I was born and grew up in Japan, at a residential area about 50km to Tokyo.
My house was a well ventilated two-story house built with wood and plaster.
My family didn't have atopic dermatitis(AD) or other allergies.
The first symptom of my AD was seborrheic dermatitis of baby; crusted and scaled lesion of forehead.
But after that, obious eruption did not exist except somewhat itchy dry skin in winter seasons (I couldn't wear turtleneck sweaters and wool stockings) till 12 years old.
In early childhood,
it seemed I liked milk a lot and drunk so many of it instead of eating meals (according to my mother).
This intensive intake of high molecular protains to immature intestine may have helped to start my allegy.
I myself don't remember that. I dislike milk as far as I know. That's interesting.
Dr. randolf says allegic people sometimes avoid their allergens unconsciously by having a dislike.
I had little interest in eating. I ate meals very little.
From the age of 12 to 18,
I commuted a girl's school in Tokyo by train. The commute took about 2.5 hours a day.
Nevertheless I tended to keep awake till late in adolescent meditation. I occationaly had diarrhea in the morning from lack of sleep.
My urban new friends were highly different from rural elementary school friends. Their refined way of speaking to teacher or in an official capacity astonished me.
My AD started to be obvious and fixed.
I used topical corticosteroids sometimes according to the prescription of my pediatrician father.
Since these priod of time, I got to eat meals as usual but I ate very slowly.
I did little exercise. Once I started to go to a tennis club, but I couldn't continue because of my too poor play.
I find a somewhat fatty stooped-shouldered girl in a snapshot of these days.
University times. I went to a medical school.
Feeling like to get workout, I joined the tennis club activities.
This time since our club didn't have much skillful woman players, I could go on.
I played constantly throughout 6 years including hot summer and cold winter.
Those were the most healthy days of my life. I yearn for those days.
I lived most of the time by myself near the university and used a bicycle all the time.
My AD remained at rubbing parts of body; so as neck, the inside bend of elbow knee. Some of those were slightly lichenous lesions. I could sweat without suffering so much itch.
Trabeling with my friends, they said I had scratched at night.
But I needed little steroids. I was in fairly good condition.
Then I became a doctor; dermatologist.
I was very busy. I had to study much things and work hard. Frequent night time work.
All of my meals were catering and food service.
I had almost no time and friends to play tennis.
Moreover, I had to buy a car in need of going to distant hospitals. Since then I always used my car and rarely walked or rided a bicycle.
I didn't notice that these lack of exercises were slowly going to change my body.
I was living a full life but was getting a malign habit. That was smoking.
Within 2 years, my AD had no change.
On the 3rd year of my career, I went to a countryside hospital.
More responsible works gave me the sense of fulfillment, but I had little holidays to feel ease.
In addition to I had lost my important friend the last year, all of my friends were far from there. Except occational practice of the hospital' s tennis circle, I often felt empty and didn't eat well.
At the end of that time, my upper eyelids started to scale.
That was the beginning of worsening.
Unlike previous eruptions, steroid ointments did not cure the scaling.
From 4th to 7th years of my career, I went back to the university hospital then went to other hospitals. This time I could keep my residence all the time.
I did know residential change was often very stressful. All of one's life should be changed.
The work was hard and responsible. I was immersed in work.
At holidays, I stayed home sleeping all day.
I didn't eat at morning, eat lunch in irregular hours, eat dinner out.
I smoked a pack of cigarettes a day.
Scaling and erythema which originated upper eyelids spread to various places of my face.
I prescribed ointments contains medium steroids for myself.
It extinguished the eruptions immediately, but soon I found I could not be glad of it. More severe eruptions came back after a few days when I stop applying.
In the long run, steroid looked merely worsening the symptoms! -That was shocking for me, as a dermatologist who has prescribed prenty of steroid ointments to numerous patients, as a patient as well.
I 've been thinking that steroids are good for eczematous lesion.
But--I couldn't think so any more.
As I think over past cases, I could remind many patients who are in bad condition with steroids. Nevertheless, I had thought steroids to be the better way than any other therapy.
Now I could not accept to keep applying steroids on my face.
I realized patients could know sometimes more than their doctors by constant close serial obsevation of their symptoms and by their intuitions which were deeply related to feeling of their bodies.
8-9th years of my career.
I got married, moved, and changed the workplace.
I choosed a part-time job to sped down my life.
I quit smoking.
I cooked regularly with various ingredients including vesitables for my health and my hasband's delight.
He demanded all dishes to be handmade. That sometimes was too much for me. I often ate instant foods when I was alone.
Breakfast menu were bread, coffee, and yogurt.
That was the start of the fatal aggravation-.
That was the start of the fatal aggravation-.