Dr. Teo Soleymani
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The third thing is an aberrant immune response to these triggers. So patients with eczema tend to have an immune system that responds a little bit more vigorously or overactively to the same environmental trigger, probably because there's more trigger getting in through the barrier defect than somebody who doesn't. So the cornerstone in treating eczema is treating these three things.
Why dermatologists make a big stink about moisturize, moisturize, moisturize for eczema is to seal that barrier with a moisturizer because we're basically putting the mortar back in between the bricks, which are the skin cells, to seal the skin off to not allow the environmental allergen to get in. That's the first. The second is to avoid environmental triggers.
Why dermatologists make a big stink about moisturize, moisturize, moisturize for eczema is to seal that barrier with a moisturizer because we're basically putting the mortar back in between the bricks, which are the skin cells, to seal the skin off to not allow the environmental allergen to get in. That's the first. The second is to avoid environmental triggers.
Why dermatologists make a big stink about moisturize, moisturize, moisturize for eczema is to seal that barrier with a moisturizer because we're basically putting the mortar back in between the bricks, which are the skin cells, to seal the skin off to not allow the environmental allergen to get in. That's the first. The second is to avoid environmental triggers.
So fragrances, preservatives, seasonal allergies, pollens, things that trigger that immune response, we try to mitigate. Now, obviously, trying to control environmental pollens is hard, but using things like we talked about earlier, fragrance-free cleansers, fragrance-free detergents, fragrance-free...
So fragrances, preservatives, seasonal allergies, pollens, things that trigger that immune response, we try to mitigate. Now, obviously, trying to control environmental pollens is hard, but using things like we talked about earlier, fragrance-free cleansers, fragrance-free detergents, fragrance-free...
So fragrances, preservatives, seasonal allergies, pollens, things that trigger that immune response, we try to mitigate. Now, obviously, trying to control environmental pollens is hard, but using things like we talked about earlier, fragrance-free cleansers, fragrance-free detergents, fragrance-free...
skincare products, non-preservative-based skincare products will mitigate the environmental triggers. And then the third thing is just calming the immune system down. And that can be done in a variety of ways. Most commonly, it's topical medications like topical steroids that dampen the immune system in the skin.
skincare products, non-preservative-based skincare products will mitigate the environmental triggers. And then the third thing is just calming the immune system down. And that can be done in a variety of ways. Most commonly, it's topical medications like topical steroids that dampen the immune system in the skin.
skincare products, non-preservative-based skincare products will mitigate the environmental triggers. And then the third thing is just calming the immune system down. And that can be done in a variety of ways. Most commonly, it's topical medications like topical steroids that dampen the immune system in the skin.
And when eczema is really, really bad, there are biologic medications that control certain interleukins. And they've made an incredible advancement in eczema control. People, we can control patients for life with some of these injectable medicines.
And when eczema is really, really bad, there are biologic medications that control certain interleukins. And they've made an incredible advancement in eczema control. People, we can control patients for life with some of these injectable medicines.
And when eczema is really, really bad, there are biologic medications that control certain interleukins. And they've made an incredible advancement in eczema control. People, we can control patients for life with some of these injectable medicines.
Yeah, totally. So it's, I mean, it's very gratifying and you want to do it. There's like some subconscious desire to like pop a pimple. I have it myself. Anytime I see a pimple, I'm like, man, I got to, I want to get at this.
Yeah, totally. So it's, I mean, it's very gratifying and you want to do it. There's like some subconscious desire to like pop a pimple. I have it myself. Anytime I see a pimple, I'm like, man, I got to, I want to get at this.
Yeah, totally. So it's, I mean, it's very gratifying and you want to do it. There's like some subconscious desire to like pop a pimple. I have it myself. Anytime I see a pimple, I'm like, man, I got to, I want to get at this.
You know, even if it's not an infection, I think possibly like a, like a evolutionary reason. Yeah. Very, very possible. Yeah. The reason we don't want to do that and the reason why we always say don't pick at your skin is when there's an immune response in the skin, the immune system is trying to fix something and fight something. And in doing so, it recruits different enzymes.
You know, even if it's not an infection, I think possibly like a, like a evolutionary reason. Yeah. Very, very possible. Yeah. The reason we don't want to do that and the reason why we always say don't pick at your skin is when there's an immune response in the skin, the immune system is trying to fix something and fight something. And in doing so, it recruits different enzymes.
You know, even if it's not an infection, I think possibly like a, like a evolutionary reason. Yeah. Very, very possible. Yeah. The reason we don't want to do that and the reason why we always say don't pick at your skin is when there's an immune response in the skin, the immune system is trying to fix something and fight something. And in doing so, it recruits different enzymes.
The most common enzyme is what you exactly described, matrix metalloproteinases, which are these enzymes that eat apart collagen and elastin to allow it to remodel. When you cause physical trauma in the skin, you recruit a much larger immune response than what was warranted for that insult.