Eczema: Causes, Symptoms And Treatment Of Eczema

Eczema is a common skin condition categorised by issues like inflammation, redness, dryness and itching. This skin condition can affect every age group, but it is important to know that eczema is not a single disease. Rather, it is a group of skin problems that lead to the problems. The most prevalent type of eczema is atopic dermatitis, and contact dermatitis and dyshidrotic eczema are two other major sub-types of this condition. So, understanding the causes, symptoms, treatment, etc., can help manage this condition better and improve skin health.  

Causes of Eczema

Some of the leading causes of eczema are:

• Genetics: Genetics disposition is a major reason of eczema. Individuals with a family history of this condition invariably develop it. 

• Environmental Triggers: Some of the environmental factors like allergens, pollutants and weather change can also flare up eczema. Common irritants include pet dander, pollen, dust mites, and chemical components of soaps, detergents and skincare products.

• Hormonal Changes: Sometimes hormonal changes due to conditions like excessive and chronic stress cause eczema. When the cortisol levels increase in the body, it weakens the skin’s protective barrier and leads to this problem.

• Dietary Factors: Food habits can also flare up eczema. Certain items like dairy, nuts, eggs, gluten, etc., may act as triggers for some individuals. 

• Fabric: In some cases, using rough fabrics for longer periods can also lead to eczema.

Symptoms of Eczema

Some of the common symptoms of eczema are:

• Itching

• Dry and scaly skin

• Redness and inflammation

• Oozing

• Rashes

Depending on the type of eczema one is suffering from, the symptoms will vary. Here is a table outlining the details for better understanding:

Diagnosis of Eczema

The diagnosis of eczema has two phases:

• Phase 1: Clinical Evaluation

In the first phase of diagnosis, the doctor will assess the patient’s symptoms, medical history, and family history of eczema. During this exam, they will check for skin appearance, affected areas, symptoms and a history of flare-ups.

• Phase 2: Diagnostic Tests

After the physical check-up, to confirm eczema and rule out other skin conditions, the doctors will advise some lab tests. They will ask patients to go through patch testing and blood tests. Also, in some cases, the doctors may ask patients to eliminate some food items from their diet.

Based on the outcome, the doctor will determine the final outcome and create a treatment plan accordingly.

Treatment Options

Once the diagnosis is complete, the doctors will start treatment. Here, they usually use three approaches:

1. Topical Treatments

This treatment plan is the initial part of eczema treatment that focuses on reducing inflammation, itching, and dryness. In this case, the doctors use:

• Moisturisers to hydrate the skin and prevent dryness

• Corticosteroid creams to reduce inflammation and itching

• Antibacterial or antifungal creams to reduce skin irritation

• Calcineurin inhibitors to control inflammation

2. Systemic Medications

In case of severe and widespread eczema, the doctors rely on systemic medication rather than topical treatment. In this case, they prescribe:

• Oral Antihistamines that help relieve itching

• Oral Corticosteroids reduce severe inflammation

• Immunosuppressants reduce the immune system response

3. Lifestyle Modifications

Alongside the medication, the doctors also prescribe a few lifestyle modifications to combat this disease:

• Using mild skincare products

• Drinking ample water

• Practising stress management

• Avoid irritants

• Following a healthy diet devoid of inflammatory foods

Managing Eczema Flare-Ups

Eczema management involves understanding the flare-ups and having the right strategies in place to find relief. Some of the common triggers of this condition are:

• Allergens

• Weather conditions

• Food item

• Stress and anxiety

• Certain fabrics

Once triggers are identified, adopting the following strategies can help manage flare-ups:

• Keep the skin moisturised

• Use gentle skincare products

• Wear soft and breathable fabrics

• Work on stress management

• Use the medications properly

Complications of Eczema

Besides the treatment and management, individuals should also be aware of the complications associated with eczema:

• Increased Risks of Skin Infections

Since eczema weakens the protective barrier of the skin, it makes the skin more susceptible to other illnesses. This includes bacterial and viral infections.

• Reduced Quality Of Life

Eczema also lowers the quality of life. The affected individuals bear the brunt of social stigma and suffer from low self-confidence. It also increases their chances of suffering from anxiety and depression.

• Disruptions in Sleep 

Usually, the conditions of eczema worsen at night, which then disturbs the sleep quality of the individual. As a result, they feel tired and fail to focus on their daily work.

• Leads to Asthma

Many individuals with eczema also develop asthma, which causes difficulty in breathing due to airway inflammation.

Eczema in Different Age Groups

Eczema can affect people of any age, but it is largely divided into the following categories to broadly understand this condition in human beings:

• Infantile Eczema

Infantile eczema, also known as atopic dermatitis in babies, typically appears in infants and young children. It is characterised by symptoms like dry skin, redness, and itchiness. Most infants and young children outgrow eczema by early childhood, but some may continue to experience symptoms into adulthood.

• Adult-Onset Eczema

Adult-onset eczema, also known as adult-onset atopic dermatitis, is a chronic skin condition. Its symptoms include itchiness, red rashes, and dry and scaly skin.

The Role of Diet and Nutrition

Diet plays a key role in managing eczema; certain foods can trigger flare-ups, while others help support skin health. Identifying food sensitivities and maintaining a balanced diet can significantly reduce symptoms and improve overall skin condition.

1. Foods to Avoid

While the dietary triggers vary for each individual, some common culprits are:

• Dairy products

• Eggs

• Processed foods

• Nut

• Shellfish

• Soy products

• Foods with excessive gluten content

2. Nutrition tips for managing eczema

Incorporating the following can help reduce inflammation and support skin repair:

• Antioxidant-rich fruits and vegetables

• Vitamin D-rich foods and supplements

• Probiotic-rich foods

• Omega-3 fatty acids

• Proper hydration

Preventive Measures for Eczema

People suffering from eczema can follow some preventive measures to better manage this condition. The first part of that is a well-maintained skincare routine. For that, individuals need to take lukewarm baths, properly moisturise the skin and use hypoallergenic products.

Conclusion

Eczema is a chronic skin condition requiring a comprehensive management approach comprising proper skincare, lifestyle adjustments, and medical treatment. Understanding its causes, symptoms, and triggers can help individuals take preventive measures and minimise flare-ups. With the right care and support, people with eczema can effectively manage their condition and improve their overall skin health and quality of life.

Consult Top Dermatologists

Dr. Kavitha Killaparthy

Dermatologist

23 Years • MBBS,DIPLOMA(DERMATOLOGY,VENEREOLOGY,LEPROSY)

Hyderabad

JDS Skin & Hair Clinic, Hyderabad

₹700

Visit DoctorAvailable in 1 minutes

Dr. Mayuri Jain

Dermatologist

11 Years • MBBS, MD Dermatology , Venereology & Leprosy

Delhi

Dr Mayuri Jain Clinic, Delhi

₹850

Visit DoctorAvailable in 1 minutes

Dr Ekansh Shekhar

Dermatologist

10 Years • MBBS MD

Lucknow

Apollo Clinic Hazratganj, Lucknow

₹600

Visit DoctorAvailable at 10:30 PM

Dr. Swathi Thadishetti

Dermatologist

14 Years • MBBS, MD (Dermatology, Venereology & Leprosy)

Karim Nagar

RKD Hospital, Karim Nagar

₹625

Online ConsultAvailable tomorrow at 12:30 AM

Dr.j Girishma

Dermatologist

6 Years • MBBS MD DERMATOLOGY

Bengaluru

Apollo Medical Center, Marathahalli, Bengaluru

₹550

Online ConsultAvailable tomorrow at 12:30 AM