What’s New in Eczema (Atopic Dermatitis): Memphis Dermatologist George Woodbury MD
-George Woodbury Jr. M.D. (10/31/2021)
Atopic dermatitis or Eczema is a common and aggravating itchy rash more common in the Fall and Winter. Let’s take a look at new management strategies, from my perspective as a Memphis Board-certified Dermatologist, practicing in Cordova TN since 1993.
Eczema is an itchy rash that develops on the arms and legs, but also the face, neck, or body, affecting 3% of the population. It runs in families along with asthma, hay fever, and food allergies.
Years ago, we used to think that food allergies were the trigger. But Dermatologic research points to a combination of genetic factors – and low skin oil level.
In 2021, the good news is that Dermatologists have a growing arsenal of medications to put the itching of Eczema to rest. We have the topical steroids, of which there are over 30 available, most of which are by prescription only. Topical steroids must be used carefully, to minimize thinning of the skin, and stretch marks. Dermatologists also sometimes use oral agents like prednisone or injectable steroids like methylprednisolone to help with an “Eczema crisis.”
We now also have five promising steroid-free prescription medications:
· Tacrolimus ointment;
· Pimecrolimus ointment; and
· Atopiclair®, and
· Crisaborole Ointment (Eucrisa®), a new steroid-free medication based upon boron research.
* Opzelura® Cream, a new Janus kinase inhibitor that works on the Interleukin system involved in itching
In 2017, Dermatologists also began using a new injectable agent called Dupixent® that acts upon the immune system to decrease what is called cytokine signaling between the white blood cells.
And in 2016, I incorporated a company called Big River Silk Skincare Inc., to manufacture and distribute three lines of helpful lubricating agents (moisturizers) containing an Alpha-Hydroxy chemical called Glycolic Acid: GLYCOSHEA® Hand&Body Cream/Standard Strength (1 oz: $19.95; 2 oz: $29.95; 8 oz: $89.95); GLYCOSHEA® Hand&Body Cream/High Strength (1 oz: $29.95; 2 oz: $44.95; 8 oz: $139.95); and GLYCOSHEA® Facial&Neck Cream (1 oz: $39.95/2 oz; $59.95; 8 oz: $179.95). GLYCOSHEA is helpful in both moisturizing the skin and decreasing the appearance of fine lines in the skin, promoting skin smoothness, making it into an Anti-Wrinkle Cream.