Eczema

Eczema is a condition where patches of skin become inflamed, itchy, red, cracked, and rough. Blisters may sometimes occur.

Here are some key points about eczema. More detail and supporting information is in the main article.

  • Certain foods can trigger symptoms, such as nuts and dairy.
  • Symptoms vary according to the age of the person with eczema, but they often include scaly, itchy patches of skin.
  • Eczema can also be triggered by environmental factors like smoke and pollen. However, eczema is not a curable condition.
  • Treatment focuses on healing damaged skin and alleviating symptoms. There is not yet a full cure for eczema, but symptoms can be managed.
  • Eczema is not a contagious condition.

Home care

There are numerous things that people with eczema can do to support skin health and alleviate symptoms, such as:

  • taking lukewarm baths
  • applying moisturizer within 3 minutes of bathing to “lock in” moisture
  • moisturizing every day
  • wearing cotton and soft fabrics, and avoiding rough, scratchy fibers and tight-fitting clothing
  • using a mild soap or a non-soap cleanser when washing
  • air drying or gently patting skin dry with a towel, rather than rubbing the skin dry after bathing
  • where possible, avoiding rapid changes of temperature and activities that make you sweat
  • learning and avoiding individual eczema triggers
  • using a humidifier in dry or cold weather
  • keeping fingernails short to prevent scratching from breaking the skin

Medications

There are several medications that doctors can prescribe to treat the symptoms of eczema, including:

  • Topical corticosteroid creams and ointments: These are a type of anti-inflammatory medication and should relieve the main symptoms of eczema, such as skin inflammation and itchiness. They are applied directly to the skin. Systemic corticosteroids: If topical treatments are not effective, systemic corticosteroids can be prescribed. These are either injected or taken by mouth, and they are only used for short periods of time.
  • Antibiotics: These are prescribed if eczema occurs alongside a bacterial skin infection.
  • Antiviral and antifungal medications: These can treat fungal and viral infections that occur.
  • Antihistamines: These reduce the risk of night-time scratching as they can cause drowsiness.
  • Topical calcineurin inhibitors: This is a type of drug that suppresses the activities of the immune system. It decreases inflammation and helps prevent flare-ups.
  • Barrier repair moisturizers: These reduce water loss and work to repair the skin.
  • Phototherapy: This involves exposure to ultraviolet A or B waves, alone or combined. The skin will be monitored carefully. This method is normally used to treat moderate dermatitis.

Even though the condition itself is not yet curable, there should be a particular treatment plan to suit each person with different symptoms. Even after an area of skin has healed, it is important to keep looking after it, as it may easily become irritated again.

Causes

The specific cause of eczema remains unknown, but it is believed to develop due to a combination of genetic and environmental factors.

Eczema is not contagious.

Children are more likely to develop eczema if a parent has had the condition or another atopic disease.

If both parents have an atopic disease, the risk is even greater.

Environmental factors are also known to bring out the symptoms of eczema, such as:

  • Irritants: These include soaps, detergents, shampoos, disinfectants, juices from fresh fruits, meats, or vegetables.
  • Allergens: Dust mites, pets, pollens, mold, and dandruff can lead to eczema.
  • Microbes: These include bacteria such as Staphylococcus aureus, viruses, and certain fungi.
  • Hot and cold temperatures: Very hot or cold weather, high and low humidity, and perspiration from exercise can bring out eczema.
  • Foods: Dairy products, eggs, nuts and seeds, soy products, and wheat can cause eczema flare-ups.
  • Stress: This is not a direct cause of eczema but can make symptoms worse.
  • Hormones: Women can experience increased eczema symptoms at times when their hormone levels are changing, for example during pregnancy and at certain points in the menstrual cycle.

Types

There are many different types of eczema. While this article has focused mainly on atopic dermatitis, other types include:

  • Allergic contact dermatitis: This is a skin reaction following contact with a substance or allergen that the immune system recognizes as foreign.
  • Dyshidrotic eczema: This is an irritation of the skin on the palms of the hands and the soles of the feet. It is characterized by blisters.
  • Neurodermatitis: This forms scaly patches of skin on the head, forearms, wrists, and lower legs. It is caused by a localized itch, such as an insect bite.
  • Nummular eczema: These show as circular patches of irritated skin that can be crusted, scaly, and itchy.
  • Seborrheic eczema: This forms oily, scaly, yellowish patches of skin, usually on the scalp and face.
  • Stasis dermatitis: This is a skin irritation of the lower leg usually related to circulatory problems.