ABSTRACT
Eczema is the most common and earliest allergic disease in infancy,which seriously affects the quality of life of infants.In recent years,the incidence of infant eczema has been on the rise and there is no radical cure.This article reviews the etiology of eczema,the concept and the mechanism of food intolerance associated with food-specific IgG,and the relationship between infant eczema and maternal food-specific IgG detection,and discusses the literatures about avoiding eczema and improving the mechanism of eczema in lactating mothers,aiming at helping to solve the problem of eczema partially from the source,reducing the pain of recurrent eczema in infant,and avoiding or reducing the adverse reactions to the babies.
ABSTRACT
Objective To investigate the clinical efficacy of topical corticosteroids combined with fusidic acid cream in treating infantile eczema.Methods Four hundreds cases of infantile eczema in the outpatient department of our hospital from March 2012 to January 2015 were collected and divided into observation group (220 cases) and control group (180 cases).The observation group received topical corticosteroids combined with fusidic acid cream,while the control group was treated only by topical corticosteroid.The medication time reaching to clinical cure,effect maintenance time during 30 d observation period and recurrence rate were recorded in the two groups.Results During the 30 days of observation, 50 cases of infantile eczema withdrew from the study,17 cases in the observation group and 33 cases in the control group.The average medication time in the observation group was (2.2±0.9)d,which was shorter than (3.2±1.1)d in the control group.The effect maintenance time during observation period in the observation group was (11.7±5.4) d,which was longer than (7.2±4.0)d in the control group,the difference was statistically significant(P<0.05);74.0% of recurrent cases during the observation period in the observation group manifested by mild eczema,while 57.8% in the control group manifested by mild eczema and had no need to use corticosteroid,the improvement of symptoms during recurrent period for the patients in the observation group was better than that for the patients in the control group,the difference was statistically significant (P<0.05).Conclusion Topical corticosteroids combined with fusidic acid cream for treating infantile eczema can reduce the medication time,prolong the effect maintenance time,and alleviate the recurrent symptoms.
ABSTRACT
0.05). 73.96% of eczema were taken place at the age of 1～6 months, 13.02% were at the age of 6 months to 2 years, and 13.61% were at the age of 2～3 years. The incidence of eczema is also relevant to feeding patterns, which is 62.23%, 23.08% and 14.79% respectively by breast-feeding, mixed feeding and artificial feeding. Some other factors that relevant to the onset of eczema also have been found in the study, such as constitution, weather, genetic background, and so on. Conclusion Feeding pattern, genetic background and some other factors were relevant to the onset of eczema.
ABSTRACT
La Roche Posay, a spa, is situated along the Creuse river and it is one of the fortresses of Rome. More than ten thousand skin disease patients from Paris and other cities visit here every year. Among those patients, 38% are women, 32% are men and 30% are children 6 month and older. As for the types of the skin diseases, eczema (inculding atopic dermatitis) accounts for 30% of total patients, psoriasis for 45%, acne for 7%, and rosacea for 4%. Other diseases inculd scar (from burn), bed-sores, ichthyosis, lichen planus, keratodermia palmo-plantaris, special prurigo, and stomato-dermatitis. Physico-chemical character of spring water is as follows: simple spring, 13°C, pH 7, evaporated residue 550mg, <i>T. H. (Titre Hydrotimétrique ou Dureté)</i> 38°, HCO<sub>3</sub> 370mg, <i>oligo-éléments</i> Se 45μg and Zn 10μg. The bathing treatments involve approximately 30 minutes in water temperature of 28-38°C, and amin colorings can be used for the treatment, in order to prevent infections. By using bottles with one liter or more, plenty of water is drunken as the drinking spring water. As for the hydrotherapy, <i>la douche (la pulvérisation, la douche filiforme, la douche intense)</i>, athletic exercises in the water, massages and <i>shiatsu</i> are performed, depending on the type of the skin disease. Special medicine for external use which contains spring water are manufactured at pomade manufacturing plants within the area, and used. Those medicines do not inculde preservatives or perfume, and are not mixed with steroid or non-steroid medicines. As for the playing therapy and psycho-somatic therapy, La Roche Posay has an amusement park for children, an athletic field and a library. There are also organizations which deal with the planning of group therapy. Treatment cost is covered by health insurance. Honorarium to doctors and treatment cost at the <i>thermes</i> is paid immediately by health insurance, with a copayment of 30 to 50%. The staying cost can be paid as “<i>prise en charge</i>” by submitting receits and the travel expenses can be discounted by S. N. C. F. (National Railway Company in France). The spa therapy of skin diseases in France, generally, is carried out under protectionism, contrariwise, it, as a rule, is carried out under the policy of training, in Japan.