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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Eczema That Is Causing Itching?

I have a severe case of exema...which has essentially covered my entire body. I have just found(in the last year that I have A Fib not involving a valve. It is under control but I am on a blood thinner. I need a dermatologist that specializes in exema I am a 70 ear old female and have had problems with my skin my entire life--but never this bad. Thank you in advance for any help you can give====I have presently been put on a prednisn pack. The itching is almost unbearable



Wed, 22 Jan 2014
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Dermatologist,  's  Response
Hello,
Welcome to healthcare magic.
From your childhood history of eczema, I am presuming that it could be a topic eczema with a severe flare. At age 70, it could also be worsened by asteatotic eczema which occurs due to an age related decrease in lipid or fat content in the skin.
You could benefit from the following-
1. Have lukewarm water baths and avoid hot water.
2. Always moisturise within 3 minutes after bath so that the moisture gets trapped within the skin.
3. An oil based emmolient is the best. You could use mineral.oil like liquid paraffin oil or coconut oil. Use on damp skin to prevent it from becoming sticky.
4. Really moisturisers every 3-4 hours.
5. You could benefit from topical tacrolimus lotion.
6. You could discuss with your doctor regarding photo therapy ( narrow band UV - B) and oral azathioprine as steroid sparing options. However , the doctor will have to consider your age and history of atrial fibrillation before starting those.
Hope you find relief with above measures.
Take care.
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How To Treat Eczema That Is Causing Itching?

Hello, Welcome to healthcare magic. From your childhood history of eczema, I am presuming that it could be a topic eczema with a severe flare. At age 70, it could also be worsened by asteatotic eczema which occurs due to an age related decrease in lipid or fat content in the skin. You could benefit from the following- 1. Have lukewarm water baths and avoid hot water. 2. Always moisturise within 3 minutes after bath so that the moisture gets trapped within the skin. 3. An oil based emmolient is the best. You could use mineral.oil like liquid paraffin oil or coconut oil. Use on damp skin to prevent it from becoming sticky. 4. Really moisturisers every 3-4 hours. 5. You could benefit from topical tacrolimus lotion. 6. You could discuss with your doctor regarding photo therapy ( narrow band UV - B) and oral azathioprine as steroid sparing options. However , the doctor will have to consider your age and history of atrial fibrillation before starting those. Hope you find relief with above measures. Take care.