Atopic dermatitis: calming the skin
Why the skin barrier is central, what basic care achieves and which therapies exist for flare-ups.
Atopic dermatitis occurs in flare-ups and is often more of a burden than the visible signs suggest. The key lies in the skin barrier.
What happens in the background
The skin barrier is disturbed: it loses too much moisture and lets irritants penetrate more easily. The immune system overreacts, inflammation develops – and that damages the barrier further. A cycle that treatment interrupts at several points.
Basic care is not a side issue
Consistent, re-lipidising moisturising – even in symptom-free periods – is the single most effective measure. It lengthens the calm phases and reduces the need for anti-inflammatory therapy. Richer in winter, lighter in summer.
Treatment during a flare-up
- cortisone-containing topicals, used correctly and for a limited time
- calcineurin inhibitors, especially on the face and thin skin
- modern systemic therapies in severe cases
- light therapy in selected cases
The fear of cortisone is widespread – used correctly, it is safe and effective. Correct application matters more than avoidance.
Identifying triggers
Common ones are wool on the skin, sweating, dry heated air, stress, certain detergents and infections. Here too a diary is worthwhile.
What we work out together
A plan for calm periods and one for flare-ups – so you know what to do before the next flare-up comes.