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How Does Treatment for Atopic Dermatitis Work?

Treatments for atopic dermatitis interrupt the condition at the cellular level. It is important to work with your dermatologist to form a treatment plan.

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Transcript

00:00
I am interested in treating my atopic dermatitis. But I'm curious-- how would treatment work, exactly?
00:10
Awesome question. It's cool to explain how these things are working, because it's really interesting.
00:16
Let's start by taking a look at skin affected by AD. If we go inside the body all the way to the cell level,
00:24
we can see that immune cells are what's called degranulating, and they're releasing chemicals called cytokines--
00:31
you can see them here in yellow. Cytokines regulate how the immune system reacts to things like inflammation, infections,
00:40
or in response to allergens, among other things. Some of these chemicals cause defects in the skin barrier,
00:47
as well as inflammation shown here in red, by signaling other cells to the area.
00:53
This results in clinical manifestations of atopic dermatitis. What happens though is that the release of these cytokines
01:02
ends up recruiting even more cells that release more cytokines, leading to a vicious cycle. Treatments for atopic dermatitis typically
01:11
work by blocking one or more steps of this process, what we call "the inflammatory cascade," in order
01:18
to reduce or stop all of that cytokine activity. You can see the treatment here in blue.
01:24
When treatment is working, shown here in green, the immune system effectively calms down, and we can see the atopic dermatitis flare
01:33
calm down as well. Work with your dermatologist to create a treatment plan that works best for you.

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