and kidney function; biological agents can be used in young children and adult patients, and there is no need to regularly monitor liver and kidney function, with low side effects.
As for whether the above drugs are covered by health insurance? Dr. Zeng Hanqi said that in addition to steroids and oral immunosuppressants, systemic targeted therapies are currently included in health insurance benefits. We appeal to patients with moderate to severe atopic dermatitis not to give up. As long as they fully communicate with their doctors and cooperate with their instructions, they can find a treatment strategy that suits them, control inflammation quickly, safely and continuously, and regain normal skin quality and a free life.
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