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MISSION STATEMENT FOR ECZEMA: PSORIASIS PATIENTS
Our
skin is often perceived as the window to who we are. It is only
human to judge others by their appearance; therefore we are often
identified by our skin condition or imperfections, or even the
color of our skin.
The largest human organ isn't the liver, the kidneys or the lungs;
it's the skin. Our skin is our front line protection against the
outside world. The skin guards our internal organs against
sunburn, dirt, bacteria, and other dangers.
As our body's largest organ, the skin is also the first to react
to change. A number of factors can affect the skin.
The mission of the International
Eczema-Psoriasis Foundation is to gather in one place information pertinent to eczema and psoriasis and to
make the information helpful and easy to read and implement. The information provided has been found on
in medical books and the web, and Dermatological Journal articles about the 156 various forms of dermatitis,
and the 10 major terms describing eczema, and the six major terms describing psoriasis. Many dermatologist
intermix the terms of eczema and psoriasis. We do not provide medical advice as you should always consult your
dermatologist to diagnose the symptom that you are experiencing.
There are approximately 176 different skin conditions. Here
is a short list of some of the most common:
1) Dermatitis is a general term that describes an itchy skin with rashes or inflammation
of the skin. There are different types of dermatitis, including seborrheic dermatitis and atopic dermatitis (eczema).
Though the disorder can have many causes and occur in many forms, it usually involves swollen, reddened skin. Dermatitis
is a common condition that is not life-threatening or contagious. But, it can make you feel uncomfortable and self-conscious.
A combination of self-care steps and medications can help you treat dermatitis. Learn
more about dermatitis and Dermatitis-Ltd III.
2) Psoriasis (sore-EYE-ah-sis) is a skin condition that occurs when the cells of the skin grow too quickly. The faulty signals
from the immune system causes the skin cells to form in days rather than weeks. The body does not shed these excess skin cells, rather
it will pile the new forming cells up on the surface of the skin and lesions form. There are ways to treat this condition, you can found
more information at Psoriasis-Ltd III
3) Eczema is a common skin disorder. Symptoms of eczema include dry, rough, red, itchy, skin dryness, crusting, flaking,
blistering, cracking, oozing or bleeding skin and scaling of the skin. One of the most common symptom is the itch, which is a side effect of eczema.
This site contains a lot of useful information to the various types of eczema. A product that we find most useful is the
Eczema-Ltd III
Here we will generally touch base on some the most common type of psoriasis, eczema and dermatitis out there. Also you can
follow the link to learn more about the different types:
PSORIASIS:
- Palmoplantar Psoriasis can affect areas such as the palms of the hands and the soles of the feet.
The appearance of these condition is flaky patches of skin that crack and bleed. Sometimes this may be confused with plaque psoriasis.
- Plaque Psoriasis appears as red lesions covered with white scales. This is the common form of psoriasis. It
can appear on any skin surface, but has a tendency to be located at the areas where the body bends, such as the knees, elbows and so on.
- Guttate Psoriasis is uncommon, only affecting about 2% of psoriasis patients ranging from young children to
adults younger then 30. the appearance looks like as small, drop-shaped red patches, and is usually found the arms and legs.
- Inverse Psoriasis also known as Flexual psoriasis, which appears as smooth inflamed lesions on the skin. Common
locations where this condition is found at the armpits, groin, under the breast. Due to the location of this type of psoriasis treating it can be difficult
- Erythrodermic Psoriasis appears as scaly red skin which can be all over the body, its accompanied by severe itching
and also can be very painful. It can develop pretty much right after birth for children.
- Pustular Psoriasis appears as a large red area containing pustules. There are pretty small in size roughly 1-2 mm in diameter
. This usually affect the palms of the hands and the soles of the feet. May not itch like the others do, but can be somewhat discomforting
to walk or to write.
- Psoriatic Arthritis is psoriasis accompanied by arthritis. Psoriatic arthritis generally affects the fingers and toes,
but it can involve the wrists, lower back, knees and ankles. This usually appears between the ages of 30 & 50.
- Scalp & Ear Psoriasis is psoriasis appearing on the scalp or ears. For the scalp, it can be located around the hair line, and it can look like
dandruff. The ear can have thick, flaky looking skin on, either on the back of the ear or even in the inner ear.
- Nail Psoriasis can affects the finger nails or toe nails. It mostly looks like small pits in the nail. In some cases the nail can become discolored to a
yellow tint and become really thick
DERMATITIS:
- Contact Dermatitis is caused by physical contact with an irritant or allergens. Many laundry soaps contain chemical additives which are the
actual irritants.
- Atopic Dermatitis is a hereditary dermatitis thought to be caused by an allergic reaction. This condiction causes itchy, inflamed skin. It can
affects ares such as the inside of the elbows, back of the knees and the face.
- Stasis Dermatitis is dermatitis of the leg area due to poor circulation. Some of the general characteristics are scaly, greasy looking skin often
on the lower legs, mainly around the ankles. It can occur with varicose veins.
- Seborrheic Dermatitis appears as flaking of the skin, it is also known dandruff. This condiction does seems to run in families.
Seborrheic dermatitis can be unpleasant and uncomfortable, and is usually unattractive. It can disappear spontaneously and suddenly reappear, for no known reason.
- Neurodermatitis is dermatitis caused by repeated scratching or chafing. It can be triggered by tight clothing, or clothing that can scratch the
skin. Some contributing factors to the scratching is stress, anxiety, dry skin, just to name a few.
ECZEMA
- Contact Eczema is eczema caused by physical contact with an irritant or allergens. This can be brought on by different allergens
The main symptoms are, redness of the skin, weeping, pain, heat, scaling, dryness. These are the most common.
- Light Sensitive Eczema is caused by exposure to sunlight. The location is typically on the face, hands and arms. Light sensitive
eczema has a variety of factors. Such as genetic disorders, blister, porphyria and a few more.
- Juvenile Plantar Eczema is caused by footwear usually during puberty. The appearance is where the soles of the feet become
red, hot and sore. This condition is generally found in young boys between the ages of 3-15. It has a tendency to be more severe in the summer months
- Eczema Craquele skin has a "crazy paving" appearance, occurs in oder people who have a thin or dry skin
The appearance looks like the skin is cracking with fissures, accompanied by redness. This also seems to be worst in the winter months where there is
less humidity in the air.
- Eczema Herpeticum is caused by herpes simplex virus, this can be potentially life-threatening skin disorder
Eczema herpeticum appears in small clusters and looks like blisters or ulcers. These are initially filled with a clear fluid but this turns to pus.
- Atopic Eczema is an inherited condition thought to be caused by an allergic reaction and is is the commonest form of
eczema and is closely linked with asthma and hay fever. It can affect both children and adults, usually running in families.
It is estimated that one in three people are affected by atopy
- Infantile Eczema ("cradle cap") is a temporary eczema in babies. Cradle cap is a crusting and scaling rash
found on the scalps of many healthy babies. Although this type of eczema looks unpleasant, it is not sore or itchy and does not cause the baby to
feel uncomfortable or unwell.
- Adult Seborrheic Eczema is thought to be caused by a yeast and usually affects adults between the ages
of 20 and 40. The symptoms that characterize adult seborrheic eczema include skin lesions, a greasy or oily appearance to the affected areas of skin,
scaling as the skin begins to flake, white and flaking or yellowish, oily, and adherent "dandruff", plaque which may include the scalp, eyebrows, nose,
just to name a few. Mild redness and hair loss may also be present.
- Varicose Eczema is caused by poor circulation in the legs. It can appear later in life, and triggered by
steroids, topical antibiotics, lanolin and also preservatives in various preparations.
- Discoid Eczema appears in coin-shaped areas on the skin, is usually found in adults and appears as a few coin
sized shaped areas of red skin, normally on the trunk or lower legs. Hot weather and stress can increases the discomfort of this condition.
- Dyshidrotic Eczema appears as itchy blisters, and is intensely itchy blisters on the hands, fingers and soles
of the feet. The cause of this is not fully understood but in some cases there is a history of allergic reaction to nickel.
The hope of every person suffering from a chronic skin condition is
for a real cure, but at this writing there isn't one in sight. The
clinical management of this disease remains quite complex, with much
trial and error required. It's always a good idea to look into any
rumored new therapy, whether you actually try it or not. And if you
do try it, don't be too put off by apparent failures, or too ecstatic
at what appear to be promising results. Although your disease is
stubborn, it is also manageable. This information sets forth current
opinions from recognized authorities, but it does not dictate an
exclusive treatment course. Persons with questions about a medical
condition should consult a physician who is knowledgeable about that
condition.
Specific
strategies to employ:
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Do
your homework- ask questions before you begin the new
treatment. "Knowledge is Power"
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Use
your support networks. Ask your friends with eczema, psoriasis or dermatitis if they
have experience with the therapy.
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Look
carefully at the product's ingredient list, printed on the
package. There should also be a Product Insert (PI) sheet for
all FDA-approved prescription drugs. If you do not get one,
ask your pharmacist, prescribing physician, or check the
Physician's Desk Reference (PDR), available in most public
libraries. Most PI's are also available over the Internet.
A good
pharmacy is an important source of health information. When
filling your prescription, the pharmacist will double-check to see
that the drug is the right one, and should offer instructions on
how to use the medication properly. If the ingredients of a
product you are considering aren't fully disclosed on the label,
beware. If all ingredients are stated, you can usually track down
why they are included, and what they do. Drugs and pharmaceutical
products must designate the name of the "active
ingredient"-the therapeutic agent. The rest of the
ingredients are usually helpers which make the product
easier to use or carriers to place the active ingredients into as the
active ingredients would be too strong by themselves. Also carriers act as a
base or sometimes assist in penetration into the membrane, organ or skin.
And sometimes they carriers or base assist or help in extending the shelf life or
useful life of the product. In creams or lotions, there will be emulsifiers, preservatives, perfumes, or
dyes. Unfortunately, any of these non-active ingredients can cause
irritation or allergic reactions for sensitive or allergic skin.
Ointments (also called "greases") don't need these, as a
rule, because most active drugs against eczema mix well with
ointments. After a little experience, you will become expert at
reading labels.
Pick a
specific day to start the therapy. Try to pick a time that will
minimize the possibility that other things happening in your life
may cause misleading results. If you're a woman, don't start the
therapy while you are menstruating, as hormonal changes may affect
your eczema. Avoid consuming alcohol or engaging in activities
which may cause dehydration. Be aware that other drugs
(prescription or not) can mask a therapeutic effect of the new
regimen, or could possible have an adverse effect when combined
with a new therapy.
If you
hope to replace an existing therapy with a new one you've never
tried, start the new one on a part of your body that is relatively
free of eczema, to eliminate the possibility that something in it
may cause allergic contact eczema, thus making your problems
worse. Or better still, mark a small area where you will try the
new agent and then only apply it there, using your regular regimen
everywhere else. Once you've tried this for a day or two, try the
new therapy on one side of your body and the old one on the other.
Be
patient! Results may not be immediate. The healing process takes
several days.
Remember
that treating skin disease is a mixture of both science and art,
and fine-tuning may improve the outcome, even with relatively
small changes. It's best to make these in close partnership with
your trusted provider. A small proportion of persons with eczema
will learn that their disease is primarily based on an allergic
reaction to something. Indeed, the hope of every person with
eczema is for a real cure, but at this writing there isn't one in
sight. The clinical management of this disease remains quite
complex, with much trial and error required. It's always a good
idea to look into any rumored new therapy, whether you actually
try it or not. And if you do try it, don't be too put off by
apparent failures, or too ecstatic at what appear to be promising
results. Although your disease is stubborn, it is also manageable.
This information sets forth current opinions from recognized
authorities, but it does not dictate an exclusive treatment
course. Persons with questions about a medical condition should
consult a physician who is knowledgeable about that condition.
ALLERGIC CONTACT ECZEMA
Contact eczema can be divided into two distinct problems, which are defined as allergic
contact eczema and direct irritant contact eczema.
Allergic contact eczema refers to exposure to acids, alkaline mixtures, detergents and various
other chemicals that acutely inflame the skin. Allergic contact eczema can become chronic with
repeated exposure. Allergic contact eczema is caused by exposure to an allergen that sensitizes
the skin leading to acute inflammation when re-exposure occurs. A crucial distinction between
the two is that prior exposure to the agent is necessary for allergic contact eczema to occur
whereas direct irritant contact eczema can occur at the first exposure. For example, most people
will develop eczema on first exposure to strong chemicals that are acid or alkaline in nature.
Allergic contact eczema is not as common as irritant contact eczema.
The three main differences between an allergic and irritant contact eczema are:
- An irritant will cause a reaction in everyone who comes in contact with it, while an allergen
will trouble only those people with the greatest susceptibility for developing allergic reactions.
- Allergic contact dermatitis always results in red vesicles that combine to form moist patches. An
irritant contact eczema seldom manifests itself as red vesicles, which combine to form moist patches.
- There will be no immediate effect from an allergen. An allergic reaction to an irritant takes time to
develop. When it does, itching is a prominent symptom. The skin effect from an irritant will be almost
immediate - from stinging or burning to caustic burns.
Allergic contact eczema is a red, itchy, weepy reaction where
the skin has come into contact with a substance that the immune system recognizes as foreign, such as
poison ivy or certain preservatives in creams and lotions. For some reason, more women than men suffer
from allergic contact eczema. A rash may take a week or more appear after the first contact with whatever is
acting as the allergen. The rash first appears only at the site of skin contact with the allergen. Later it
often spreads and may involve skin well away from the contact site. This is because the immune cells become
activated and migrate out through the bloodstream to other areas of the body.
The cells of the immune system work in various ways in skin disease. The rash that occurs after being
stung by nettles happens within minutes of contact. It is due to the release of chemicals such as histamines
by immunity cells within the skin layers. This is known as immediate hypersensitivity. This is what happens
in irritant contact eczema.
Slower-acting forms of response by the immune system occur because the population of cells that react against
the invading substance or organism (allergen) needs to be built up from a small number of 'memory' cells that
recognize the allergen. Over two or three days these cells give rise to others that in turn switch on other
defense mechanisms such as the release of chemicals that attract the scavenger cells of the immune system.
Because of the lag between initial contact and subsequent reaction, this is called delayed hypersensitivity.
The skin reactions underlying allergic contact eczema are of this type.
It is not known why some substances are particularly prone to causing contact allergies, but some of the
common culprits include:
- Nickel: a white metal often used in jewelry, belt buckles, jean studs, metal watch straps, and bra fasteners.
Many other metals can also cause reactions.
- Perfumes: Balsam of Peru is one such component of fragrances, which can cause contact allergies.
- Rubber and Related Chemicals: used in shoes, tires and clothing
- Potassium Dichromate: used in cement, leather and matches
- Hairdressing Chemicals (paraphenylenediamine)
- Medications: used in lanolin, neomycin (antibiotic), fusidic acid (antibiotic), steroid creams and cetearyl
alcohol (used in emollient creams)
- Epoxy Resins: found in glues used in hobbies, woodworking, and glass fiber construction
- Colophony: a resin from spruce trees, used in sticking plaster adhesive
- Plants: both by direct contact and by contact with airborne particles
A wide variety of foods are known to potentially cause skin reactions. These include but are not limited to:
- Sugar
- Flour/dough
- Citrus fruits and their peels
- Other fruits and vegetables
- Spices, herbs, seasonings (e.g. horseradish, mustard, garlic)
- Fish and seafood
- Meat and poultry
Sometimes the cause and effect relationship is obvious, with a red scaly reaction around an earring or under a watchstrap. At other times, especially if a long time has passed since the initial exposure and sensitization, it may be impossible to distinguish contact allergic from other types of eczema.
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