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DermatologicalICD-10: L20.9Affects about 31.6 million people in the United States

Eczema

Also known as: Atopic Dermatitis, Atopic Eczema

Eczema, also known as atopic dermatitis, is a chronic inflammatory skin condition that causes dry, itchy, and inflamed patches of skin. It is most common in children but can occur at any age and often runs in families with a history of allergies or asthma. While there is no cure, proper skincare and treatment can effectively manage symptoms and prevent flare-ups.

Symptoms

Intense itching, especially at night
Dry, cracked, or scaly skin
Red to brownish-gray patches on the skin
Small raised bumps that may ooze fluid when scratched
Thickened, leathery skin from chronic scratching
Raw, swollen, or sensitive skin from scratching
Darkened skin around the eyes

Causes

  • Genetic mutation affecting the skin barrier protein filaggrin
  • Overactive immune system response to irritants
  • Environmental triggers such as allergens and pollutants
  • Deficiency in the skin's natural moisture barrier

Risk Factors

  • Family history of eczema, asthma, or hay fever
  • Living in dry or cold climates
  • Childhood onset (most cases begin before age 5)
  • Exposure to certain soaps, detergents, or fragrances
  • Stress and emotional factors

Diagnosis

  • Physical examination of affected skin areas
  • Review of personal and family medical history
  • Patch testing to rule out contact dermatitis
  • Skin biopsy in atypical cases

Treatment

  • Moisturizers and emollients applied daily
  • Topical corticosteroids to reduce inflammation
  • Topical calcineurin inhibitors (tacrolimus, pimecrolimus)
  • Antihistamines for itch relief
  • Biologic medications such as dupilumab for moderate-to-severe cases
  • Wet wrap therapy during flare-ups

Prevention

  • Moisturize skin at least twice daily
  • Avoid known triggers such as harsh soaps and allergens
  • Take shorter showers with lukewarm water
  • Wear soft, breathable fabrics like cotton
  • Use a humidifier in dry environments

When to See a Doctor

  • Skin is so uncomfortable it disrupts sleep or daily activities
  • Signs of skin infection such as red streaks, pus, or yellow crusting appear
  • Over-the-counter treatments are not providing relief
  • Eczema is spreading to new areas of the body

Frequently Asked Questions

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Medical Disclaimer: This content is for educational and informational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider.

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