How does Dr. Aron treat eczema?
The treatment is a mixture containing a steroid, an antibiotic and a moisturizer. The steroid element varies according to the age of the patient and the extent of the eczema and is almost always diluted in an appropriate manner with moisturizing cream.
Unlike conventional approaches using steroids, Dr. Aron’s objective is to have your child free of itching (pruritus) within 5-7 days of starting treatment and to keep them in this comfortable state through continuous therapy as required.
Is there a chance of steroid addiction?
Dr. Aron’s treatment quickly rids the body of the bacterial infection that is usually present with eczema and the goal is to then reduce the need for steroid application. As the patient is slowly weened off the steroid, rebound does not usually occur as is commonly seen with many doctors prescribing large doses of steroids for a specific time.
Many of Dr. Aron’s patients see their eczema go into remission and they no longer need the cream at all or only for very occasional use during a mild flare-up.
How long must I continue with the treatment?
This depends on how long the patient has had AE and how severe it has been. Most of the patients I treat are in the severe category so a minimum period of 6 months is likely.
How do we consult with Dr. Aron?
You may book an online consultation at draron.com or send an email to: firstname.lastname@example.org
How many patients has Dr. Aron treated?
Dr. Aron has treated over 8,000 patients while practicing and specializing in skin conditions for more than 30 years.
Are there ongoing fees after the consultation fee?
No. You will be responsible for the price of your prescription cream that Dr. Aron prescribes but there are no additional fees paid to Dr. Aron after the consultation fee. This is a very reasonable price, so that anyone needing help is able to do so.
Is there ongoing communication after the initial consultation?
Yes. You will need to keep reporting to Dr. Aron, regarding the condition of the eczema and the effectiveness of the treatment so that he may continue prescribe what is best while ultimately tapering the steroid down and eliminating the eczema.
I have read of the success of the Aron Regime, but how does it work when so many other methods fail?
It is based on the insight that secondary bacterial infection is one of the key triggers in Atopic Eczema (AE) and has to be treated accordingly. The second pillar of therapy is the use of DILUTE steroids in the medium to longer term, not POTENT steroids in short bursts. The third pillar is simplicity of application of cream in place of complexity of advice and instructions.
Will the steroid cause thinning of the skin?
No, because it is significantly diluted in the moisturising element of the cream, when the eczema is controlled, the frequency (dosage) of applications may be reduced so that control can be maintained with dosage as low as one or two applications daily, or even fewer.
Will using the antibiotic cause bacterial resistance?
Bacteria can and do become resistant to the cream but the use of Fusidic acid in the mixture produces such an incredibly rapid degree of relief from the itch and burn and redness that any such risk is worth taking. When control is achieved the antibiotic element in the mixture may be removed. If there is resistance to Fusidic acid cream I switch to Mupirocin cream. In the US Fusidic acid is not yet available so I use Mupirocin cream.
What about moisturisers?
Most eczemas, perhaps as high as 90%, are infected with bacteria (staphylococcus aureus) and the use of moisturisers in the bath or directly on the skin, far from helping, may make matters worse.
How can I get the cream mixture?
For patients outside of the UK and S Africa, I prefer to work with the patient’s GP (PCP) pediatrician or dermatologist so if they will assist I can email you/them the prescription. In the United Kingdom, my preferred supplier of mixtures is Landy’s Chemist who are reliable and efficient and do not charge excessively.
How do I treat my child’s scalp?
Usually with the same cream as for other areas. Dove Cream Bar Sensitive lather may also be used.
What about antiseptics?
I do not use them, ever. They frequently cause irritant sensitivity.
What about bleach baths?
No, as I am not certain that the bleach itself does not cause irritation .
What are some of the possible causes of eczema flares?
Teething, viral illnesses, swimming in chlorine, dietary triggers such as E-Number. Seasonal changes and inappropriate exposure to potential irritants.
What about diet?
It is important to eliminate E- numbers from the diet (colourings, preservatives). In addition, avoid foodstuffs where allergy testing has indicated to which the patient is reactive , this may include dairy, wheat, eggs etc. In general, follow the dietary advice provided to date.
What about PE, games, sports and swimming?
Sporting activities including swimming and PE which produce sweat and friction are not consistent with healing, inflamed skin. The response to my treatment may be significantly compromised if continued. However, I will advise how and when to restart, this depends on how the individual responds to therapy which in turn depends on the length of history and severity of the AE.
Are bath products allowed?
Most patients tolerate Dove Cream Bar Sensitive, my preferred product, which may also be used in infants as a scalp wash. This is the only bath product that should be used.
Cotton clothing is the best sun protection. However, the choice of sun block is difficult in that there isn’t a single product that suits all. Many mothers find the Sun Care range suitable, but all sun blocks need to be used with caution.
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