Treatment of dermatitis depends upon the cause of the condition. Some of the cornerstones for treating dermatitis are avoidance of irritants, wet compresses and corticosteroid creams. Use of topical corticosteroids should be for short term only. It can be discontinued once the rash is under control, to increase effectiveness of treatment and to reduce the side effects like thinning of skin. Non-steroidal medicines are also useful in treating some types of dermatitis. Using anti-histaminic drugs that are easily available over the counter can help in reducing the itching in dermatitis.
Contact eczemaTreating contact dermatitis should include identification of the causative factor responsible for it, followed by the removal of the cause. Topical agents containing hydrocortisone or other stronger steroidal agents along with wet dressings over the cream can help in effective treatment of the condition.
The treatment objective in this condition should be to control the itching and to prevent further exacerbation of the skin condition. Various options for treating this condition are topical agents containing hydrocortisone, wet compresses along with the use of anti-anxiety or anti-depressant medications. Proper counseling of the patients is also required in some cases to help the patients to understand and prevent the emotions or behaviors that can aggravate itching and scratching. It is beneficial for the patients to cover the affected part with a dressing. This helps the patients in avoiding scratching the part.
The first choice of treatment for treating this condition is medicated shampoos. Shampoos containing tar, salicylic acid, ketoconazole or pyrithione zinc as active ingredients are beneficial for treating this condition. Lotions or creams containing hydrocortisone can be used for the treatment of non-scalp Seborrheic dermatitis. Drugs affecting the immune system of the patient, like immuno-modulators, can be used in this condition. Anti-inflammatory and antifungal medications are particularly useful in the effective management of Seborrheic dermatitis.
However, prolonged use of immuno-modulator drugs affects the immune system and can be harmful for the normal functioning of the body. Hence, Food and Drug Administration has recommended using Elidel or Protopic only if the other modes of treatment have failed to treat the condition. These drugs can also be used if other medications cause side effects in the patients or are not tolerated well by the patients. Treatment of Seborrheic dermatitis usually involves the use of topical agents. However, use of Pixel laser can also help in reducing the levels of Malassezia on the face. Pixel laser can be used for skin resurfacing of the skin and helps in creating polished appearance over the skin.
Treatment of static dermatitis includes the correction of the underlying condition that is responsible for accumulation of fluids in legs and ankles, etc. for a prolonged period. Other treatment options of this condition include surgical therapy for varicose veins and wearing of elastic support hose. Use of wet dressings for softening the thickened skin that is yet fragile can help in relieving the condition. It also helps in controlling the infections.
Perioral dermatitis Treatment of atopic dermatitis should be aimed at reducing the redness and itching of the skin. Apart from this, healing the cracks in the skin that are prone to infections is also essential. Use of lotions containing hydrocortisone, along with wet dressings having mild astringent properties can be very useful. Immuno-modulator medications like Pimecrolimus or Tacrolimus can be used for effective management of this condition. Apart for this, light therapy involving exposure of skin to regularized amounts of artificial or natural light can be used for the prevention of occurrence of atopic dermatitis.
Use of strong corticosteroids for treating this condition is generally not advised by doctors. This is so because once these medications are stopped, the symptoms of the condition may reoccur, leading to a severe exacerbation of the condition. Use of oral antibiotics like tetracycline can also take many months for relief of the condition. Mild corticosteroid lotion or cream can be helpful in treating this condition.