Medical dermatology
Eczema
Eczema is a broad term for itchy, inflamed skin. The most common form, atopic dermatitis, is chronic, but with the right regimen most patients can be comfortable nearly all the time.
What it is.
Eczema describes a family of conditions in which the skin barrier is impaired and the immune system overreacts to triggers, producing itching, redness, dryness, and sometimes weeping or thickening of the skin. Atopic dermatitis is the most common variant and often coexists with allergies and asthma.
Who it affects.
Atopic dermatitis frequently begins in infancy or early childhood and may improve with age, but can also begin in adulthood. Hand eczema is common in people with frequent water exposure or contact with irritants.
How we treat it.
Care starts with bland moisturizers, gentle cleansers, and avoiding identified triggers. Flares are treated with prescription topical anti-inflammatories (steroids and steroid-sparing options). Moderate to severe disease may benefit from phototherapy or modern targeted biologics.
When to come in.
If itching is disrupting sleep, the rash is widespread or infected, or over-the-counter creams aren't keeping things calm, prescription care can change daily life.
Related conditions.
Next step
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