Treating eczema
Posted in Skin Care on January 29th, 2009 by debojit – Be the first to commentEczema is a skin condition in which the outer most layer of the skin (epidermis) becomes inflamed. Other symptoms of this disease are skin developing redness, skin edema (swelling), itching and dryness, crusting, flaking, blistering, cracking, oozing bleeding, temporary discoloration of skin or scarring of skin. There are various types of eczema. In atopic eczema itchy rashes appears in areas like head and scalp, neck, inside of elbows, behind knees, and buttocks and are often followed by hay fever and asthma. The cause of this type of eczema is thought to hereditary. Contact dermatitis can result from delayed reactions to some allergens or as a result of direct reaction from a solvent like sodium lauryl sulphate. In Xerotic eczema the skin becomes so dry that it turns into eczema. The problem is confounded during the dry winter. Limbs and trunks are generally the target areas. Seborrheic dermatitis is a skin condition characterized by dry or greasy peeling of the scalp, eyebrows, and face, and sometimes trunk.
The symptoms of eczema can be suppressed effectively by using glucocorticoid (a corticosteroid) ointments, creams or lotions. For mild-moderate eczema a weak steroid may be used (e.g. hydrocortisone or desonide), whilst more severe cases require a higher-potency steroid (e.g. clobetasol propionate, fluocinonide). However, prolonged use of topical cortisosteroids can make the skin thin and fragile (atrophy). In severe cases of eczema oral cortisosteroids such as prednisolone or injections such as triamcinolone injections are also prescribed. In some cases, topical immunomodulators are used for suppressing the immune system in the affected area. When the skin becomes dry and cracked the protective barrier of the skin is disrupted making it easier for the bacteria to enter. Constant scratching makes the condition worse by spreading the infection from one area to another. To check any further deterioration antibiotic is generally used. Drying of the skin can aggravate the skin condition. So, it is important to moisturize the skin properly. Avoid using soap and harsh detergents on the affected area as it can rip the skin of its essential oils and increase the dryness. Instead use emollient, a non cosmetic moisturizer found in form of creams, ointment, lotion and gel. The patient should wash the affected area with plain water only and use cleanser only when water is unable to remove the dirt from the skin. Choose a fat based unscented soap. Do a patch test before using the soap. Try a non soap based cleanser to clean the area. It is advisable not to use soap regularly. Since eczema can start as an allergic reaction to house dust mites and excrements, measures should be taken to reduce the amount of mite antigens. Light therapy using UVA rays, UVB and Narrow Band UVB can be used to control eczema. Allergic reactions to some food products like dairy products and coffee (both caffeinated and decaffeinated), soybean products, eggs, nuts, wheat and maize (sweet corn) s can trigger atopic dermatitis. So, it is necessary to indentify the allergens and avoid taking them.
