Atopic Dermatitis Treatment | Steroid Ointments, Dupixent, and Other Latest Treatments Explained by a Doctor
目次
"I've had atopic dermatitis for many years," "I want to avoid or reduce steroid use," "I want to try new treatments"—Atopic dermatitis treatment has advanced significantly in recent years, with more options available that don't rely on steroids. Our clinic offers topical medications, oral medications, and excimer light therapy.
👉 Same-day walk-ins are welcome. Please feel free to consult us first.
What is Atopic Dermatitis?
Atopic dermatitis is a chronic inflammatory skin disease caused by a compromised skin barrier function and immune dysfunction (Th2 inflammation). It is characterized by recurring severe itching and eczema and affects a wide range of ages, from infants to adults.
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Feature |
Content |
|---|---|
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Prevalence |
Approximately 10-20% of Japanese (children) / Approximately 5-10% (adults) |
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Main Symptoms |
Severe itching, redness, dryness, and eczema (exudative/dry) in common areas (inner elbows, inner knees, neck, face) |
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Exacerbating Factors |
Sweat, dryness, stress, dust mites, house dust, food allergens, infections |
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Basic Treatment Policy |
① Skin care ② Drug therapy (topical + oral/injection as needed) ③ Removal of exacerbating factors |
Treatment Options
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Treatment Method |
Content |
Features |
|---|---|---|
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Topical Steroids |
Most basic treatment for reducing inflammation. Rank selected according to severity |
Highly effective. Can be safely used with proper application |
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Tacrolimus Ointment (Protopic) |
Non-steroidal immunosuppressant. Easy to use on thin-skinned areas like the face and neck |
Effective for areas where steroid side effects are to be avoided |
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JAK Inhibitors (Olumiant, Rinvoq, etc.) |
Oral medication that inhibits intracellular signal transduction and suppresses inflammation |
Moderate to severe cases. Rapid onset of action. Covered by insurance |
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Dupixent (Dupilumab) Injection |
Biological agent that inhibits IL-4/IL-13, which cause Th2 inflammation |
Highly effective for intractable severe atopic dermatitis. Injected every 2 weeks. Covered by insurance |
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Excimer Light Therapy |
Irradiates affected area with 308nm UV light to suppress immune response |
For those who want to reduce medication or for whom topical medications are insufficient. Covered by insurance |
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Moisturizing Skincare |
Skin barrier repair using ceramide-containing moisturizers |
Foundation of all treatments. Basic moisturization twice a day |
Frequently Asked Questions (FAQ)
Q. Are there treatments that do not use steroids?
Yes. There are options that do not use steroids or can reduce their use, such as tacrolimus ointment, JAK inhibitors (oral), Dupixent (injection), and excimer light therapy. The choice will be made in consultation with a doctor, depending on the severity, affected area, and your preferences.
Q. Can Dupixent be administered at an internal medicine clinic?
Yes, we offer it at our clinic. Dupixent is a subcutaneous injection administered every two weeks and is covered by insurance for severe atopic dermatitis.
Q. Can atopic dermatitis be cured in adulthood?
In many cases, symptoms can be controlled by continuing appropriate treatment and skincare. While some people achieve complete remission, others require ongoing management due to their constitution. Don't give up by thinking "it won't heal"; modern treatments can significantly improve symptoms.
Visit Flow
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WEB Reservation or Direct Walk-in
If you are experiencing severe pain or fever, please call us. We will guide you through the visit process. -
Check-in and Fill Out Medical Questionnaire
Please provide information on when, where, what symptoms, material of piercings used, and past piercing troubles. -
Doctor's Examination
The doctor will visually inspect and palpate to assess the extent and severity of inflammation. If necessary, a bacterial culture test will be performed. -
Treatment and Prescription
Depending on the severity, treatments such as topical/oral antibiotics, disinfection, or incision and drainage will be performed. -
Home Care Instructions
We will thoroughly explain cleaning methods, disinfection methods, whether to remove piercings, and lifestyle precautions. -
Payment and Departure
We will advise you on when to visit next and offer tips for preventing recurrence.
Consultation Hours & Access
| Item | Content |
|---|---|
| Clinic Name | Jujo Station Haru Internal Medicine & Dermatology Clinic |
| Consultation Hours | Monday - Sunday: Open from 9 AM every morning. Wednesdays until 8 PM, Fridays and Saturdays until 9 PM, and Sundays until 7 PM. |
| Closed | None (Irregular holidays) |
| Location | 1F J&MALL, 2-27-1 Kamijujo, Kita-ku, Tokyo 114-0034 |
| By Train/Walk | Approximately 1-2 minutes walk from Jujo Station on the JR Saikyo Line, 1st floor of J&MALL. |
| By Bus | Directly in front of the "Jujo Station" bus stop (Kokusai Kogyo Bus). |
| By Car | Please use nearby coin parking. |
| Contact | TEL: 03-6698-2509 / Official LINE:https://lin.ee/AL0fp3z |
