我特别不理解为什么中国人好多迷之不信医生（还有其他专业人士），信自己瞎琢磨和道听途说的，敢情人家受好多年的教育、训练还有经验都是摆设？一个医生说的可能不对，那可以seek for a second opinion再看一个医生，就比较有把握了。 吐槽完提供点建设性意见，我娃是普通轻度湿疹，没有用特别厚的balm，但普通的balm/cream用下来感觉mustela的湿疹专用的balm最好用，cerave我不喜欢，eucerin还行
回复 30楼casperduo的帖子 You said steroid is the only topical treatment for eczema. I said topical tacro is not a steroid. It can be used in moderate eczema.if there are steroid spring concerns. Pediatric dermatology should go consulted on these management decisions.
回复 30楼casperduo的帖子 You said steroid is the only topical treatment for eczema. I said topical tacro is not a steroid. It can be used in moderate eczema.if there are steroid spring concerns. Pediatric dermatology should go consulted on these management decisions.
sweatyarmpit007 发表于 2021-09-12 16:08
Tacrolimus is recommended as a second-line treatment for persons with moderate to severe atopic dermatitis and who are at risk of atrophy from topical corticosteroids. -- AAFP 2012.
Tacrolimus is recommended as a second-line treatment for persons with moderate to severe atopic dermatitis and who are at risk of atrophy from topical corticosteroids. -- AAFP 2012. casperduo 发表于 2021-09-12 16:33
回复 33楼casperduo的帖子 I agree. It is second line treatment. As a PCP, i do not prescribe topical tacrolimus. I defer to dermatology. I am merely saying that steroid is not the only topical option. There are steroid sparing options out there. I have two friends from med school who are in fact fellowship trained pediatric dermatologist and my child has eczema. I have looked into this very recently.
回复 38楼redder的帖子 Of course, dermatologists are not scared of steroids. They prescribe fairly long courses without qualm. However, i don't think it is unreasonable for parents to bring up their concern with their doctor. Parents should obviously be educated and be compliant with proper steroid use and care for eczema first, but i do want people to know that there are topical steroid sparing treatments out there.
回复 40楼sweatyarmpit007的帖子 There is a question I have been pondering for a long time, and I hope you don’t mind me asking. Why do most physicians automatically refer eczema patients to dermatology and not GI? Both if my children had severe, weeping, bleeding eczema since they were infants. Tube after tube of various creams only covered it up like a bandaid. We were lucky enough to come across a pediatrician who pointed out most eczema cases are due to food intolerances. Once we eliminated the food triggers from their diet, they skins cleared up immediately. I have encountered other parents who have had same experiences. Is it simply because there is no reference to any relationship between eczema and GI in medical teachings? I just really wish more parents know about this rather than having to see their child suffer.
回复 40楼sweatyarmpit007的帖子 There is a question I have been pondering for a long time, and I hope you don’t mind me asking. Why do most physicians automatically refer eczema patients to dermatology and not GI? Both if my children had severe, weeping, bleeding eczema since they were infants. Tube after tube of various creams only covered it up like a bandaid. We were lucky enough to come across a pediatrician who pointed out most eczema cases are due to food intolerances. Once we eliminated the food triggers from their diet, they skins cleared up immediately. I have encountered other parents who have had same experiences. Is it simply because there is no reference to any relationship between eczema and GI in medical teachings? I just really wish more parents know about this rather than having to see their child suffer. candyland 发表于 2021-09-13 00:30
回复 43楼candyland的帖子 Well, often, people have a little eczema, like my kids. They use a little steroid here and there. It is kind of a pain but nothing terrible. That's just a PCP problem. I do advise families to try to to see if there are any food or environmental triggers in their lives. Kids are often have asthma and food allergies as well. It is called the atopic triad. Dermatologist are aware of the rationship with other allergic conditions and often refer to allergists for further testing. The problem with broad food allergy testing is that ... It is kind of chaotic. Food allergy testing is not really a yes or no result.
回复 46楼sweatyarmpit007的帖子 I see. Thank you very much for the explanation. Yes, food intolerances do not show up on allergy tests, so the concept is sometimes too abstract for most parents.
当然 医生说是eczema 湿疹，可我就是觉得是某种菌
谢谢 家里已经一堆激素好lotion 通常痒到受不了了就上激素 否则lotion 说是eczema 可我不信 就是认为是厉害的bacteria 😂
激素要一直擦，擦到好了之后，再用lotion维持。你间歇的擦激素肯定不行。擦激素的指标不是痒不痒，是肌肤变正常。激素擦擦停停就不灵了。
没有鼻炎 哮喘小时候有一点点点 现在基本没有
这个东西怎么得的？那么顽固 我很绝望 娃小时候 我都直接给我妈带 晚上也和我妈睡 实在难带的很 😂
怪不得 原来如此 我嫌弃那个激素不好 所以一般能不用就不用 除非痒的不行
激素要一直用到完全好才能停，之后每天lotion维持。你要问医生正确额用法啊。
我一直对激素很排斥 所以娃搞到现在也没好 😭
医生说啥不信 华人上几个网友说的 就信了？还有对激素的误解 真是耽误了娃。
激素确实有副作用，前提是长期、大量（口服）的情况下。皮肤上用的激素很少量啦，不用担心。但是你擦完激素，要记得洗手。
拜托，湿疹的唯一治疗就是类固醇激素，和价格无关。
Topical tacrolimus is not a steroid.
Tacrolimus only used in whose eczema has not responded to steroids.
You said steroid is the only topical treatment for eczema. I said topical tacro is not a steroid. It can be used in moderate eczema.if there are steroid spring concerns. Pediatric dermatology should go consulted on these management decisions.
Tacrolimus is recommended as a second-line treatment for persons with moderate to severe atopic dermatitis and who are at risk of atrophy from topical corticosteroids. -- AAFP 2012.
这有什么好争辩的？我自己的经历就是开这药没那么难开，医生给开，而且好用。至于湿疹到什么程度这个本来就是界限不明确，除非特别轻或者特别严重。做父母的做好功课，跟医生谈去。
你连我们讨论的是什么药都不清楚吧，不是学医的就不要强行发表意见了。
你学了个一知半解也是牛逼的很。。。。
你说医生因为steroids便宜，所以才开激素，就暴露了你的无知。医学是evidence based science，不是price based。自己不懂的领域就少开口，否则丢脸。
你不用跟我矫情这个，这是我的医生他自己说的，因为太贵，他给有的家长开，人不要，觉得保险不包贵。我的医生top医学院毕业，top医院实习医出来的。你牛叉，牛的看看你自己的第一个回帖，不然那个妹妹也不会出来反驳你。。。你自己丢了脸，自己在矫情，我回帖就是告诉楼主妹妹有其他选择。
不明白你们为什么放着主流first line 的药物不用，非要先用second line 治疗的药物，同样是辅助治疗的光疗你们又不提。
再top的医学院医生这种常见病也是按照guideline治疗。
只有下等人，回帖才会攻击别人。
你还是相信中医，继续吃逍遥丸和乳安片吧。
I agree. It is second line treatment. As a PCP, i do not prescribe topical tacrolimus. I defer to dermatology.
I am merely saying that steroid is not the only topical option. There are steroid sparing options out there. I have two friends from med school who are in fact fellowship trained pediatric dermatologist and my child has eczema. I have looked into this very recently.
Of course, dermatologists are not scared of steroids. They prescribe fairly long courses without qualm. However, i don't think it is unreasonable for parents to bring up their concern with their doctor. Parents should obviously be educated and be compliant with proper steroid use and care for eczema first, but i do want people to know that there are topical steroid sparing treatments out there.
OP is not using the topical steroid correctly. Many already corrected her in this regard. So i didnt comment on it.
There is a question I have been pondering for a long time, and I hope you don’t mind me asking. Why do most physicians automatically refer eczema patients to dermatology and not GI? Both if my children had severe, weeping, bleeding eczema since they were infants. Tube after tube of various creams only covered it up like a bandaid. We were lucky enough to come across a pediatrician who pointed out most eczema cases are due to food intolerances. Once we eliminated the food triggers from their diet, they skins cleared up immediately. I have encountered other parents who have had same experiences. Is it simply because there is no reference to any relationship between eczema and GI in medical teachings? I just really wish more parents know about this rather than having to see their child suffer.
你来这里问，很多妈妈都知道湿疹跟食物过敏食物不耐受有关的吧
Well, often, people have a little eczema, like my kids. They use a little steroid here and there. It is kind of a pain but nothing terrible. That's just a PCP problem. I do advise families to try to to see if there are any food or environmental triggers in their lives. Kids are often have asthma and food allergies as well. It is called the atopic triad. Dermatologist are aware of the rationship with other allergic conditions and often refer to allergists for further testing. The problem with broad food allergy testing is that ... It is kind of chaotic. Food allergy testing is not really a yes or no result.
我感觉还好，我以为一般大夫都会跟患者提起这个？ 大部分eczema比较轻。保湿大一点就好了。 比较严重的我自己也会跟家长说注意trigger. Food allergy testing 大家喜欢什么都test但是那个result 不是很容易interpret.
I see. Thank you very much for the explanation. Yes, food intolerances do not show up on allergy tests, so the concept is sometimes too abstract for most parents.
起码我认识的大部分都不知道。不然也不会三不五时就有人开贴求助孩子湿疹的事。