ECZEMA SYMPTOMS

It usually presents with an itchy non-healing rash that may look red, dry and thick. The rash may appear on scalp, knees, face, ankles, elbows, neck and cheeks. The rash worsens on itching or scratching.  It is frequently found in family members and is considered genetic. Allergens like soaps, detergents, pollens, dust mites can flare eczema. Some foods can also worsen the rash. The allergic reaction to food may occur immediately as in hives or it may be delayed as in eczema.

ECZEMA MANAGEMENT

The main goal of eczema management is to control the itching and having a normal looking skin. The main steps in management of this condition as detailed as follows:

Avoidance of Possible Triggers

Allergens such as soaps, certain fabrics, dust, detergents can further irritate the skin. It is better to wear comfortable non-irritant clothes, resist scratching, trim nails regularly to avoiding scratching with them, use low chemical soaps and detergents, avoid dust, allergic foods.

Medical treatments

The following treatments may be used under dermatologist’s supervision:

1.       Topical Moisturizers or coconut oil be applied immediately after bathing. It will help lock the moisture and improve dry skin. The moisturizer or oil for regular use should be medicine-free.

2.       Topical Steroids have some anti-inflammatory effect and can be used to reduce the redness and itchiness of the skin. Sometimes stronger steroids may be needed and these are better used under supervision of doctor. Stronger steroids may have side effects like thinning of skin and should not be used on thin skin like face, underarms, etc. Steroid tablets or injections are much stronger than topical steroids and can have more side-effects like weight gain, brittle bones, etc. Ask A Doctor if this group of medicines is good for you. 

3.       Other options that may be used include topical immunomodulators, antihistamines, antibiotics for any associated infections, bleach baths in dilution, vitamin D, probiotics, allergy shots.

In conclusion, eczema is manageable, with many treatments options available. Ask A Dermatologist for careful evaluation and treatment options available for better quality of your life.

Written by Dr Vaishalee Punj