Eczemamay be persistent and difficult to treat. A combination of various treatment modalities may be required to treateczemaand control flare-ups. Despite successful treatment, flare-ups may still occur. Treatment ofeczemaalso involves identifying and avoiding skin irritants orfood allergies, avoiding extreme temperatures, and frequently lubricating the skin.
Treatment options foreczemainclude the following:
Topical medications
- Topical medicationsare medications that are applied externally, over the skin. This includes medicated creams, ointments, and lotions. They are used to reduce swelling, dryness, anditchingand help heal the skin. Topical medications that are commonly prescribed for eczema containcorticosteroids. Steroids reduce inflammations anditching, but overuse can cause thinning of the skin.
- Other creams containdrugssuch asProtopic(tacrolimus) that suppress the white blood cells and hence control skin reactions. Direct strong sunlight should be avoided when these products are being used.
- Topical antibiotics may be prescribed to treat the secondary (superimposed) infection.
- Regularly applying moisturizers that are free of chemicals, artificial colors, or fragrances will help soothe the skin, hydrate, repair, and soften it as well.
Oral medication
- Medication to treat an infection:Antibiotics may be prescribed to treat secondary infections. Antibiotic creams may also be used. An antibacterial cream may be used if your skin has a bacterial infection, an open sore, or cracks. The doctor may recommend you take oral antibiotics for a short time to treat the infection.
- Medication to reduce inflammation:Oral corticosteroids such asprednisonemay be prescribed in severe cases and cases in which there is no improvement with only topical medication. Steroids suppress the immune system and hence suppress inflammation and skin reactions.
- Newer medications to treat severe eczema:Injectable medicines such as Dupixent (dupilumab) may be used in severe cases of eczema. These medications modify the immune system. They reduce inflammation and the signs and symptoms associated with eczema.
Other therapies
- Wet dressings:Wrapping the affected area with topical medications and wet bandages can help in severe and widespread eczema. This may be done by a healthcare professional or at home after learning the instructions.
- Phototherapy (light therapy):Light therapy can be used in cases when topical treatments don't help and in those who have frequent flare-ups. Light therapy involves exposing the skin to controlled amounts of natural sunlight or artificial ultraviolet A (UVA) and ultraviolet B (UVB).
- Psychological therapy:A professional therapist or counselor can help you deal with frustration anddepressiondue to your skin condition.Stresscan induce flare-ups. Hence, a therapist can help managestress. Relaxation techniques can help those who have a habit of constantly scratching.
What are five types of eczema?
Eczema is an inflammatory condition characterized by patches on the skin with severe itching, redness, and dryness anywhere on the body. It can occur in children, teenagers, or adults. Eczema is notcontagious. It is a lifelong condition with multiple flare-ups and periods of remission (symptom-free periods).
There are five different types of eczema:
- Atopic dermatitis: It is the most common type of eczema. Hence, eczema is often called特应性皮炎. The skin is extremely sensitive to certain substances.
- Contact dermatitis: This is caused by skin contact with irritants. It takes prolonged contact with the irritants for therashto develop.
- Dyshidroticdermatitis: It affects the fingers, palms, and soles. There are deep-seatedblistersthat causepain. The causative agent may be stress, metal jewelry, or sweat.
- Nummular dermatitis: It usually occurs during the winter. Coin-shaped areas of itching and scaling are seen.
- Seborrheic dermatitis: More commonly calleddandruff, it is caused by yeast and is characterized by yellowish flakes over thescalp. It occurs on the scalp and hair-bearing areas, such as the eyebrows or eyelids.
SLIDESHOW
Rosacea, Acne, Shingles, Covid-19 Rashes: Common Adult Skin DiseasesSee SlideshowWhat causes eczema?
The exact cause of eczema is unknown.
- Doctors believe that eczema is the result of an overactive immune system that responds aggressively when exposed to triggers.
- Some people have a genetic tendency for eczema.
- People withasthmaare more prone to develop eczema.
有不同类型的湿疹,他们往往to have different triggers. Common triggers of eczema flare-ups include the following:
- Skin contact with chemical irritants, for example, soaps, detergents, etc.
- Certain fabrics such as rough fabrics
- Synthetic fabrics
- Increased body temperature
- Sweating
- Temperature changes
- Stress
- Food allergies
- Animal fur
- Upper respiratory infections and other systemic infections
- Asthma
What are the signs and symptoms of eczema?
Common signs and symptoms of eczema include the following:
- Red,itchy, dry, rough, and irritated skin
- Red or brownish-gray patches
- Multiple small, raisedbumpsthat may ooze fluid when scratched
- Crusting due to dried-up fluid
- Pus discharge due to secondary infection
- Lichenification: Thickening of the skin due to irritation and constant scratching
- Dry, scaly, cracked skin
- Worsening of eczema following scratching
How do doctors diagnose eczema?
The diagnosis can be made by a complete physical assessment by the physician.
- Blood tests,
- skin prick tests,
- patch testing, and
- other specialized tests may be performed to identify skin allergens and eliminate otherskin conditions.
Tips to prevent flare-ups and complications of eczema
Complications and flare-ups of eczema can be prevented in the following ways:
- Moisturizing the skin frequently with moisturizers without chemicals, artificial colors, and fragrances
- Avoiding sudden changes in temperature or humidity
- Avoidingsweating
- Physical and emotionalstress management
- Avoiding wearing rough fabric materials such as wool
- Avoiding direct skin contact with harsh soaps, detergents, and chemicals
- Avoiding food triggers
- Using a humidifier in the house and bedroom
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Medically Reviewed on9/2/2022
References
Kim, Brian S. "Atopic Dermatitis." Medscape.com. July 27, 2022. .
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