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An Alternative to the Traditional Cold Pressor Test: The Cold Pressor Arm Wrap
Published on: January 16, 2014
Warming up to the idea of wet wraps
Chelsea A Cooper1, Cynthia M C DeKlotz2
1Department of Internal Medicine, MedStar Georgetown University Hospital/MedStar Washington Hospital Center, Washington, DC, USA.
Insights
Warming wet wraps for atopic dermatitis (AD) improves comfort and adherence in children. This simple modification enhances the effectiveness of a common treatment for pediatric eczema.
Area of Science:
- Pediatric Dermatology
- Clinical Therapeutics
- Quality of Life Research
Background:
- Atopic dermatitis (AD) significantly impacts children's quality of life.
- Management requires a multifactorial approach including topical treatments, emollients, and bathing.
- Wet wraps are a key intervention for moderate to severe or refractory AD.
Purpose of the Study:
- To enhance the comfort and adherence of wet wrap therapy in pediatric atopic dermatitis.
- To propose a simple modification to the existing wet wrap regimen.
Main Methods:
- Incorporating the warming of damp cotton pajamas in a dryer before application as part of the wet wrap regimen.
- Observational assessment of patient comfort and adherence.
Main Results:
- Warming damp pajamas increases the comfort of wet wraps for children.
- Enhanced comfort is expected to improve adherence to the prescribed wet wrap regimen.
Conclusions:
- Warming wet wraps is a practical and beneficial addition to the management of pediatric atopic dermatitis.
- This simple intervention can improve treatment adherence and potentially outcomes for children with eczema.
Abstract:
Atopic dermatitis (AD) is a prevalent condition in the pediatric population that can have a significant effect on a child's quality of life. Management is multifactorial, involving topical pharmacotherapy, emollients, and a bathing regimen in conjunction with close supervision from the caregiver and physician. In the case of moderate to severe or refractory AD, wet wraps can be used. As part of our wet wrap regimen, we propose warming damp cotton pajamas in the dryer before application. This makes the wet wraps more comfortable for children, increasing adherence to the prescribed regimen.
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