BLOG 517 ECZEMA
Dry, itchy skin is often associated with the skin condition
called eczema (atopic dermatitis). It is marked by being long lasting and
flaring up from time to time. For people who have eczema, their irritated skin
will look like a rash that might be swollen. Other symptoms include crusting
skin, small bumps, thicker skin, dry/cracked skin, and/or raw skin. Eczema can
start in early childhood and continue through adulthood, flaring up from time
to time. It is not contagious.
There is a gene associated with skin that deals with
protection. After all, our skin’s purpose is to protect all that is under it. Some
people with eczema lack protective genes. The weak skin then doesn’t retain moisture
as well, and this reduces the protection against bacteria and allergens that
are irritants. They’re also more prone to other types of allergies. Other
people have too much of the bacteria called Staphylococcus which affects the
good bacteria in the skin. The barrier skin provides is then not as healthy or
effective. Because the barrier is weak, the person becomes at higher risk for
immune responses such as inflammation.
Taking care of the skin is very important and having a skin
care routine helps. When a person has eczema there are preventative measures to
take to avoid flare ups. Moisturizing the skin a minimum of twice per day is good
practice to follow. Shea butter and lotions can help seal moisture in. Because
soaps can be especially irritating to people with eczema, it is recommended to
only use cleansers that are dye free, alcohol, and fragrance free. Applying
after bathing is best. Bathing should be done every day. There are certain
triggers that can be avoided as well. Stress, cold air, dry air, heat, sweat,
pollen, mold, pet dander, dust mites, stress, and rough wool fabric, should be
kept away as much as possible. All of these are self-care measures, but if
ineffective there are other options.
A health care professional can prescribe medications such as
antibiotics to ward off infection when flare ups strike. There are pills that
can be taken regularly to keep flare ups away as much as possible. Prednisone
is an example of this type of medication. There are injectable biologics
options too. Dupilumab (Dupixent) is an example of these. There are ointments
and creams that can be topically applied which are typically corticosteroid
products. For more severe cases, wrapping the area with the products on using a
wet gauze can help seal in the moisture. Light therapy is another option which
incorporates UVA and/or UVB rays.
Itching and scratching is the worst habit to form. Children
must be taught not to this. Anti-itch and anti-allergy medications can be taken
to help against this irritation. Skin plays a huge protective role for us. In
turn, we must protect it. We don’t always get drawn the best hand to deal with,
but if eczema is part of life, then taking care of it the right way is
critical. Quality of life depends upon this. We must live in our own skin, so keeping
the home comfortable just feels better.
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