The following has been adapted from transcripts of Expert Insights in Atopic Dermatitis: Confronting Issues and Challenges Beneath the Surface, a multimedia content series examining atopic dermatitis at levels deeper than the skin’s surface. This series is developed in partnership with the National Eczema Association and is made possible through funding from AbbVie.
The skin serves a number of purposes, including acting as a physical, antimicrobial, and permeable barrier, but in atopic skin, these functions can break down and contribute to the inflammatory itch of eczema. Peter Lio, MD, FAAD, details what we know about barrier dysfunction in atopic dermatitis and explains how to begin repairing the barrier as part of the therapeutic care plan for eczema.
The microbiome varies from person to person and even anatomical locations on the same body, but a healthy microbiome is important in skin health. Dr Lio discusses how microbiome dysbiosis factors in to atopic dermatitis and explains the evolution of the microbiome.
Patients with atopic dermatitis often ask what food has to do with their skin—but does diet play a role in eczema severity? Dr Lio highlights what is known about the gut-skin axis and what evidence is available regarding food, probiotics, and eczema
Chronic pruritus can influence nearly all aspects of atopic dermatitis, from quality of life to approaches to care. Dr Brian Kim shares how dermatologists can consider and address the complexity and burden of itch.
Vivian Shi, MD, FAAD, explains what factors dermatologists need to consider beyond the skin's surface, including critical quality of life factors, for determining the diagnosis and severity of atopic dermatitis.