Eczema Types

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Types of Eczema and Ezcema Treatment

In this article we focus on the types of Eczema including Eczema symptoms, Eczema causes and Eczema treatments.

Atopic Eczema / Atopic Dermatitis

The most common type of Eczema, sometimes called Infant Eczema as it is very common in babies under 1 year. Up to 20% of children suffer from Atopic Eczema but under 5% of adults. The good news is that most children ‘grow out of it’, although it is not pleasant waiting for you or your child to ‘grow out of it. Atopic refers to having an allergic reaction to things, those with Atopic Eczema also often suffer from Asthma and Hay Fever. Although some allergen is the most likely cause of eczema the causes of Eczema can be Genetic, cultural, environmental, social or racial. As Eczema is 濕疹飲食 more prevalent in western cultures and is known to be frequently caused by some allergic reaction — the good news about this is that, particularly Atopic Eczema can be greatly improved by a special diet plan – that needs a bit of work on behalf of the sufferer and / or parents.

Treatment / Care

Reduction of exposure to allergens causing the condition (see link to my blog)

Regular emollients / moisturisers (my blog will give you a link to a DIY natural Eczema Cream)

Hydrocortisone, Steroids, Antibiotics and other medical treatments should only be used when guided by your physician / doctor.

Irritant Contact Eczema / Allergic Contact Eczema / Contact Dermatitis

Contact Eczema is probably the easiest type of Eczema to understand, diagnose and treat. It occurs on particular areas of the skin that comes into contact with some allergen or irritant. When the allergen or irritant is identified and removed the Eczema clears up.

Allergens include: nickel (common in Jewellery), other metals, perfumes and soaps, rubber, cement, resins and glues, plants, sugar, flour, fruits, fish and some meat.

Irritant Eczema is most common in a working environment where that hands are frequently wet and is sometimes called Occupational Dermatitis.

Irritants include: Hairdressing materials, food processing materials and foods including fish products, engineering oils, detergents and bleach.

The liquid irritant (or even water) softens the top layers of skin and allows the irritant access to the delicate deeper layers.

Treatment / Care

Fairly simple (but may need trial and error to identify the culprit) – remove the Allergen or Irritant.

For people who develop Contact Eczema as part of their job / occupation, some form of protective gloves are essential – in extreme circumstances a change of occupation may be necessary.

Varicose Eczema / Gravitational Eczema / Stasis Eczema / Venous Eczema 

Varicose Eczema is usually caused by faulty valves in veins, usually in the lower leg. Sufferers are normally older people who suffer from Varicose Veins or Thrombosis in the legs.

Treatment / Care

Avoid injury to skin

Elevate legs when sitting or in bed

Keep active, walk often

Use Emollients / Moisturisers

Think hard before using herbal solutions which could cause an allergic reaction

Above all – seek medical help

Dyshidrotic Eczema / Pompholyx / Vesicular Eczema

Dyshidrotic Eczema is a form of blistering in the hands and feet. The cause of Dyshidrotic Eczema is unclear but it can be brought about by emotional or nervous tension but may also be a reaction to nickel, cobalt or chrome. Excessive heat or sweat can aggravate the condition.

Treatment / Care

Unfortunately there is no One Cure for Dyshidrotic Eczema

As with other types of Eczema, Emollients / Moisturisers can help

Above all – seek medical help

Discoid Eczema / Nummular Dermatitis

Mostly prevalent in adults with dry skin, less common in children and teenagers. Usually takes the form of coin shaped discs of eczema on any part of the body. Disk, or oval may be a ring shape or solid circle / oval. Central heating and excessive heat can aggravate the condition.

Treatment / Care

Keep the area clean and hydrated with Emollients / Moisturisers

Use of steroids or hydrocortisone cream – but only as directed by a doctor

Ultraviolet light can help, but again, consult your doctor first

If the condition gets worse when pollen count is high the use of antihistamines can be of benefit

See more detail including Discoid Eczema pictures in my eczema blog (link at bottom)

Asteatotic Eczema / Eczema cracquelée / Eczema cracquele / Asteatotic Dermatitis

Is most prevalent in the over 60’s often associated with a loss of natural skin oils. Shows as cracks (the French word ‘Cracquele’ means covered in cracks, sometimes describes as the surface of old china crockery), frequently appears on the ankles. Most prevalent in the winter and in cold climates.

Treatment / Care

Avoid long hot baths

Restrict the use of soap and harsh skin cleaners

Humidify air conditioned rooms

Use Emollients / Moisturisers liberally

Seborrhoeic Eczema / Scalp Eczema / Seborrhoeic Dermatitis / Cradle Cap

In adults Seborrhoeic Eczema often starts as dandruff of flacky patches on the scalp. Seborric Eczema is a common form of Infant Eczema often starting under the age of 6 months. The red rash on the scalp is sometimes called Cradle Cap. In both adults and infants it can spread to other parts of the face. In infants / babies the red rash is usually more of a greasy red rash than the more common Atopic Eczema

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