Families rely on PCPs to manage, or ideally prevent, the progression of allergic disorders in young patients.
"The PCP is usually the first clinician a family with concerns about atopic conditions sees, unless they first visit urgent care or an emergency department after an allergic reaction to food. Either way, families rely on their PCP for ongoing guidance," said, attending physician in the Division of Allergy and Immunology at the Center for Pediatric Eosinophilic Disorders and the Integrative Health Program at Children 's Hospital of Philadelphia, Philadelphia.
Lee said PCPs should explain to their patients what atopic dermatitis is, how it starts and progresses, and how families can help prevent the condition by, for example, introducing allergenic foods to infants at around 4-6 months of age.PCPs should inform parents and other caregivers to wash their hands before moisturizing their child, take care not to contaminate the moisturizer, and bathe their child only when the child is dirty.
Lee said he and his colleagues discourage overbathing babies to minimize the risk for skin injury that begins the atopic march:"New parents are inundated with infant skincare messaging and products. But we need to weigh societal pressures against practicality and ask, 'Is the child's skin actually dirty?'"
"According to the dual exposure to allergen hypothesis, an infant's tolerance to antigens occurs through high-dose exposure by mouth, and allergic sensitization occurs through low-dose exposure through the skin," he said."As young as four to six months of age, even before eating solid food, a child develops eczema, has a leaky skin barrier, comes in contact with food, and develops a food allergy."IgE-mediated food allergies can begin at any age.
Otolaryngology ENT Specialty Head And Neck Surgery ENT Speciality Children Child Childhood Pediatrics Kids Atopic Dermatitis Atopic Eczema Allergic Rhinitis Pain Management Allergy Food Allergy Food Hypersensitivity Asthma Asthmatic Eczema Ige Immunoglobulin E Rhinitis Allergens Caregiver Tobacco Cessation Quitting Tobacco Use Smoking Cessation Biologic Therapy
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