Category Archives: Eczema

What is eczema?

Eczema is a general term for rash-like skin conditions. The most common type of eczema is called atopic dermatitis, which is an allergic reaction. Eczema is often very itchy and when you scratch it, the skin becomes red and inflamed. Eczema affects adults and children, but it is most common in babies.

Atopic dermatitis is a chronic skin condition. "Atopic" describes an inherited tendency to develop dermatitis, asthma and hay fever. "Dermatitis" means that the skin is red and itchy.

Atopic dermatitis usually starts during infancy and continues into childhood. There are times when the condition gets worse (called flare-ups). Flare-ups are followed by times when the skin will heal and there may be no signs of atopic dermatitis (called remission). Remission can last for weeks, months or even years. Some children will outgrow atopic dermatitis, and others will still have it when they are adults. Flare-ups in adults tend to be less severe.

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Eczema and Atopic Dermatitis | Overview - FamilyDoctor.org

What is eczema?

Eczema (also called atopic dermatitis) is a skin rash that usually appears before age 5. In babies it tends to show up on the cheeks and scalp, but it may spread to the arms, legs, chest, or other parts of the body. After a child's first year, it's most likely to show up on the insides of the elbows, the backs of the knees, the wrists, and the ankles, but it can also appear elsewhere.

The rash might look like dry, thickened, scaly skin, or it might be made up of tiny red bumps that ooze or become infected if scratched. Scratching can also cause thickened, darkened, or scarred skin over time.

Eczema typically comes and goes. It isn't contagious, but because it's intensely itchy, it can be very uncomfortable, and scratching can be a problem. If untreated, the rash can be unsightly, so it may present a social challenge for a child, too.

Your doctor can diagnose eczema by examining your child's skin. He may send you to a dermatologist for confirmation and treatment.

No one knows for sure what causes it, but the tendency to have eczema is often inherited. So your child is more likely to have it if you or a close family member has had eczema, asthma, or allergies.

Eczema is not an allergic reaction to a substance, but allergens or irritants in the environment (such as pollen or cigarette smoke) can trigger it. Less frequently, it can be triggered by allergens in your child's diet or in your diet if your child is breastfeeding.

The rash can also be aggravated by heat, irritants that come in contact with the skin (like wool or the chemicals in some soaps, fragrances, lotions, and detergents), changes in temperature, and dry skin. Stress can also trigger a flare-up of eczema.

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About 20 percent of babies and young children have eczema. It usually starts in infancy, with 65 percent of patients developing symptoms in the first year of life and 90 percent developing symptoms before age 5.

There's no way to know ahead of time whether a child will outgrow eczema, but fortunately the condition usually becomes less severe with age. Many children outgrow eczema by age 2, and many others outgrow it by adulthood.

Taking good care of your child's skin and avoiding triggers can help treat and prevent flare-ups.

Bathing and moisturizing Talk with the doctor about how often to bathe your child. Many experts now believe that daily bathing can be helpful for children with eczema. Just don't make the water too warm, because very warm water dries out the skin faster than lukewarm water.

Use a mild soap or non-soap cleanser, and wash and shampoo your child at the end of the bath so he isn't sitting in soapy water. As soon as you get your child out of the tub, pat (don't rub) excess water from his skin with a soft towel or washcloth.

Then, while the skin is still damp, promptly apply a liberal amount of moisturizer or emollient an ointment, cream, or lotion that "seals in" the body's own moisture to your child's skin. Ointments and creams contain more emollient and less water than lotions and are usually best for children with eczema.

"I recommend emollients for children of all ages," says Michael Smith, an associate professor of medicine and pediatrics in the division of dermatology at Vanderbilt Medical Center in Nashville. He suggests testing the emollient for a short time to make sure it doesn't irritate your child's skin.

The most effective approach, according to Smith, is to hydrate and lubricate the skin at the same time by applying emollient to damp skin. The emollient won't improve the red, inflamed, itchy areas, but it will help restore the skin's invisible protective barrier. (This barrier makes up part of the normal outer layer of the skin and is impaired in kids with eczema.)

Allowing skin to breathe and stay cool Dress your child in smooth natural fabrics, like cotton. Avoid wool and other scratchy materials, which can irritate very sensitive skin. Don't overheat your child by bundling him up more than necessary.

Soaps and cleansers Switch to mild, fragrance-free soaps or non-soap cleansers and shampoos, or those made for sensitive skin. Use mild, fragrance-free detergent for washing clothes and bedding. Don't use fabric softeners.

Prevent scratching Your child may try to get relief by scratching with his hands or by rubbing his face against the sheet during sleep. But scratching and rubbing can further irritate or inflame the skin and make matters much worse.

Use the softest sheets possible in the crib or bed, and keep your child's nails short. Put him to bed with cotton mittens or socks on his hands if he'll tolerate them.

If your child has a lot of trouble sleeping because of the itching, consult your doctor. He may suggest an antihistamine to help your child rest better.

Soothe flare-ups During a flare-up, you can try applying cool compresses to the area several times a day, followed by a moisturizer.

A study published in the May 2009 issue of Pediatrics tested treatments on children with severe eczema. The kids ranged in age from 6 months to 17 years.

Researchers found that soaking for five to ten minutes twice a week in a diluted bleach bath was five times more effective at treating eczema than plain water (used by the placebo group). The improvement was so dramatic that the researchers stopped the study early to allow children in the placebo group to benefit from the method.

Amy Paller, senior author of the study and the Walter J. Hamlin professor and chair of the department of dermatology and professor of pediatrics at Northwestern University Feinberg School of Medicine, says that with their doctor's approval parents of children with moderate to severe eczema might want to try this method, especially if their child gets skin infections.

Paller recommends a scant two teaspoons of bleach per gallon of bathwater (or 1/2 cup per full tub) at least twice a week, taking these precautions: 1) Make sure your child doesn't drink the water. 2) Disperse the bleach in the water before putting your child in the tub (you don't want undiluted bleach to get on her skin).

Nashville pediatrician Smith agrees with Paller's approach. "It's safe and easy to do," he says. "It's basically like a freshly chlorinated swimming pool, which serves to kill germs in the pool. It is very useful for kids with recurrent skin infections related to eczema, but it has also been shown effective just to eliminate bacteria, making the eczema easier to treat."

Smith tells parents to use 1/3 to 1/2 cup for a full tub or 1 teaspoon per gallon. He also suggests rinsing off briefly afterward, to get rid of the bleach smell.

See the rest here:
Eczema in children | BabyCenter

What Is Allergic Eczema?

When your body comes in contact with something that could make you ill, your immune system promotes chemical changes to help your body ward off disease. You are exposed to thousands of substances each day, and most will not cause your immune system to react. However, you may come into contact with substances that are not typically harmful to the body but cause your immune system to overreact nonetheless. These substances are known as allergens, and this overreaction is known as an allergy.

Have a board certified dermatologist examine your skin problem

An allergic reaction can take a number of forms. For some people, breathing becomes difficult, they cough, and they experience burning eyes and a runny nose. Other allergic reactions cause changes in the skin. Allergic eczema is an itchy skin rash that develops when you come into contact with an allergen. The condition often occurs hours after you have been exposed to the substance that causes the allergic reaction.

Allergic eczema is also known as:

Allergic eczema occurs when you come into direct contact with an allergen. This type of allergic reaction is known as delayed allergy because it can take several exposures to the allergen to cause a reaction. Also, the symptoms of allergic eczema may not develop for 24 to 48 hours after you have come in contact with the allergen.

Although allergic eczema can develop because of an immune response to any substance, some common triggers include:

Allergic eczema may also result when the skin is exposed to chemicals in the presence of sunlight. One example is an allergic reaction that occurs after using sunscreen and spending time in the sun.

The symptoms of allergic eczema will be different for each person. They may also change over time. Symptoms typically develop on the skin where contact with the allergen has occurred. In rare cases, symptoms may spread to other areas of the skin.

Common symptoms include:

If you have symptoms of this disorder, your doctor will examine your skin. Although your doctor may be able to diagnose an allergic reaction, he or she may need to do further testing to determine exactly what you are allergic to. Typically an epicutaneous (on surface of the skin) or patch test will be required.

During this test, patches that contain common allergens are placed on your back. These patches remain in place for 48 hours. When your doctor removes the patches, he or she will check for signs of an allergic reaction. Your doctor will check your skin again in two more days to see if there is a delayed allergic reaction.

If your doctor is not able to make a diagnosis based on the patch test, other tests may be needed. Your doctor may perform a skin lesion biopsy (taking a sample of your skin for laboratory testing) to make sure that your skin condition is not due to another health problem.

Treatment for allergic eczema depends on the severity of your symptoms. In all cases, it is important to wash the affected skin with plenty of water to remove traces of the allergen.

If your symptoms are mild and do not bother you, no further treatment may be needed. You may wish to use a moisturizing cream to keep the skin hydrated and to repair damage. Over-the-counter corticosteroid creams can help with itching and inflammation.

If your symptoms are severe, your doctor may recommend prescription-strength ointments or creams. Corticosteroid pills or a shot can also be prescribed if needed.

With treatment, you can expect allergic eczema to clear up within two to three weeks. However, the condition may return if you are exposed to the allergen again. Identifying the allergen that caused your eczema and taking steps to avoid it are critical to preventing future reactions.

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Allergic Eczema: Causes, Symptoms & Diagnosis

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Updated January 06, 2015.

Eczema is a chronic skin disorder characterized by itching rashes, which may be red, scaly, dry, or leathery. There may be skin blisters with oozing and crusting.

Eczema usually occurs for the first time in infants, with rashes typically occuring on the cheeks, elbows or knees. Eczema, although often less of a problem in adulthood, can persist, especially if a person is exposed to allergens or chemical irritants or is under stress.

People with eczema frequently have family members with asthma, hay fever, or eczema.

So far, scientific support for the claim that any remedy can treat eczema is fairly lacking.

Studies suggest that babies at high risk for allergic disorders such as eczema have different types and numbers of bacteria in their digestive tracts than other babies, and that probiotic supplements taken by pregnant women and children may reduce the occurrence eczema in children.

A large, long-term study examined whether the use of a probiotic supplement or a placebo could influence the incidence of eczema in infants. Researchers randomized 1223 pregnant women carrying high-risk babies to use a probiotic supplement or a placebo for 2 to 4 weeks before deliver.

Starting from birth, infants received the same probiotics as their mothers had plus galacto-oligosaccharides (called a "prebiotic" because it has been shown to help multiple strains of beneficial bacteria flourish) for 6 months. After 2 years, the probiotics were significantly more effective than placebo at preventing eczema.

In addition to the use of probiotics to prevent eczema, probiotics have also been explored as a treatment for infants and children who already have eczema. Some studies have found that probiotics alleviate symptoms of eczema only in infants and children who are sensitized to food allergens.

Researchers are testing different strains of bacteria to see if one particular strain is more effective for eczema. One of the most commonly used probiotic strains used in eczema studies is Lactobacillus GG. Other strains used include Lactobacillus fermentum VRI-033 PCC, Lactobacillus rhamnosus, Lactobacillus reuteri, and Bifidobacteria lactis. The prebiotic galacto-oligosaccharides has also been used.

Consult a qualified health professional before using probiotics. Children with immune deficiencies should not take probiotics unless under a practitioner's supervision. For more information about probiotics, read Acidophilus and Other Probiotics.

For example, one double-blind study examined the use of borage oil (500 mg a day) or placebo in 160 adults with moderate eczema. After 24 weeks, the overall effectiveness was not significantly better with borage oil compared with the placebo.

Find out more about GLA.

Due to a lack of supporting research, it's too soon to recommend any alternative medicine for eczema treatment.Supplements haven't been tested for safety and due to the fact that dietary supplements are largely unregulated, the content of some products may differ from what is specified on the product label. Also keep in mind that the safety of supplements inpregnant women, nursing mothers, children, and those with medical conditions or who are taking medications has not been established. You can get tips on usingsupplements here,but if you're considering the use of alternative medicine,talk with your primary care provider first.Self-treating a condition and avoiding or delaying standard care may have serious consequences.

Sources

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Henz BM, Jablonska S, van de Kerkhof PC, Stingl G, Blaszczyk M, Vandervalk PG, Veenhuizen R, Muggli R, Raederstorff D. Double-blind, multicentre analysis of the efficacy of borage oil in patients with atopic eczema. Br J Dermatol. 140.4 (1999): 685-688.

Kalliomaki M, Salminen S, Poussa T, Arvilommi H, Isolauri E. Probiotics and prevention of atopic disease: 4-year follow-up of a randomised placebo-controlled trial. Lancet. 361.9372 (2003): 1869-1871.

Korting HC, Schafer-Korting M, Klovekorn W, Klovekorn G, Martin C, Laux P. Comparative efficacy of hamamelis distillate and hydrocortisone cream in atopic eczema. Eur J Clin Pharmacol. 48.6 (1995): 461-465.

Kukkonen K, Savilahti E, Haahtela T, Juntunen-Backman K, Korpela R, Poussa T, Tuure T, Kuitunen M. Probiotics and prebiotic galacto-oligosaccharides in the prevention of allergic diseases: A randomized, double-blind, placebo-controlled trial. J Allergy Clin Immunol. 119.1 (2007): 192-198.

Moro G, Arslanoglu S, Stahl B, Jelinek J, Wahn U, Boehm G. A mixture of prebiotic oligosaccharides reduces the incidence of atopic dermatitis during the first six months of age. Arch Dis Child. 91.10 (2006): 814-819.

Patzelt-Wenczler R, Ponce-Poschl E. Proof of efficacy of Kamillosan(R) cream in atopic eczema. Eur J Med Res. 5.4 (2000): 171-175.

Saeedi M, Morteza-Semnani K, Ghoreishi MR. The treatment of atopic dermatitis with licorice gel. J Dermatolog Treat. 14.3 (2003): 153-157.

Sistek D, Kelly R, Wickens K, Stanley T, Fitzharris P, Crane J. Is the effect of probiotics on atopic dermatitis confined to food sensitized children? Clin Exp Allergy. 36.5 (2006): 629-633.

Taylor AL, Dunstan JA, Prescott SL. Probiotic supplementation for the first 6 months of life fails to reduce the risk of atopic dermatitis and increases the risk of allergen sensitization in high-risk children: A randomized controlled trial. J Allergy Clin Immunol. 119.1 (2007): 184-191.

Viljanen M, Savilahti E, Haahtela T, Juntunen-Backman K, Korpela R, Poussa T, Tuure T, Kuitunen M. Probiotics in the treatment of atopic eczema/dermatitis syndrome in infants: a double-blind placebo-controlled trial. Allergy. 60.4 (2005): 494-500.

Disclaimer: The information contained on this site is intended for educational purposes only and is not a substitute for advice, diagnosis or treatment by a licensed physician. It is not meant to cover all possible precautions, drug interactions, circumstances or adverse effects. You should seek prompt medical care for any health issues and consult your doctor before using alternative medicine or making a change to your regimen.

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Natural Treatments/ Remedies for Eczema