Eczema (atopic) Skin Condition : What Is It ? Treatment and Advice for Patient 12
Atopy means an inherited predisposition to eczema, asthma or hay fever and atopic individuals may have one or all of these conditions.
Approximate age group
Eczema usually begins between 3 and 12 months. The condition tends to be long term, but it will clear by puberty in 90% of individuals.
Presentation
In an acute reaction, the skin displays the signs of inflammation: heat, erythema and swelling. Pain is not usually present but itching is severe. The skin lesions are not sharply demarcated but merge with the surrounding skin. There may be vesicles or bullae which rupture with oozing of clear fluid. The lesions may be localised, particularly to the flexures, or widespread.
In Asian or Afro-Caribbean skin, lesions are more commonly seen on the extensor surfaces.
Treatment
To treat effectively consider the following:
• complete emollient therapy
• for eczematous lesions, treat with topical steroid
• if the itch is disturbing sleep, consider a sedative antihistamine
• if there is infection, refer to impetiginised eczema.
Advice to parent/carer
Cotton clothing worn next to the skin is comfortable. Cotton gloves may help prevent damage from scratching.
Local dermatology nurses and dermatology departments will help with education, support and long-term management.
The National Eczema Society, British Association of Dermatologists and the Primary Care Dermatology Society can also provide useful written information.
Traffic light
Secondary infection can rapidly worsen. See impetiginised eczema (this section) and eczema herpeticum.
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Eczema Skin Condition, Natural Treatment, Skin Condition
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