Interview and treatment at the first visit

1. Start with an interview
    • Time of onset, history of use of steroid-containing drugs or moisturizers, and number of years. Regarding whether or not to take supplements, protein, etc.
    • Presence of complications
    • Whether or not the person is aware of any allergies.
    • Any aggravating factors, whether you have bad habits in your life in general, such as insomnia, appetite, or eating alcohol and snacks, or whether you are stressed.
    2. In order to help patients bread themselves away from steroid dependence, we ask them to understand that there is a possibility of rebound and drug-related symptoms caused by steroids, and to sign a consent form to proceed with treatment that does not use steroids in the future. 
    3. After that, we reassure the patient that there is a support system, share it with the staff, and begin treatment as a team.

    At the first visit

    • A prick test is used to check for the presence of allergic diseases such as food allergies and hay fever in atopic dermatitis.

    • We use a bacterial culture test to identify bacteria on the skin of wounds and symptoms, and check for bacterial infections caused by Staphylococcus aureus or viral infections such as herpes simplex.

    • In order to prevent severe rebound symptoms from occurring, we started prescribing antihistamines and antiallergic drugs to safely get rid of the condition. If there is an infection, treatment for the infection will also begin.

    • Once the allergy is found out, we will give a lecture on dietary guidance for each patient.

    • We will also give advice if you have any problems with your lifestyle.


    When a rebound occurs

    We will confirm why the rebound is occurring again during the interview.

    We will explain that the symptoms that occur during withdrawal include not only skin deterioration, but also chills, fatigue, insomnia, autonomic nerve and hormonal abnormalities, and changes in blood pressure. We use photos and materials to explain how many other patients have overcome rebound based on our experience.

    Don't just be afraid of the symptoms;

    • It is the correct body response and treatment course.

    • There are individual differences in the length of time, but at our hospital we have never seen a person who did not recover.

    • The body's homeostasis is a wonderful thing, if you move away from steroids and aggravating factors, you will definitely move towards healing.


    Dealing with rebound

    • Continuation of oral medication

    • reduce the number of showers

    • Cover the wound with medical grade non-woven gauze Bumbs to stop exudation, prevent infection and encourage skin formation.