Dr Ritu Gupta explains what GPs can do when nothing else is working for atopic dermatitis
Dr Ritu Gupta explains what GPs can do when nothing is working for atopic dermatitis.
âNothing is working. Youâve seen them for the third time, the fourth time or they are ringing you all the time. Why isnât anything working?â says Dr Gupta, a medical, surgical and cosmetic dermatologist based in Ultimo.
GPs can investigate by asking: âCould it be infected? Are they compliant? Do they understand the treatment that youâve prescribed? Have you dispelled all the myths that are out there about eczema? What sort of strength of steroid are they using? Are they using enough and how long are they using it for?”
In rarer cases, patients may have developed superimposed allergic contact dermatitis, says Dr Gupta.
âWe have to remember that because theyâve got diseased skin, they are more prone to sensitisations,” she says. “People with atopic dermatitis are much more likely to be allergic to nickle or latex.”
It’s also important to look for ongoing environmental triggers.
“You need to be a bit of a detective,” says Dr Gupta. “Or do they just have terrible disease? Always have in the back in my mind, could my diagnosis be wrong?â
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