Clinical Features and Prevention of Eyelid Dermatitis Caused by Cedar Pollen in the Patients with Atopic Dermatitis

Abstract

About 30 percent of the patients with atopic dermatitis (AD), also suffers from seasonal allergic rhinitis are aggravated during the season when cedar pollens are dispersed in the air.
From the anatomical point of view, it is verified that the air-boarne allergen is highly adhesive to the eyelid which causes the eyelid dermatitis in these cases. Also, it is thought to be the IgE-mediated immune response against the cedar pollens. From the perspective of prevention and early intervention of AD, I examined the clinical features of the patients with a positive test result of cedar pollen on the prick test, who are suffering from AD and also eyelid dermatitis during the pollination season. We also considered an appropriate life guidance that should be performed towards the target.
Eyelid dermatitis was common among all age groups but women and the young adults were the majority. Scraping off their makeup is the one of the major cause for eyelid dermatitis. Tacrolimus 0.03% ointment is effective in these cases.
These results suggest that following guidance should be effective to prevent aggravation of eyelid dermatitis during the ceder pollination seaseon;
1) When you are exposed to the air containing pollens, the primary prevention is to cleanse off the pollens adhered to your skin surface right away.
2) Not just the facial cleansing but rinsing off the pollens on your hair will be more effective.
3) For those who wear makeup, it is important to cleanse off softly without rubbing your eyelids so hard.
4) Compared to steroid ointment, Tacrolimus 0.03% ointment is more effective and reduces the possibility of recurrence.
5) Internal use of anti-histamines for a few days will be effective as well, preventing habitual scatching.