What is Eczema?
Long lasting, and recurring Skin condition Itching, scratching, drying skin, Red, scales, excoriated. Sometime may blistering and weeping.
Eczema happen in all ages. Almost always begins in childhood, usually during infancy. May fade in childhood, or continue to life long. Affect men and women and all races equally.
Eczema is not contagious.It is genetically determined.It is an excessive reaction by the immune system.
Common places for infants
Cheeks, and ears, dry, red and cracks.
Cheeks red and dry
Sometime eczema may associate with hayfever, and asthma.
Common places for childrenBacks of knees, and ankles.
Common places for children: insides of elbows.elbows
Buttock area was spared because of wrapped with diaper and unable to scratch.
Side effects from chronic use of cortisone
Chronic scratching, skin becomes thickening and scaly.
Chronic scratching induced white scar areas.(hypopigmentation)
Palm with small blistering lesions.
Ears are another common places to be affected.
Sometimes with round red dry scaly lesions.
Around lips, dry and chappedespecially on kids who like to lickAnother common condition.
Both arms red, dry and scaly.
Pityriasis albaEczema appears with dry white spots on face.Not ringworm.White spots will disappear after regular moisturizing.
There is no cure for eczema, but with proper care, eczema can be under good control.
Triggering or worsening factorsDry skinIrritants (rubbing, fumes, chemicals)Allergens (pollen, dust mites, animal dander, or molds.) Emotional stressHeat and sweatinginfection
Home careGentle cleansingAvoid harsh soap, use products with perfume-free, and dye-freeGood moisturizerEnough Fluid intake,Nutrition, balancedEmotion, stable
Products such asNon soap cleansing---dove, cetaphil, oil of oly, aveeno.Moisturizer---- cetaphil cream, eucerin (plus) cream, DML cream, petroleum jelly, aquaphor ointmentClothingcotton material, softLaundry---cheer, all, dawny
What you can do?Pay attention to possible food or environmental allergies, or irritants. May refer for allergy clinic for evaluation.Good skin care and moisturizing is the key.
Pay attention to aggravating factorsEg. Environment, food, clothing, products.Stop all the irritant right awayCall your doctor to evaluate
Use of medication over the counter, such as Aveeno anti-itch cream, EucerinAveeno oat meal bath All the products needed to be tested before apply to a larger area.
steroidUsage: anti-inflammationBenefit: decrease itch, and rednessSide effects: atrophy, discoloration, and thinning skin. And rebound.Examples: over the counter hydrocortisone 1%, 0.5% Prescriptions needed for stronger strength. Use as needed only, max 2 weeks in a raw.
antihistamineUse: decrease itchBenefits: decrease itchSide effects: drowsiness, sleepy, drugy, dry mouth. Such as benadray, ataraxMay try non drowsy ones, such as claritin (Loratadine), or allegra
Eczema resourceswww.nationaleczema.orgwww.aaa.org (american academy of dermatology)www.livingwithitch.orgwww.fda.gov (food and drug administration)www.cdc.gov (centers for disease and control and prevention)