Eczema (Atopic Dermatitis)

ECZEMA (ATOPIC DERMATITIS)

Eczema (a type of atopic dermatitis) is a common skin condition that causes symptoms such as redness, dryness, and itching. If the condition is chronic or severe, it may cause oozing, scaling, and thickening of the skin. This persistent rash is most frequently seen in children; but it can affect adults as well. Symptoms flare up when the skin breaks down and becomes too porous. As irritants and allergens penetrate the weakened skin barrier, they trigger the immune system to respond causing inflammation. People with eczema rash often have other overactive immune responses such as allergies and asthma as well.

Dermatological Treatments

If you or your child has this skin rash, there are some treatments available that may help. Your dermatologist may advise or prescribe:

Skin moisturizers (preferably oil based ointments – traditional treatments like aqueous cream BP contain surfactants that may actually worsen symptoms)
Steroid creams
Anti-inflammatory medications
Anti-histamines (to temporarily relieve itching)
Elidel and Protopic (new, non-steroid drugs that affect the immune response)
UV light therapy (also called phototherapy)
Weekly lukewarm baths with 1/2 cup of bleach per a full tub of water

Environmental Considerations

Lifestyle and environmental changes can help reduce eczema flare-ups for some patients. Consider doing the following:

Keep room temperatures slightly cool and use a humidifier
Strive to create a dust free environment (reducing allergens like pet dander and dust mites)
Minimize the use of harsh chemicals such as household cleaners
Avoid personal care products (soaps, shampoo, etc.) that contain fragrances
Choose cotton clothing that is soft to the touch

Be consistent with your skin care regimen and don’t give up. It may take some experimentation with the help of your dermatologist to find the right combination of treatments to keep symptoms under control.

Return to Education Center