Atopic dermatitis, also known as eczema, is a common skin condition that affects around 10-20% of children and 1-3% of adults worldwide. It causes itchy, dry, and inflamed skin patches that may appear anywhere on the body.

The exact cause of atopic dermatitis is still unknown, but it is generally considered a combination of genetic and environmental factors. Although there is no cure for eczema, there are many treatments available that can provide relief from its symptoms. However, some of these treatments may also have harmful side effects, particularly when applied at the epidermal level.

What is atopic dermatitis?

Atopic dermatitis is a chronic inflammatory skin condition that is characterized by red, itchy, and scaly skin patches. It may crack, weep, and become infected if left untreated. Atopic dermatitis is more common in children, but it can also affect adults.

The exact cause of eczema is still unclear, but research suggests that it may be linked to a combination of genetic, environmental, and immunological factors. For example, people with a family history of atopic dermatitis, asthma, or hay fever may be more likely to develop eczema.

Treating eczema at the epidermal level

Treating atopic dermatitis typically involves controlling its symptoms, such as itching, inflammation, and dryness. These symptoms often occur at the epidermal level, which is the outermost layer of the skin.

Therefore, many treatments for eczema are designed to target the epidermis. Such treatments may include:.

Topical corticosteroids
Topical calcineurin inhibitors
Emollients and moisturizers
Antihistamines
Phototherapy

Why treating eczema at the epidermal level can be harmful

Although treating atopic dermatitis at the epidermal level can be effective in relieving its symptoms, it can also have harmful side effects, particularly with long-term use. For example:.

Topical corticosteroids can cause skin thinning, striae, telangiectasias, and acneiform eruptions, especially when used on the face, groin, and axillae.
Topical calcineurin inhibitors can cause burning, stinging, and itching sensations in the skin. They may also increase the risk of developing skin cancer, lymphoma, and other malignancies.
Emollients and moisturizers can clog pores and exacerbate acne, eczema, and other skin conditions.
Antihistamines can cause drowsiness and cognitive impairment, especially in older adults. They may also interact with other medications and lead to adverse drug reactions.
Phototherapy can cause sunburn, premature aging, cataracts, and skin cancer if not administered properly.

Alternative treatments for atopic dermatitis

Due to the potential harmful effects of treating atopic dermatitis at the epidermal level, many people with eczema seek alternative treatments that are more natural and less invasive. Such alternative treatments may include:.

Wet wrapping
Hypnotherapy
Acupuncture
Probiotics
Dietary changes

Conclusion

Atopic dermatitis is a common skin condition that can cause significant discomfort and distress to those affected by it.

Although treating eczema at the epidermal level can be effective in relieving its symptoms, it can also have harmful side effects, especially with long-term use. Therefore, it is important to consider alternative treatments that are less invasive and may provide comparable relief from eczema symptoms.

If you have atopic dermatitis, talk to your healthcare provider about the various treatment options available and which ones are best suited for your individual needs and circumstances.