Eczemas
Contact Dermatitis
Atopic Dermatitis
Seborrhoeic Dermatitis

Eczemas

Eczemas is itching associated with inflammation of a sensitive skin.

Types of Eczema:
Endogenous
Atopic dermatitis
Seborrhoeic dermatitis
Asteatotic eczema
Allergic contact
Nummular eczema
Pityriasis alba
Photodermatitis
Lichen simplex chronicus
Pompholyx
Juvenile plantar dermatosis
Autoeczematization

Exogenous
contact dermatitis
Primary irritant
Infective eczema
Secondary eczematization,e.g. following scabies, pediculosis, insect bite allergy
Physical eczema
Radiational eczema
Statis dermatitis
Eczematous dermatophytosis
Dermatophytide

Atopic Dermatitis
Aetiopathogenesis
Genetic Predisposition
IgE and Other Immunoglobulins
Reduced Cell-mediated Immunity
Histamine
Beta-adrenergic Blockade Theory
Vascular Changes
Chemotactic Factor
Abnormalities in Essential Fatty Acid Metabolism
Role of Foods and Aeroallergens
Psychological Factors

Clinical Features
Infantile Phase
Childhood Phase
Adolescent And Adult Phase
Seborrhoeic Dermatitis
Asteatotic Eczema
This Type Of Eczema Is Frequently Associated With Dry Or Xerotic Skin
Lichen Simplex Chronicus
quently Associated With Dry Or Xerotic Skin
Lichen Simplex Chronicus

Contact Dermatitis

It may be classified as follows :

1 Irritant contact dermatitis.

Acute irritant dermatitis.
Cumulative insult dermatitis.

1. Allergic contact dermatitis.

2. Contact urticaria.

3. Photo contact dermatitis.

DIAGNOSIS OF CAUSE ( of eczema/ contact dermatitis/or atopic dermatitis problem)

First step in proper treatment of eczema/ contact dermatitis/or atopic dermatitis is accurate diagnosis of cause of this problem. So we first try to find out cause. We take detailed history, thorough nutritional counseling, physical examination, and examination of hormonal system. After that depending on likelihood of particular, cause relevant tests are done. At our centre we have the facility for all the diagnostic tests needed for the diagnosis of the cause of eczema/ contact dermatitis/or atopic dermatitis problems,. Thus you may consult us at our centre & at same time you may get all test done also. The time taken in getting all the reports ready is 36 hours. So if you are from out of Delhi, you may come here for two days.

DETAILED HISTORY

Onset: Sudden/gradual, Primary or Secondary, Response to previous therapy, Stress (physical or mental), H/O precipitation by some drugs, HT, trauma, Hypothyroidism / Hyperthyroidism .

INVESTIGATIONS i.e. DIAGNOSTIC TESTS

At our centre we have all the facility for complete investigation of cause of eczema/ contact dermatitis/or atopic dermatitis & other problems. So we perform following tests, step by step depending on their need based on history & examination.
The various diagnostic tests needed/performed are as follows: -

Step- I: Hormone Testing: Hormones are tested by latest-immunoassay techniques. Among above tests relevant hormones are tested in that particular patient depending on history examination &. Results are available in 36 hours. When we find out any of above hormone disorder simply correction of these hormone disorder corrects the eczema/ contact dermatitis/or atopic dermatitis problem in three months time.

Blood glucose & other systemic test as test for kidney, liver etc. done.

TREATMENT OF Eczema/ contact dermatitis/or atopic dermatitis

After diagnosing the cause of eczema/ contact dermatitis/or atopic dermatitis we prescribe medicines. The success of various drugs we use in eczema/ contact dermatitis/or atopic dermatitis problems depends on accurate diagnosis of cause. If empirical treatment is prescribed as most doctors do, it often does not achieves permanent cure. These eczema/ contact dermatitis/or atopic dermatitis tonics & ayurvedic medicines can improve your eczema/ contact dermatitis/or atopic dermatitis problem temporarily but they cannot give permanent cure.

We provide specific treatment for Recurrent eczema/ contact dermatitis/or atopic dermatitis.

Similarly Permanent cure provided for Resistant eczema/ contact dermatitis/or atopic dermatitis.

We also give certain Newer treatments in very Difficult cases.

Our treatment also takes care of Scars left over of previous eczema/ contact dermatitis/or atopic dermatitis.

TREATMENT

Treatment of Eczema
Topical application:
Steroid lotion
Calamine lotion
Zinc oxide cream
Topical corticosteroids
Hydrocortisone acretate
Alchlometasone dipropionate
Clobetason butyrate
Fluocinolone acetonide
Fluocortin butylester
Flumetason pivalate
Triamciolone acetonide
Amcinonide
Betamethasone valerate/dipropriate/benzoate
Budesonide
Desoximethasone
Diflucortolone
valerate
Fluocinonide
Fluticasone
Beclomethasone
dipropronate
Clobetason propionate.
polythelene occlusion at night
Zinc oxide and coal tar paste
Intralesional   injection of steroid Hydrocortisone, tramcinolone

Systemic drugs

1. Antihistamines
2. Antibiotics
3. Tranquilizers
4. Sedatives
5. Systemic steroids for fulminating Cases or in an acute emergency

Topical immunosuppressants
Antimicrobials
antipruritic measures
Tar
Natural moisturizing factor (NMF)
Barrier cream

Systemic Immune Therapy
Systemic corticosteroid therapy
ciclosporin
Azathioprine
Antihistamines
Doxepin
Pentoxiphylline
Phototherapy
Grenz rays.
Hyperhidrosis

Response to Treatment: As we have fully dedicated team of highly qualified, experienced, doctors, who are expert in field of eczema/ contact dermatitis/or atopic dermatitis treatment Response to treatment is very good. After finding the cause of eczema/ contact dermatitis/or atopic dermatitis by above tests it is cured in most patients in three months treatment. Eczema/ contact dermatitis/or atopic dermatitis is cured in many cases after correct diagnosis & treatment.

Seborrhoeic dermatitis

Usually occurs on face &,chest & back Treatment

Antifungal treatment
Corticosteroids
Combinationm therapy with antifungals and corticosteroids
Keratolytic therapy
Antibiotics

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