Eczema - Causes And Treatment
Eczema, also known as atopic dermatitis, is characterized by a
red itchy rash that is scaly and is oozing in some cases. The
condition can appear on the arms and legs, cheeks, forehead, and
in body parts such as knees and elbows where there are creases.
In some cases, skin will have a leathery feel and even crack or
blister. Some people also experience a thickening of the skin,
red patches and even a slight color change when they have eczema.
1. Skin Conditions
This refers to the skin's inflammation, while atopic means an
allergic, and usually genetic or inherited, tendency. The
condition is common for infants, although eczema is typically
outgrown. The child's condition could be chronic, or recur with
regularity, if the problem persists beyond the second birthday,
when eczema usually disappears. Eczema can worsen during winter,
when dryness pervades the house, and summer, when temperatures
could rise to extremes.
2. Treatment
The rashes are easy to eliminate, although they return sometimes
even with proper treatment. To prevent eczema, bubble baths,
exposure to extreme heat, strong soaps and other triggers must
be avoided. In cases where these triggers are sometimes hard to
avoid or identify, moisturizers may be the most important weapon
one can use to prevent any flare-up of the condition. Since
atopic dermatitis can accompany dry skin, individuals with this
skin type will benefit from taking a daily bath - of about 5-10
minutes - with lukewarm water and using only a mild soap with
moisturizing properties. This helps locks the moisture into the
skin, limiting the likelihood of eczema development. Some people
benefit from having topical medications as the first layer of
treatment, with moisturizers or lubricants applied on top as the
second layer, following a bath. This two-pronged approach should
be enough to maintain healthy and hydrated skin.
3. Ointments & Creams
Greasy ointments are one of several moisturizers available in
the market. Aquaphor and Vaseline are probably the more popular
choices, although consumers should also consider other brands
and similar products to determine which one works best for their
skin. For more extreme eczema break-outs, individuals may need
to turn to topical steroids and Protopic and other non-steroidal
treatments. Hydrocortisone creams are among the very mild
over-the-counter topical steroids one can use, even on facial
eczema. Drug stores will already ask for a prescription for
Dermatop, 0.1% Triamcinolone, Cutivate, Elocon and other more
potent topicals. These stronger products are generally not
advisable for children, as they could have adverse effects.
4. Medications
Protopic, Elidel and other non-steroidal medications, or
immunodulators, are preferred for children with eczema. These
milder topicals can be used twice daily, and even on the face
and other more sensitive areas. However, steroid-free
medications take a longer time before producing results compared
to topical steroids. Some doctors recommend antihistamines as
part of eczema treatment. Atarax, Benadryl and other
antihistamines with a sedative effect are particularly effective
in cases when itching is already hampering sleep. Other
solutions that can also help are cold compresses, wet dressings,
ultraviolet light therapy, oral steroids and cylcosporin and
other immunosuppressive drugs.
5. Other Factors
Some individuals may find that the condition is common within
the family. One who is genetically disposed to having sensitive
skin could easily trigger bouts of eczema due to an allergy,
stress or other specific environmental factor. Asthma, allergic
rhinitis and other similar disorders tend to accompany eczema in
these individuals. When this happens, the allergen or source of
the allergy must be identified first and properly addressed.
These sources could include shrimp and other seafood,
strawberries, nuts, cow's milk, eggs and other types of food.
Pollen, dust mites and other airborne agents are also possible
triggers. Eczema can also be driven by irritation to specific
substances such as detergents, products containing chlorine,
earrings and jewelry containing silver or nickel, woolen
fabrics, synthetic materials, latex rubber, and formaldehyde and
similar chemicals.
6. Treatment Tips
Eczema may not require continuous treatment, as most people
generally outgrow the condition as they become older. However,
antibiotics may have to be used when infections set in and
hamper treatment of the flares. A dermatologist, allergologist
or other specialist should be consulted after reasonable time
and treatment fails to eliminate eczema or improve skin
condition. Consultation should be immediate particularly if the
affected individual develops fluid- or pus-filled blisters,
which are symptomatic of eczema herpeticum - a rare complication
attributed to the herpes simplex virus.