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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment For Dermatitis And Allergy?

I was diagnosed with dermatitis a few years ago, I usually have flare ups in the summer. In past years it affected my legs and arm because I exercised outside everyday. I have been working out at home, but now my eyelids have started itching. There is no rash, but it s like allergy eyes which I ve had problems with. It s so annoying. This is the second day. The sides of my nose are a little itchy too. I don t have any rashes, flaking, or redness. I was prescribed ellidel a few years ago for my face because my face was itching, but my eyelids weren t. I called the dermatologist s office, but they are closed. My ellidel expired. Do you think it could be dermatitis taking on a new face. Oh, I am going through menopause which could be a factor.
Wed, 7 Jun 2017
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Dermatologist 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

Since you do have a history of allergies and dermatitis, this is probably related. Though you have not had eyelid involvement in the past, dermatitis can progress and change pattern over time. Similar factors such as sunlight, dust, pollen. etc., in contact with eyelids can cause the reaction. The area you described typically does get involved in allergies.

Another thing to consider is dandruff due to seborrheic dermatitis with itching and flaking of scalp and hairy, oily areas like eyebrows and eyelashes which could be the reason, similarly affecting the T-zone or oily zone near the nose. Oil imbalances could be suddenly caused by the hormonal changes you are going through during menopause.

As always, do keep a track of any other factor like food, cosmetics, dyes, new medication, travel, family history, etc., that could have brought about the problem again. Also, do you spend long hours in front of a computer working from home?

As for medication, continue your regular antihistamine (Benadryl or Hydroxyzine, etc.), try a mild steroid like Desowen for 5 to 7 days and check for improvement. If it persists visit a dermatologist for an examination and regarding use of Elidel if required long-term. Any tests required can also be prescribed by them. Avoid any factors that usually affect you.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Dinah Levillard
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What Is The Treatment For Dermatitis And Allergy?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Since you do have a history of allergies and dermatitis, this is probably related. Though you have not had eyelid involvement in the past, dermatitis can progress and change pattern over time. Similar factors such as sunlight, dust, pollen. etc., in contact with eyelids can cause the reaction. The area you described typically does get involved in allergies. Another thing to consider is dandruff due to seborrheic dermatitis with itching and flaking of scalp and hairy, oily areas like eyebrows and eyelashes which could be the reason, similarly affecting the T-zone or oily zone near the nose. Oil imbalances could be suddenly caused by the hormonal changes you are going through during menopause. As always, do keep a track of any other factor like food, cosmetics, dyes, new medication, travel, family history, etc., that could have brought about the problem again. Also, do you spend long hours in front of a computer working from home? As for medication, continue your regular antihistamine (Benadryl or Hydroxyzine, etc.), try a mild steroid like Desowen for 5 to 7 days and check for improvement. If it persists visit a dermatologist for an examination and regarding use of Elidel if required long-term. Any tests required can also be prescribed by them. Avoid any factors that usually affect you. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dinah Levillard