The Curbsiders Internal Medicine Podcast #79 Dermatitis: Atopic to Remember w/The DermSiders
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Jan 22, 2018 Dr. Kalman Watsky, a clinical professor of dermatology at Yale, dives deep into the world of dermatitis. He explains how atopic dermatitis can evolve over time and offers tips on avoiding irritants like fragrances in soap. Watsky demystifies patch testing and highlights its importance for diagnosing work-related dermatitis. He also discusses practical patient counseling strategies and treatment options, including the use of topical steroids and innovative therapies like bleach baths and phototherapy. A must-listen for anyone interested in dermatological health!
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Atopic Dermatitis Mechanism
- Atopic dermatitis combines a leaky skin barrier with immune overreaction causing chronic itch and rash.
- The "itch that rashes" means scratching itself generates lesions, driving ongoing disease.
Moisturize Right After Bathing
- Advise patients to pat dry and apply moisturizer immediately while skin is damp after bathing.
- Negotiate moisturizer choice and offer samples so patients actually use and adhere to therapy.
Wet Dressing And Occlusion Tips
- Use open wet dressings or occlusive therapy to cool inflamed skin and enhance topical absorption.
- Avoid cotton gloves overnight because cotton soaks moisturizer away from skin.
