instruction: hi doctor I have been experiencing flare ups for weeks now I do not know if this has something to do with the change of weather I have been having trouble sleeping lately since I am very uncomfortable right now I am using cetaphil gentle wash and shampoo because my scalp gets itchy as well I am using erica ointment and somehow it helps me with some of the areas that are not really that worse however the uncomfortable feeling is still there sometimes I take antihistamines however I do not think that it helps me feel relieved with my atomic dermatitis I am 28 years old and a project manager my clients are in the us and I need to follow their timezone my shift starts at 10 am to am I weigh around 190 labs and I am 1 I also have an irregular menstrual cycle and I usually get my period every quarter I have asthma and I am currently taking seretide inhaler as prescribed by my doctor please help
output: hi atomic dermatitis is relatively more sort of relapsing with seasonal aggravation it has a genetic and familial component as well if you have severe symptoms which is hampering your daily activities you need to start with systemic immunosuppressants like prednisolone and or azathioprine erica ointment I mometasone is good enough for skin lesions but I would rather add on tacrolimus gel 1 over the inflamed lesions but you need to use moisturizer very frequently than previous you need to take antihistamine on a daily basis reduce your stress avoid wool and strong soaps practice wet wrap therapy I hope this helps