Understanding and Managing Eczema: A Comprehensive Guide

Essential Care Instructions for Patients with Atopic Dermatitis

Dermatology

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Last updated: Mar 24, 2025

What is Eczema?

Eczema (atopic dermatitis) is a chronic inflammatory skin condition characterized by dry, itchy, and inflamed skin patches. The condition typically follows a pattern of flare-ups and remissions.

Common Symptoms

  • Intense itching
  • Red, inflamed skin patches
  • Dry, scaly areas
  • Small bumps that may leak fluid
  • Thickened skin from chronic scratching

Trigger Factors

  • Environmental allergens
  • Stress
  • Temperature changes
  • Certain fabrics
  • Harsh soaps and detergents
  • Food allergies

Daily Care Routine

1. Cleansing

  • Use lukewarm water
  • Choose fragrance-free, gentle cleansers
  • Avoid harsh soaps and hot water
  • Limit bathing time to 10-15 minutes

2. Moisturizing

  • Apply moisturizer within 3 minutes after bathing
  • Use hypoallergenic, fragrance-free products
  • Focus on thick creams or ointments
  • Reapply throughout the day as needed

3. Medication Application

  • Follow prescribed topical medication schedules
  • Apply medications to affected areas only
  • Use the fingertip unit method for proper dosing

Flare Management

  1. Identify and avoid triggers
  2. Use prescribed medications promptly
  3. Maintain consistent skincare routine
  4. Practice stress management
  5. Keep nails short to minimize scratch damage

When to Seek Medical Attention

  • Severe itching affecting sleep
  • Signs of skin infection
  • Significant impact on daily activities
  • Failure of current treatment plan

Prevention Strategies

  • Wear soft, breathable fabrics
  • Maintain optimal humidity levels
  • Use protective gloves for wet work
  • Keep skin temperature regulated

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