Eczema
It is a chronic and relapsing condition that can affect people of all ages, but it is most common in infants and young children. Eczema is not contagious.
People with eczema often have a genetic predisposition to the condition, and it tends to run in families. Additionally, eczema is associated with a dysregulated immune response, leading to inflammation and skin barrier dysfunction.
Common symptoms of eczema include:
Itching (Pruritus): Itching is the hallmark symptom of eczema and can be intense, leading to scratching, which can further damage the skin and worsen the condition
Redness (Erythema): Areas of the skin affected by eczema may appear red or inflamed.
Thickened Skin: Prolonged scratching or rubbing of the affected areas can lead to thickening of the skin (lichenification).
Cracking: The skin may crack or fissure, especially in areas where the skin folds, such as the elbows or behind the knees.
Blisters or Oozing: In severe cases of eczema, blisters may develop, which can ooze and crust over.
Skin Discoloration: Over time, repeated inflammation and scratching can lead to changes in skin pigmentation, resulting in lighter or darker patches of skin.
Eczema tends to occur in "flare-ups," during which symptoms worsen, followed by periods of remission when symptoms improve or disappear. Triggers for eczema flare-ups can vary from person to person but may include:
- Dry skin
- Irritants such as soaps, detergents, or certain fabrics
- Allergens such as dust mites, pet dander, or pollen
- Changes in temperature or humidity
- Stress
- Hormonal changes
- Certain foods or food allergies
While there is no cure for eczema, various treatments and strategies can help manage symptoms and prevent flare-ups. These may include:
- Moisturizing regularly with emollients or creams to keep the skin hydrated
- Avoiding known triggers and irritants
- Using gentle, fragrance-free skincare products
- Applying topical corticosteroids or other anti-inflammatory medications during flare-ups
- Using topical calcineurin inhibitors (TCIs) for long-term management
- Taking oral antihistamines to relieve itching
- Phototherapy (light therapy) for severe cases
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