讀後心得

Koshima Kaito, due to severe atopic dermatitis, had widespread rashes and intense itching, which affected his learning and sleep and even caused a fear of going to school. After a medical diagnosis, he underwent treatment with oral immunosuppressants and topical corticosteroid ointments, and received treatment with biologics covered by health insurance. After six months of active treatment, his rashes significantly improved, and the itching was brought under control, allowing him to regain his confidence and return to school. The doctor pointed out that when traditional treatments are ineffective, biologics can be considered, as they can accurately block inflammation and reduce the likelihood of recurrence. Although atopic dermatitis is not contagious, its impact on appearance can affect self-confidence, so daily moisturizing care should be prioritized to maintain skin health.

Little Sen, a first grader, has large patches of rashes covering his limbs and back, and the severe itching makes it difficult for him to focus on learning during the day and affects his sleep at night. To hide his skin condition, Sen began to feel fear of the outside world, even becoming afraid of going to school, which negatively impacted his mental and physical well-being. After visiting the doctor, he was diagnosed with severe atopic dermatitis and received treatment with oral immunosuppressants and topical steroid ointments, along with an application for biologic therapy covered by health insurance. After more than six months of active treatment and follow-up, Sen's rashes have significantly improved, the long-standing itchiness has been controlled, and he has regained his confidence and happily returned to school life.

Traditional treatment methods include moisturizing, avoiding allergens, oral immunosuppressants, ultraviolet light therapy, and steroid medications. If these are ineffective and symptoms are recurrent, biologics may be considered to block the inflammatory response and alleviate itching. Biologics can more precisely suppress the inflammatory mechanisms, improving rashes and itching while also reducing the risk of disease recurrence. Doctors will choose the appropriate treatment based on the area and severity of the lesions; for more severe patients, systemic treatment may be necessary. Topical medications can be combined with "wet wrap therapy," suitable for acute flares and chronic repair.

Atopic dermatitis can often appear in infancy, primarily presenting as red, swollen, dry, peeling skin, and severe itching, which may worsen as the condition deteriorates. Older children often show lesions in skin folds such as the neck, earlobes, elbows, wrists, and knees. Although it is not contagious, the obvious lesions can make children feel inferior and even lead them to cover their skin with clothing out of concern for others' gazes, which can exacerbate itching and inflammation and negatively impact the child's mental and physical development.

Therefore, doctors emphasize that all patients with atopic dermatitis should pay attention to daily moisturizing care, using lotions, gels, ointments, and other moisturizing products to help maintain the integrity of the skin barrier and effectively reduce the probability of inflammation.