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Eczema ? Types and Causes of Eczema

Eczema is basically a skin disease typical to youth, but Eczema may occur to the people at any age. Eczema is a specific type of allergic cutaneous manifestation of antigen-antibody reaction. It is characterized by superficial inflammatory oedema of the epidermis associated with vesicle formation. Eczema is characterized by itching, scaling and burning of the skin.

Although eczema can sometimes look unpleasant, it is not contagious. With treatment the inflammation of eczema can be reduced. However, the skin will always be sensitive to flare-ups and need extra care.The term ‘Eczema’ is a Greek word (Ee means out, and Zeo means boil). The whole word implies ‘boil out’. The Hindustani name for eczema is Chambal.

Types of Eczema (Dermatitis)

Allergic contact eczema (dermatitis): a red, itchy, weepy reaction where the skin has come into contact with a substance that the immune system recognizes as foreign, such as poison ivy or certain preservatives in creams and lotions

Contact eczema: a localized reaction that includes redness, itching, and burning where the skin has come into contact with an allergen (an allergy-causing substance) or with an irritant such as an acid, a cleaning agent, or other chemical

Dyshidrotic eczema: irritation of the skin on the palms of hands and soles of the feet characterized by clear, deep blisters that itch and burn

Neurodermatitis: scaly patches of the skin on the head, lower legs, wrists, or forearms caused by a localized itch (such as an insect bite) that become intensely irritated when scratched

Nummular eczema: coin-shaped patches of irritated skin-most common on the arms, back, buttocks, and lower legs-that may be crusted, scaling, and extremely itchy

Causes of Eczema

The cause of the Eczema is unknown. Exciting causes are varied, viz., chemicals, plants, clothing, cosmetics, medicaments, infections, drugs, diet, focal sepsis etc. This is caused by direct contact between the skin and the substance, which might be adetergent, soap, diesel or engine oil, strong chemical, cleaner, etc. Eczema can also be caused by contact with substances that the body has become allergic to, called allergic contact dermatitis. This type commonly involves nickel, poison ivy, cosmetics, and rubber products. Infantile eczema often affects young babies, and is caused by moisture from drool or inflammation of the scalp (cradle cap).

Treatment of Eczema

Following are the treatments for a eczema patient:

1. Use of creams, ointments and shower and bath oils which help to replenish the skin’s natural protective oils.

2. Cream or ointment containing a steroid (topical steroid)as prescribed by doctor. These are very effective at reducing inflammation and itch.

3. In moderate to severe atopic eczema, where topical steroid treatment has not worked, your doctor may prescribe a new type of treatment to be applied to the skin (topical treatment). The preparations are made from a type of drug known as immunomodulators (calcineurin inhibitors, eg tacrolimus and pimecrolimus)

4. Antihistamines taken by mouth may be helpful in reducing the itch. Your doctor will advise.

5. If the skin becomes obviously infected, which is more likely as its normal protective surface has been damaged, your doctor will prescribe antibiotics .

6. There are a number of older fashioned remedies which are still effective and may be suggested by your doctor or specialist. For example tars, menthol.

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Category: What Is Eczema

Eczema ? Causes, Symptoms and Treatments

Eczema is a general term for many types of skin inflammation, also known as dermatitis. The most common form of eczema is atopic dermatitis (some people use these two terms interchangeably). However, there are many different forms of eczema.

Although eczema can sometimes look unpleasant, it is not contagious. With treatment the inflammation of eczema can be reduced. However, the skin will always be sensitive to flare-ups and need extra care.

People with eczema often have a family history of the condition or a family history of other allergic conditions, such as asthma or hay fever. Eczema might look different in different persons, and may occur in different parts of the body to different person. In adults, eczema most often develops on the hands and elbows, and in “bending” areas such as the inside of the elbows and back of the knees. In young children, eczema most often develops on the elbows, knees, face, neck, and scalp.

Symptoms of eczema may include red, itchy skin and sores that ooze and crust over. One out of ten children develops eczema, but more than half of them lose it by the time they reach their teens. It is a chronic inflammation of skin categorized by scaly and itching rashes. Dermatitis is a common condition that isn’t life-threatening or contagious. But, it can make you feel uncomfortable and self-conscious. A combination of self-care steps and medications can help you treat dermatitis.

Causes of Eczema

In most cases there is a familial predisposition. Atopy ( allergic rhinitis , asthma and hay fever ) is the term doctors use to describe this predisposition. However, the environment plays a significant role as well (such as heat in the summer and dry winters). There are two types of eczema. Atopic eczema is thought to be a hereditary condition . People with atopic eczema are sensitive to allergens in the environment which are harmless to others. In atopic eczema there is an excessive reaction by the immune system. This type of eczema can worsen after eating certain foods or after being exposed to other allergens such as pollen or dust.

Treatment of Eczema

1. Avoid frequent use of soaps, hot water, and other cleansing procedures (especially if you have a dry skin type) that tend to remove natural oil from the skin.

2. Topical corticosteroids , reduce inflammation in the skin and are usually safe and very effective in curing eczema when used correctly. Mild corticosteroids are generally used for children and on the face and flexures, eg crease of the elbow, behind the knees etc.

3. A very common treatment for treating eczema involves – applying lotions, creams, or ointments to keep the skin as moist as possible.

Healing the skin and keeping it healthy are of primary importance as part of both preventing further damage and enhancing quality of life. Developing and sticking with a daily skin care routine is critical to preventing flares. Key factors are proper bathing and the application of lubricants, such as creams or ointments, within 3 minutes of bathing. People with atopic dermatitis should avoid hot or long (more than 10 to 15 minutes) baths and showers. A lukewarm bath helps to cleanse and moisturize the skin without drying it excessively. Because soaps can be drying to the skin, the doctor may recommend limited use of a mild bar soap or nonsoap cleanser. Bath oils are not usually helpful.

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