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    Eczema Care
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    DUKE MEDICINE
    Gregory M Metz, MD posted:
    Emerging research has shown that skin barrier dysfunction plays a central role in atopic dermatitis. Both the involved skin and even the normal skin has abnormal barrier function in patients with atopic dermatitis. This barrier dysfunction can lead to dry, inflamed skin which can make the atopic dermatitis worse. Incorporating routine skin hydration with lotions/emollients is an important part in atopic dermatitis skin care.
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    Aqua14 responded:
    Dr. Metz, I have otetn wondered whether allergic (atopic) individuals commonly have skin barrier dysfunction short of true atopic dermatitis (eczema).

    For example, I've noticed that I and my son, both allergic individuals, have skin that sometimes gets very dry and itchy. My son has periodic eczema flares, but I do not. We both have keratitis pilaris, which I understand is suspected by some medical professionals to have an atopic cause.

    What are your thoughts on this, and have you noticed this in your practice? Thanks for any additional comments. Judy
     
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    DUKE MEDICINE
    Gregory M Metz, MD replied to Aqua14's response:
    I have found that many allergic patients report dry skin symptoms. Some have mild forms of eczema. Keeping the skin moisturized can be helpful. I typically recommend applying hydrating creams/lotions/emollients to the skin after bathing with additional applications to involved skin. Ointments are particularly helpful to use before bed because they are sticky but effective.


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