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How adults learn to deal with neurodermatitis

Munich / Bonn. The decisive factor for the length of a neurodermatitis disease is when the skin disease first occurs. Rule of thumb: the younger, the shorter. About half of the children who developed neurodermatitis in the first year of life survived the disease after three years. That explains the Institute for Quality and Efficiency in Health Care (IQWiG) Gesundheitsinformation.de, In older children it usually takes longer for the disease to go away. However, the vast majority will not return.

Adults suffering from eczema

But there are neurodermatitis patients who never get rid of the annoying scratching – or who suddenly return after a long break. “It has nothing to do with dealing with the disease, it’s just bad luck,” says Munich dermatologist Christoph Liebich from the Professional Association of German Dermatologists (BVDD).

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Christoph Liebich is a dermatologist in Munich and a member of the professional association of German dermatologists (BVDD). © Source: Emil Zander / Dermazent / dpa

Similar to many so-called childhood diseases, adult neurodermatitis is often a particularly severe variant of the disease. This is pointed out by the German Skin and Allergy Aid (DHA). Large areas of skin are often reddened, with very severe itching. In many cases, adult neurodermatitis also runs in phases, according to Gesundheitsinformation.de – sometimes it is stronger, sometimes weaker.

The causes of neurodermatitis in adulthood are still unclear, according to the DHA. For example, hormonal changes in old age or the decreasing barrier function of the skin come into question. Studies also show a connection with years of exposure to air pollutants. This is especially true for patients who do not have their own history of neurodermatitis or relatives.

Neurodermatitis: Intercept and prevent flare-ups

Even if proper treatment cannot cure or stop neurodermatitis, it is of course important – if only to keep the stress within limits. “Anyone who has learned to deal with the disease well can cope better and can cope with relapses,” says dermatologist Liebich.

Ideally, relapses can even be prevented completely, for example by consistently fighting their typical triggers. One of them is stress. What helps against it, but everyone must know for themselves. “It is very individual. If you can’t do anything with meditation, you might get along better with yoga or sport in general, ”explains Liebich.

Resist consistently – and change habits

In general, good treatment of neurodermatitis includes knowing the disease and being prepared for typical problems such as allergies. “Basically, neurodermatitis is not associated with allergies, but those affected have a higher allergy potential,” says Liebich. In addition, patients often have to struggle more with skin problems that everyone has, according to the expert: “Dry skin in winter, for example.”

In skin diseases such as neurodermatitis, care is the be-all and end-all

Skin care in general is an important topic for neurodermatitis anyway. If the neurodermatitis returns to adulthood or occurs first, this can mean a change in routine, the DHA advises – for example, because those affected have to apply more and different cream or the favorite body lotion suddenly does more harm than good.

If in doubt, the doctor knows which care is the right one and which medications and other countermeasures are still useful. Adults in particular often have to learn to use these aids first, says Liebich: “It is important to combat the first signs of flare-ups immediately, for example by using the prescribed medication – and not to think that it will go away on its own. “

RND / dpa

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