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Composed by Anuchit Thepsee JIU Wellness Co., Ltd
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Distinguishing between “allergic dermatitis” and “autoimmune skin diseases” is very important because, although they may look similar externally, their mechanisms of development and treatment are completely different.
Atopic dermatitis (Skin Allergy)
Is caused by the body being overly sensitive to external substances (triggers), resulting in inflammation.
- Common diseases:
- Atopic Dermatitis: Red, dry, itchy rashes, often appearing in skin folds. Common in children and those with a family history of allergies.
- Contact Dermatitis: An allergic reaction to substances that come into contact with the skin, such as nickel in jewelry, perfumes, or chemicals in cosmetics.
- Urticaria: Raised, red, itchy rashes that spread across the body. Often caused by food, medication, or insect bites.
- Causes: Allergens (dust, food, pollen), changes in weather, irritating chemicals.
- Treatment: Use antihistamines, apply low-strength topical steroids as directed by your doctor/pharmacist, and “avoid” the allergen.
Autoimmune skin diseases are caused by malfunctioning white blood cells that attack the body’s own healthy skin cells.
- Common diseases:
- Psoriasis: Thick, red patches with well-defined borders and silvery scales that easily peel off.
- Lupus (DLE/SLE): Butterfly-shaped red patches on the face or circular patches on the body; highly sensitive to sunlight.
- Pemphigus: Clear, fluid-filled blisters on the body and mouth that easily rupture, forming open sores.
- Causes: Genetics combined with triggers such as stress, lack of sleep, or infection (not contagious).
- Treatment: Requires immunosuppressant medication under close medical supervision.
How to tell the difference: Between “general allergic rash” and “psoriasis” (because the initial symptoms are very similar)
In-depth look at medication: Recommendations for antihistamines or topical steroids (safe usage methods to avoid skin thinning)
Lifestyle adjustments: Self-care tips for people with allergies/autoimmune diseases, such as foods to avoid or skincare choices
Checklist before seeing a doctor: What information should you prepare or write down to help the doctor make the most accurate diagnosis?
When should you consult a healthcare professional?
- Consult a pharmacist: When a rash or itching has just started (no more than 3-5 days old), consult them for topical or oral medication to relieve symptoms and to undergo initial screening to rule out any serious illnesses.
- See a dermatologist immediately if:
- A rash spreads rapidly all over the body or is accompanied by fever.
- Blisters or sores in the mouth.
- A butterfly-shaped rash on the face or a severe reaction to sunlight.
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