ECZEMA

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ECZEMA
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What is Eczema?

• Long lasting, and recurring Skin condition
• Itching, scratching, drying skin,
• Red, scales, excoriated. Sometime may blistering
  and weeping.

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• Eczema happen in all ages. Almost always begins
  in childhood, usually during infancy.
• May fade in childhood, or continue to life long.
• Affect men and women and all races equally.

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Eczema is not contagious.It is genetically
determined.It is an excessive reaction by the
immune system.
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Common places for infants
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Cheeks, and ears, dry, red and cracks.
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Cheeks red and dry
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• Sometime eczema may associate with hayfever, and
  asthma.

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Common places for children

• Backs of knees, and ankles.

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Common places for children insides of elbows.

• elbows

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• Buttock area was spared because of wrapped with
  diaper and unable to scratch.

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Side effects from chronic use of cortisone
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Chronic scratching, skin becomes thickening and
scaly.
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• Chronic scratching induced white scar
  areas.(hypopigmentation)

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• Palm with small blistering lesions.

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• Ears are another common places to be affected.

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Sometimes with round red dry scaly lesions.
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Around lips, dry and chappedespecially on kids
who like to lick

• Another common condition.

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• Both arms red, dry and scaly.

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Pityriasis alba

• Eczema appears with dry white spots on face.
• Not ringworm.
• White spots will disappear after regular
  moisturizing.

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• There is no cure for eczema, but with proper
  care, eczema can be under good control.

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Triggering or worsening factors

• Dry skin
• Irritants (rubbing, fumes, chemicals)
• Allergens (pollen, dust mites, animal dander, or
  molds.)
• Emotional stress
• Heat and sweating
• infection

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Home care

• Gentle cleansing
• Avoid harsh soap, use products with perfume-free,
  and dye-free
• Good moisturizer
• Enough Fluid intake,
• Nutrition, balanced
• Emotion, stable

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Products such as

• Non soap cleansing---dove, cetaphil, oil of oly,
  aveeno.
• Moisturizer---- cetaphil cream, eucerin (plus)
  cream, DML cream, petroleum jelly, aquaphor
  ointment
• Clothingcotton material, soft
• Laundry---cheer, all, dawny

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What you can do?

• Pay attention to possible food or environmental
  allergies, or irritants. May refer for allergy
  clinic for evaluation.
• Good skin care and moisturizing is the key.

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Pay attention to aggravating factors

• Eg. Environment, food, clothing, products.
• Stop all the irritant right away
• Call your doctor to evaluate

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Use of medication

• over the counter, such as
• Aveeno anti-itch cream, Eucerin
• Aveeno oat meal bath
• All the products needed to be tested before
  apply to a larger area.

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steroid

• Usage anti-inflammation
• Benefit decrease itch, and redness
• Side effects atrophy, discoloration, and
  thinning skin. And rebound.
• Examples over the counter hydrocortisone 1,
  0.5
• Prescriptions needed for stronger strength.
• Use as needed only, max 2 weeks in a raw.

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antihistamine

• Use decrease itch
• Benefits decrease itch
• Side effects drowsiness, sleepy, drugy, dry
  mouth. Such as benadray, atarax
• May try non drowsy ones, such as claritin
  (Loratadine), or allegra

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Eczema resources

• www.nationaleczema.org
• www.aaa.org (american academy of dermatology)
• www.livingwithitch.org
• www.fda.gov (food and drug administration)
• www.cdc.gov (centers for disease and control and
  prevention)

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Question?

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• Thank you