Comprehensive Guide to Managing Eczema

A Patient's Guide to Understanding and Controlling Atopic Dermatitis

Dermatology

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Last updated: Mar 24, 2025

Understanding Eczema

Eczema (atopic dermatitis) is a chronic inflammatory skin condition that causes dry, itchy, and inflamed skin. While there's no cure, proper management can help control symptoms and prevent flare-ups.

Common Symptoms

  • Dry, sensitive skin
  • Intense itching
  • Red, inflamed patches
  • Rough, scaly, or thickened skin
  • Small, raised bumps that may leak fluid

Trigger Factors

Environmental Triggers

  • Temperature extremes
  • Low humidity
  • Dust mites
  • Pet dander
  • Pollen

Contact Triggers

  • Harsh soaps and detergents
  • Certain fabrics (especially wool)
  • Some skincare products
  • Sweat

Daily Skin Care Routine

1. Cleansing

  • Use lukewarm water
  • Choose fragrance-free, gentle cleansers
  • Avoid scrubbing
  • Limit bath/shower time to 10-15 minutes

2. Moisturizing

  • Apply moisturizer within 3 minutes of bathing
  • Use hypoallergenic, fragrance-free products
  • Choose thick creams or ointments over lotions

3. Protection

  • Wear soft, breathable fabrics
  • Keep nails short to prevent scratching damage
  • Use mild laundry detergents

Treatment Options

Over-the-Counter

  • Moisturizers
  • Hydrocortisone cream (1%)
  • Anti-itch products

Prescription Medications

  • Topical corticosteroids
  • Topical calcineurin inhibitors
  • Oral antihistamines
  • Systemic medications (for severe cases)

When to Seek Medical Help

  • If symptoms worsen despite treatment
  • Signs of skin infection (warmth, redness, pus)
  • Sleep disruption due to itching
  • Impact on daily activities

Prevention Strategies

  • Identify and avoid triggers
  • Maintain consistent skincare routine
  • Keep environment cool and humid
  • Manage stress levels
  • Stay hydrated

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