Atopic Eczema


Atopic eczema (atopic dermatitis) is the most common form of eczema, a condition that causes the skin to become itchy, red, dry and cracked. Atopic eczema is more common in children, often developing before their first birthday. However, it may also develop for the first time in adults.

It's usually a long-term (chronic) condition, although it can improve significantly, or even clear completely, in some children as they get older.

Symptoms

Atopic eczema causes the skin to become itchy, dry, cracked, sore and red. Some people only have small patches of dry skin, but others may experience widespread red, inflamed skin all over the body.

Although atopic eczema can affect any part of the body, it most often affects the hands, insides of the elbows, backs of the knees and the face and scalp in children.

People with atopic eczema usually have periods when symptoms are less noticeable, as well as periods when symptoms become more severe (flare-ups)

When to seek medical advice

Whether the rash is itchy and where it appears

When the symptoms first began

Whether it comes and goes over time

Whether there's a history of atopic eczema in your family

Whether you have any other conditions, such as allergies or asthma

Whether something in your diet or lifestyle may be contributing to your symptoms

Causes

The exact cause of atopic eczema is unknown, but it's clear it is not down to one single thing. Atopic eczema often occurs in people who get allergies – "atopic" means sensitivity to allergens. It can run in families, and often develops alongside other conditions, such as asthma and hay fever.

The symptoms of atopic eczema often have certain triggers, such as soaps, detergents, stress and the weather. Sometimes food allergies can play a part, especially in young children with severe eczema. You may be asked to keep a food diary to try to determine whether a specific food makes your symptoms worse.

Allergy tests aren't usually needed, although they're sometimes helpful in identifying whether a food allergy may be triggering symptoms.

Treating

Treatment for atopic eczema can help to relieve the symptoms and many cases improve over time. However, there's currently no cure and severe eczema often has a significant impact on daily life, which may be difficult to cope with physically and mentally. There's also an increased risk of skin infections. Many different treatments can be used to control symptoms and manage eczema, including:

Self-care techniques, such as reducing scratching and avoiding triggers

Emollients (moisturising treatments) – used on a daily basis for dry skin

Topical corticosteroids – used to reduce swelling, redness and itching during flare-ups

*Image CC0 Creative Commons by Pixabay

www.nhs.uk

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