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 Health & You:
Oct 29, 2013
By: Eze Nkeiruka Perpetua

Nigeria: -


Eczema is a general name term for many types of skin inflammation (dermatitis).The most common forms of eczema is ATOPIC dermatitis. The word eczema comes from the Greek word ekzein meaning ‘to boil out” the Greek word ek means “out” while the Greek word zema means boiling.

Eczema can affect people of any age, although the condition is most common in infants and about 85% of those affected have an onset prior to 5 years of age.

People with eczema often have a family history of the condition or family history of other allergies conditions, such as asthma or hay fever.

                      DIFFERENT FORMS OF ECZEMA

  • ATOPIC DERMATITIS:  Is an allergic disease believed to have a hereditary component and often  runs in families whose members also have asthma ,itchy rash is particularly noticeable on head and scalp, neck inside of elbows, behind knees and buttocks. The conditions come and go depending upon exposures to triggers or causative factors. Factors that may cause atopic dermatitis (allergens) include environmental factors like molds ,pollens or pollutants ,contact irritants like soap, detergents, nickel ( in jewelry) or perfumes, and food allergies.
  • CONTACT DERMATITIS:  Allergy resulting from a delayed reaction to some allergen, such as poison ivy or nickel and irritant which results from direct reaction to a detergent, such as sodium lauryl sulphate .Some substances act both as allergen and irritant. Eg wet cement.
  • XEROTIC DERMATITIS: It is a dry skin that becomes so serious it turns into eczema. It worsens in dry winter weather, and limbs and trunks are most often affected. It is common among older people.
  • SEBORRHOEIC DERMATITIS is a condition sometimes classified as a form of eczema that is closely related to dandruff .It causes dry or greasy peeling of the scalp, eye brows and face and sometimes trunk. The condition is harmless except in severe cases of cradle cap. In newborns it causes a thick, yellow crusty scalp rash called cradle cap which seems related to lack of biotin and often curable.
  • NUMMULAR ECZEMA: (Nummular dermatitis) is characterized by coin-shaped patches of irritated skin- most commonly located on the arms, back, buttocks and lower legs that may be crusted, scaling and extremely itchy.
  • NEURO DERMATITIS : Also known as Lichen complex chronicus, is a chronic skin inflammation caused by a scratch-itch cycle that begins with a localized itch such as insect bite that becomes intensely irritated when scratched women are more commonly affected by neurodermatitis than men.                                                       CAUSES

The causes of Eczema have not been fully determined. It is presumed to be a combination of genetic and environmental factors.

Environmental factors are also known as allergens which cause the body’s immune system to over react, an allergic reaction, they make atopic eczema symptoms worse.

The three most common allergens for atopic eczema are:

  • House dust mites (bed bugs)
  •           Pollen
  •          Pet fur

 These three allergens are also the main ones that trigger asthma and hay fever. Food that may make atopic eczema symptoms worse. These are foods that typically cause allergic reactions in people with sensitive immune systems: These include:   -Milk (cows)





About 10% of children with atopic eczema are affected by food allergens; Food rarely affects the symptoms of Adults with eczema.



  • The skin may be broken in places
  • Cracked skin
  • Itchy skin
  • Scratching may also result in areas of thickened skin.
  • Some areas of skin becomes red and inflamed
  • Areas of skin may have small, raised bumps

The patches may occur in any part of the body’s skin, they tend to appear on the hands, feet, arms, behind the knees, ankles, waist, face, neck, and upper chest. Some patients have symptoms around the eyes including the eyelids .Scratching around the eyes may eventually lead to noticeable loss of eyebrow and eyelash hairs. Babies tend to show symptoms on the face.

When there is a flare-up the previous symptoms still exist, plus some of the ones below:

  • The skin will be much more itchy.
  • Itchiness and scratching will make the skin redder, raw and very sensitive.
  • Many affected areas will feel hot.
  • The skin will be much more scaly and drier.
  • The raised bumps will be more pronounced and leak fluid.
  • Blisters will appear.
  • The affected areas may be infected with bacteria.

Flares ups can last from a day or two to several weeks. The following may worsen the symptoms of atopic eczema.

  • Prolonged hot shower or bath.
  • Allowed the skin to stay dry.
  • Sweating.
  • Mental stress.
  • Rapid temperature changes.
  • Dry Air.
  • Certain fabrics for clothing e g wool.
  • Dust.
  • Sand.
  • Some detergents.



Skin test currently exists for diagnosis and the medical history of the patient is taken.


While there is no cure for eczema, you can take steps to manage your symptoms and lessen the severity of outbreaks, such measures include:

  • Avoidance of over bathing.
  • Apply moisturizer.
  • Bathing in warm, not hot, water and using a mild soap.
  • Limiting or avoiding contact with known irritant like soaps, perfume, detergents, jewelry, environmental.
  • Wearing loose-fitting clothing.
  • Avoiding foods  that causes allergic reaction.
  • Exercise, meditation or other stress management techniques can help those for whom stress is a trigger.
  • Wearing protective gloves for activities that require frequent submersion of the hands in water.
  • Maintain cool temperatures in sleeping areas, because heat can lead to sweating that worsens itching and irritation.


Good skin care is a key component in controlling eczema. People with more severe eczema may need to take medication to control their symptoms.

Non-drug treatments for eczema include:

  • Mild Soap and Moisturizer: It’s best to use a mild soap substitute that will not dry out your skin. A good moisturizer (cream, lotion, ointment) helps conserve the skins natural moisture and should be applied immediately after a shower or bath. Some people with severe eczema may benefit from taking baths with a small amount of bleach added to the water. The bleach helps to kill bacteria that live on the skin of people with eczema.
  • Short, Warm showers- People with eczema should avoid taking very hot, or long  shower or baths which can dry  out tour skin
  • Reduce stress: Get regular exercise and set aside time to relax.

Medications and other treatments for eczema include:

Hydrocortisone cream.

Corticosteriods on skin: To decrease the inflammatory reaction.

Ultra violet light therapy.

Immunosuppressant’s .                     





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