Eczema
Eczema, or atopic dermatitis, is a chronic skin condition causing inflammation, itching, and redness. Its exact cause is unclear but involves genetics and environment. Symptoms include intense itching, dryness, red patches, and raised bumps. Treatment includes moisturizers, topical steroids, and trigger avoidance. Working with a healthcare provider is vital for treat eczema effectively and improving quality of life.
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What is eczema?
Eczema, also known as inflammatory skin conditions, can cause various discomforts such as itchiness, dryness, rashes, scaly patches, blisters, and skin infections. There are seven types of eczema, including atopic dermatitis, contact dermatitis, dyshidrotic eczema, nummular eczema, seborrheic dermatitis, and stasis dermatitis. In individuals with lighter skin, eczema may appear as red and inflamed skin, while in those with darker skin tones, it can manifest as brown, purple, gray, or ashen. The most common symptom associated with eczema is itching.
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Types of eczema
There are several main types of eczema, and sometimes it can be difficult to distinguish between the symptoms of atopic dermatitis and other types. Many of the symptoms, causes, and treatment options overlap. Here’s a general overview of the most common types:
- Atopic dermatitis: This is the most common type of eczema, affecting millions of children and adults in the United States. Itching characterizes eczema, potentially leading to rashes, pain, and disrupted sleep. Atopic dermatitis can occur anywhere on the body and may result in oozing rashes.
- Contact dermatitis: If your skin becomes inflamed or irritated after coming into contact with a substance, you may have contact dermatitis. It shares typical eczema symptoms but is triggered by environmental factors.
- Dyshidrotic eczema: This type causes small blisters on the hands, feet, and edges of the fingers and toes. It is sometimes referred to as hand or foot eczema, although other types can also affect these areas. The cause of dyshidrotic eczema is unknown, and it tends to affect more men than women.
- Neurodermatitis: Intense itching is a common symptom of neurodermatitis, which affects a significant portion of the population. Affected areas often show visible signs such as skin lines, scales, and discoloration due to excessive scratching. While it can appear anywhere, it is most commonly found on the feet, ankles, hands, wrists, elbows, shoulders, neck, and scalp.
- Nummular eczema: Scattered circular patches are often indicative of nummular eczema, also known as discoid eczema or nummular dermatitis. These patches may ooze or become very dry and sensitive.
- Seborrheic dermatitis: This type primarily affects the scalp. Individuals with seborrheic dermatitis may experience flaking, redness, and itching on the scalp.
- Other types: There are additional types of eczema, such as stasis dermatitis and allergic contact dermatitis, which have their own unique characteristics and triggers.
How prevalent is eczema?
Eczema affects over 31 million Americans, manifesting at any age and varying in severity. Newborns may develop eczema shortly after birth, while young children may have dry, itchy skin leading to blisters and infections. Adults can also develop eczema, with the most common onset being in their 20s or over 50 years old.
Is it contagious?
Eczema is not something you can catch from others, it’s not contagious. Although the exact cause is still unknown, experts believe that a combination of genes and environmental factors play a role in its development.
Symptoms of eczema
- Eczema often causes itchy skin, which is scientifically known as “pruritus.”
- The itch can vary from mild to moderate, and in some cases, it can become so intense that people scratch it until it bleeds.
- Common symptoms of eczema include dryness, sensitive skin, inflamed and discolored skin, rough or scaly patches, oozing or crusting, and areas of swelling.
- The severity and frequency of these symptoms can vary from person to person, with some experiencing all the symptoms and others only a few.
- Consulting with a healthcare provider, particularly a dermatologist, is the best way to determine if you have eczema and receive appropriate diagnosis and treatment.
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Where does eczema appears in body?
Eczema can appear on various parts of the body, depending on the individual and the specific type of eczema. Common areas affected by eczema include:
- Face and scalp (especially in infants)
- Inside the bends of elbows
- Behind the knees
- Hands and feet
- Ankles
- Wrists
- Neck
- Upper chest
- Eyelids
These areas are prone to eczema due to factors like skin friction, moisture, and exposure to irritants or allergens. However, eczema can occur on any part of the body.
Is there any cure for eczema?
How to treat eczema? Unfortunately, there is no cure for eczema. While treatments exist, none can completely eradicate symptoms all the time. Eczema is a chronic condition that can flare up unexpectedly, but treatments can effectively alleviate itchy, dry skin. You can’t treat e
When should you see doctor?
- If you notice any signs of eczema, it’s a good idea to schedule an appointment with your healthcare provider or dermatologist.
- In case your symptoms worsen even after receiving treatment, it’s important to seek medical advice from your healthcare provider or dermatologist.
- If your symptoms persist for several weeks after treatment and show no signs of improvement, it’s recommended to consult with your healthcare provider or dermatologist.
- It’s crucial to reach out to your healthcare provider or dermatologist if you develop an infection, experience a fever, or encounter severe pain related to your condition.
Eczema treatment
How can you prevent eczema?
- Refrain from scratching the rash or skin to prevent further irritation.
- Soothe the itchiness with moisturizers or topical steroids and consider taking antihistamines for severe itching.
- Maintain short fingernails and wear light gloves at night if scratching is a concern.
- Moisturize the skin multiple times a day with alcohol-free, fragrance-free ointments like petroleum jelly.
- Use a humidifier at home and avoid irritants like wool, lanolin, strong soaps, and sudden temperature changes.
- When washing, opt for gentle body washes, lukewarm baths, and avoid scrubbing the skin too vigorously.
- After bathing, apply moisturizing ointments to damp skin to lock in moisture and prevent dryness.
Wet Wrap Therapy
The NIAID and other institutions are currently researching wet wrap therapy as a treatment for severe eczema. This therapy entails taking three lukewarm baths a day, applying topical medicines and moisturizer afterward, and sealing them in with a wrap of wet gauze.
Individuals with severe eczema can visit the National Institutes of Health Clinical Center in Bethesda, Maryland, for research evaluation and potential treatment with wet wrap therapy.
Additionally, patients and their caregivers receive training on home-based skin care to effectively manage flare-ups once they leave the hospital. For more information, you can refer to the NIAID Eczema Photo Essay and video titled “Helping Kids with Severe Eczema.”
Summary
Eczema is a widespread and bothersome skin condition that can greatly impact your daily life. In its severe form, it can disrupt your sleep, divert your attention, and cause self-consciousness when in public. Seek the assistance of a dermatologist or healthcare professional as soon as you notice any signs of eczema. Experiment with both home remedies and prescribed treatments until you discover the most effective solution for your skin.
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