What are the most effective treatments for scalp eczema. How can you identify the symptoms of seborrheic dermatitis. What causes flare-ups of eczema on the scalp. Which over-the-counter and prescription medications provide relief for scalp eczema. How can you prevent future outbreaks of seborrheic dermatitis on the scalp.

Understanding Scalp Eczema: Symptoms and Identification

Scalp eczema, also known as seborrheic dermatitis, is a chronic inflammatory condition that affects the scalp and other areas rich in sebaceous glands. Identifying the symptoms is crucial for proper diagnosis and treatment.

Common symptoms of scalp eczema include:

• Red and scaly skin patches
• Flaky or greasy scalp
• Intense itching or burning sensation
• Oozing or “weeping” lesions
• Possible ear discharge if the condition extends to the ear canal
• Changes in skin color after healing

Is scalp eczema the same as psoriasis? While these conditions share some similarities, there are key differences. Psoriasis typically presents with whiter scales and more sensitive skin patches that bleed easily when scratched. In some cases, individuals may experience both conditions simultaneously.

The Root Causes of Seborrheic Dermatitis

Understanding the underlying causes of scalp eczema is essential for effective management. What triggers seborrheic dermatitis?

The primary factors contributing to scalp eczema include:

1. Overproduction of sebum by sebaceous glands
2. Overgrowth of Malassezia yeast on the skin
3. Non-specific immune reactions to Malassezia and its metabolites
4. Genetic predisposition
5. Environmental factors and stress

It’s important to note that seborrheic dermatitis is not contagious. The condition results from an individual’s unique skin chemistry and immune response to naturally occurring skin flora.

Effective Medications for Scalp Eczema Relief

While there is no cure for scalp eczema, various treatments can help manage symptoms and prevent flare-ups. Which medications are most effective for treating seborrheic dermatitis?

Over-the-Counter Solutions

Many people find relief with medicated dandruff shampoos containing the following active ingredients:

• Salicylic acid
• Coal tar
• Zinc
• Resorcinol
• Ketoconazole
• Selenium sulfide

These shampoos can be used 2-3 times per week to reduce inflammation and alleviate flaking. Topical creams, ointments, or sprays with similar ingredients may also provide relief when applied directly to affected areas.

Prescription Treatments

For more severe cases of scalp eczema, a healthcare provider may prescribe stronger medications, including:

• Higher-concentration versions of OTC ingredients
• Corticosteroids
• Ciclopirox
• Sulfacetamide sodium
• Tacrolimus (Protopic)
• Pimecrolimus (Elidel)

These prescription-strength treatments target inflammation and yeast overgrowth more aggressively, providing relief for stubborn cases of seborrheic dermatitis.

Natural Remedies and Lifestyle Changes for Scalp Eczema Management

In addition to medical treatments, various natural remedies and lifestyle modifications can help manage scalp eczema. What are some effective non-medical approaches to controlling seborrheic dermatitis?

Natural Remedies

• Tea tree oil: Known for its antifungal properties
• Aloe vera: Soothes inflammation and promotes healing
• Apple cider vinegar: May help balance scalp pH
• Coconut oil: Moisturizes and has antimicrobial properties
• Probiotics: Can support overall skin health

Lifestyle Changes

Implementing the following lifestyle modifications can help prevent flare-ups and manage symptoms:

1. Stress management techniques (e.g., meditation, yoga)
2. Maintaining a balanced diet rich in omega-3 fatty acids
3. Regular, gentle scalp cleansing
4. Avoiding harsh hair products and known irritants
5. Limiting exposure to extreme temperatures and humidity

By combining these natural approaches with medical treatments, many individuals find improved control over their scalp eczema symptoms.

Preventing Scalp Eczema Flare-Ups: Practical Tips

While complete prevention of seborrheic dermatitis may not be possible, there are several strategies to reduce the frequency and severity of flare-ups. How can you minimize the risk of scalp eczema outbreaks?

• Identify and avoid personal triggers
• Maintain proper scalp hygiene without over-drying
• Use lukewarm water when washing hair
• Shampoo after heavy sweating
• Manage stress levels effectively
• Consider controlled sun exposure (under medical guidance)
• Stay vigilant for early signs of flare-ups

Implementing these preventive measures can significantly reduce the impact of scalp eczema on daily life and overall well-being.

The Psychological Impact of Scalp Eczema

Seborrheic dermatitis can have a significant psychological impact on those affected. How does scalp eczema influence mental health and quality of life?

Common psychological effects include:

• Reduced self-esteem
• Social anxiety
• Depression
• Stress and frustration
• Sleep disturbances due to itching

Addressing the psychological aspects of scalp eczema is crucial for comprehensive management. Consider the following approaches:

1. Seeking support from friends, family, or support groups
2. Practicing self-care and stress-reduction techniques
3. Consulting with a mental health professional if needed
4. Educating others about the condition to reduce stigma
5. Focusing on overall health and well-being

By addressing both the physical and emotional aspects of seborrheic dermatitis, individuals can achieve better overall management and improved quality of life.

Scalp Eczema in Different Age Groups: Tailoring Treatment Approaches

Seborrheic dermatitis can affect individuals of all ages, from infants to the elderly. How do treatment approaches differ across age groups?

Infants (Cradle Cap)

In infants, scalp eczema is often referred to as cradle cap. Treatment typically involves:

• Gentle cleansing with mild baby shampoo
• Softening scales with mineral oil or olive oil
• Gently removing loose scales with a soft brush
• Avoiding harsh products or excessive scrubbing

Cradle cap usually resolves on its own within a few months.

Children and Adolescents

For children and teenagers, treatment focuses on:

• Medicated shampoos with milder formulations
• Topical antifungal creams when necessary
• Education on proper scalp care and hygiene
• Addressing potential triggers, such as stress or hormonal changes

Adults

Adult treatment often involves a combination of:

• Stronger medicated shampoos and topical treatments
• Prescription medications for severe cases
• Lifestyle modifications to manage triggers
• Regular follow-ups with a dermatologist

Elderly

In older adults, treatment considerations include:

• Gentler formulations to avoid skin irritation
• Addressing potential medication interactions
• Managing concurrent health conditions that may exacerbate symptoms
• Providing assistance with scalp care if mobility is limited

Tailoring treatment approaches to specific age groups ensures more effective management of scalp eczema throughout life stages.

The Role of Diet in Managing Scalp Eczema

While the direct link between diet and seborrheic dermatitis is not fully established, certain dietary modifications may help manage symptoms. How can dietary changes impact scalp eczema?

Potential Beneficial Dietary Changes

• Increasing omega-3 fatty acid intake (e.g., fatty fish, flaxseeds)
• Consuming probiotic-rich foods (e.g., yogurt, kefir)
• Incorporating anti-inflammatory foods (e.g., turmeric, ginger)
• Ensuring adequate zinc intake (e.g., nuts, seeds, legumes)
• Staying hydrated with water and herbal teas

Foods to Consider Limiting

Some individuals may find symptom improvement by reducing consumption of:

• Processed foods high in refined sugars
• Dairy products (if a sensitivity is suspected)
• Alcohol
• Caffeine
• Spicy or overly salty foods

It’s important to note that dietary triggers can vary among individuals. Keeping a food diary and working with a healthcare provider or registered dietitian can help identify personal dietary factors affecting scalp eczema symptoms.

Emerging Treatments and Research in Scalp Eczema Management

The field of dermatology continues to advance, bringing new hope for those struggling with seborrheic dermatitis. What are some promising developments in scalp eczema treatment?

Microbiome-Based Therapies

Researchers are exploring treatments that target the skin microbiome, aiming to restore balance and reduce Malassezia overgrowth. These may include:

• Probiotic-based topical treatments
• Engineered beneficial bacteria strains
• Prebiotic formulations to support healthy skin flora

Novel Anti-Inflammatory Agents

New anti-inflammatory compounds are being developed, offering potential alternatives to traditional corticosteroids. These may provide:

• Reduced side effects
• More targeted action
• Improved long-term safety profiles

Advanced Drug Delivery Systems

Innovative delivery methods are being researched to enhance the effectiveness of existing treatments:

• Nanoparticle-based formulations for improved penetration
• Time-release technologies for prolonged drug action
• Combination therapies in single, convenient applications

Personalized Medicine Approaches

The future of scalp eczema treatment may involve more personalized approaches based on individual genetic and microbiome profiles. This could lead to:

• Tailored treatment plans
• More precise medication selection
• Improved prediction of treatment outcomes

While these emerging treatments show promise, it’s important to continue working with healthcare providers to manage scalp eczema using currently available, evidence-based methods. Staying informed about new developments can help individuals make educated decisions about their treatment options as new therapies become available.

Navigating Daily Life with Scalp Eczema: Practical Advice

Living with seborrheic dermatitis can present unique challenges in everyday situations. How can individuals effectively manage their condition while maintaining a normal lifestyle?

Workplace Considerations

• Communicate with employers about your condition if necessary
• Keep a small kit with medicated shampoo or topical treatments at work
• Consider using a humidifier in dry office environments
• Take short breaks to relieve itching or apply treatments discreetly

Social Situations

Navigating social events with visible scalp eczema symptoms can be challenging. Consider these strategies:

• Use styling techniques to minimize the appearance of flakes or redness
• Choose clothing colors that don’t highlight flaking
• Practice relaxation techniques to manage stress in social settings
• Educate close friends about your condition to increase understanding

Exercise and Physical Activities

Staying active is important, but sweat can exacerbate scalp eczema. Try these tips:

• Wear breathable, moisture-wicking headbands or hats
• Rinse your scalp immediately after sweating
• Use a gentle, medicated shampoo post-workout
• Consider lower-intensity exercises during flare-ups

Travel Tips

Maintaining your scalp care routine while traveling is crucial. Remember to:

• Pack travel-sized versions of your medicated products
• Bring a doctor’s note if carrying prescription medications
• Research local water hardness at your destination and pack accordingly
• Consider using a portable shower filter for extended stays

Seasonal Adjustments

Scalp eczema symptoms can vary with changing seasons. Adapt your routine by:

• Using more moisturizing products in dry, cold weather
• Protecting your scalp from excessive sun exposure in summer
• Adjusting treatment frequency based on seasonal symptom changes
• Being mindful of how seasonal allergies may impact your scalp health

By implementing these practical strategies, individuals with scalp eczema can navigate daily life more comfortably and confidently. Remember that managing seborrheic dermatitis is an ongoing process, and it’s okay to adjust your approach as needed to find what works best for you.

What Is Scalp Eczema? Symptoms, Causes, Treatment, and More

Scalp Eczema (Seborrheic Dermatitis) Symptoms

The symptom of scalp eczema is skin patches that occur on your head. They may be:

• Red and scaly
• Flaky
• Greasy or waxy
• Very itchy or feel like it’s burning
• Oozing or have “weeping” lesions
• Causing a discharge from the ear if eczema continues from the scalp into the ear canal
• Causing changes in skin color after healing (2,3)

Other skin conditions — such as psoriasis, allergic contact dermatitis (inflammation caused by an allergic reaction to a certain substance), atopic dermatitis (which often occurs in those with asthma or seasonal allergies), and folliculitis — may cause symptoms similar to those of scalp eczema. (4) People commonly confuse psoriasis and scalp eczema — but know that psoriasis usually has a whiter scale compared with scalp eczema, and psoriasis leads to sensitive skin patches that easily bleed when scratched. In some cases, scalp eczema and psoriasis can happen together. (5)

What Causes Scalp Eczema?

Seborrheic dermatitis is a chronic inflammatory condition caused by the overproduction of sebum, the natural oils secreted by sebaceous glands in the scalp. It is not contagious.

Because seborrheic dermatitis is a condition related to the sebaceous glands, it can also appear in other oily areas of the skin, including the face (eyebrows, eyelids, and center of the face), ears, upper chest, upper back, armpits, and genitals. (3)

There is a strong association between seborrheic dermatitis and yeast of the genus Malassezia, which are normally present in the skin but often overgrown in people with the skin condition.

Scientists don’t fully understand the exact connection between the yeast and eczema symptoms, but research suggests that a nonspecific immune reaction may be to blame. That is, some interaction between Malassezia, their metabolites (substances produced during metabolism), and skin and immune cells results in an inflammatory reaction. (4,6)

Importantly, once someone becomes sensitized to Malassezia, the yeast will always cause an immune reaction. (7)

The Top Medications for Treating Eczema on Your Scalp

There is no cure for scalp eczema or seborrheic dermatitis, but medications can help reduce and prevent symptoms.

For example, you can usually treat irritation and an itchy scalp with a medicated, over-the-counter dandruff shampoo.

The chemical ingredients in these shampoos can help ease the inflammation and get rid of flaky, scaly skin when used two or three times a week. Look for these items:

• salicylic acid
• coal tar
• zinc
• resorcinol (Resinol)
• ketoconazole (Nizoral)
• selenium sulfide

Topical creams, ointments, or sprays made from these ingredients can also be applied to help calm the irritation and stop the flaking.

If you have severe scalp eczema, your doctor may prescribe products containing stronger doses of the aforementioned medicines or medicines containing other ingredients, such as corticosteroids, ciclopirox, sulfacetamide sodium, tacrolimus topical (Protopic), or pimecrolimus topical (Elidel). (2,9)

How to Help Prevent Scalp Eczema Flare-Ups

The severity of seborrheic dermatitis may be lessened by controlling risk factors and triggers, and taking care of the skin.

To manage scalp eczema and help prevent flare-ups, do your best to follow these recommendations:

• Avoid exposure to any suspected irritants and allergens.
• Clean your scalp thoroughly, but avoid drying it out by using only a quarter-sized dollop of a gentle shampoo and warm, never hot, water.
• Manage stress well.
• Shampoo your hair after sweating heavily, such as after a workout, since perspiration can be a trigger.

More on Understanding Eczema (Atopic Dermatitis)

Why Eczema Isn’t a Contagious Skin Disease

Scalp eczema often responds to treatment, but it also often returns. For some people, exposure to the sun may improve symptoms.

Be on the lookout for signs of a flare-up and start treatment right away. (2,8,9)

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Eczema and Diet: The Foods to Eat and Avoid to Prevent and Manage Flare-Ups

How to Follow an Anti-Inflammatory Diet for Eczema

As eczema is an inflammatory skin condition, following an anti-inflammatory diet may help relieve symptoms.

This diet involves eating less of foods that may trigger inflammation in the body and more of foods that help fight inflammation. (19)

For this diet, it’s important to pay close attention to dietary fats, which can influence the overall amount of inflammation in the body.

In particular, trans fats, which include hydrogenated oils, some margarine brands, french fries, and other fried foods; and saturated fats, which are found in red meats, full-fat dairy foods, butter, and poultry skin; promote inflammation and therefore may potentially worsen eczema symptoms.

Large quantities of foods rich in omega-6 fatty acids, including vegetable oils, may also promote inflammation. (20)

On the other hand, the three main omega-3 fatty acids — alpha-linolenic acid (ALA), eicosapentaenoic acid (EPA), and docosahexaenoic acid (DHA) — also have anti-inflammatory properties. EPA and DHA are in fatty fish like salmon, sardines, mackerel, herring, and tuna. Meanwhile, ALA is in flaxseed, canola oil, and soybeans. Other sources of omega-3s include walnuts and green leafy vegetables, like kale, mustard greens, and spinach. (21)

Monounsaturated fats, including olive oil and canola oil, may also be anti-inflammatory.

Aside from these dietary fats, other foods and drinks that may exert anti-inflammatory effects include:

• Fruits (cherries, blackberries, strawberries, and blueberries)
• Vegetables (spinach, kale, broccoli, and onions)
• Whole grains (brown rice, quinoa, whole-wheat flour, and whole-wheat bread)
• Limit alcohol consumption to one drink per day for women and two drinks per day for men. A standard drink is 14 grams of alcohol, which is about 12 ounces (oz) of beer, 5 oz of wine, 8 oz of malt liquor, or a 1. 5 oz shot. (22)
• Coffee and tea, especially green tea (which contains polyphenols, an antioxidant with an anti-inflammatory effect) (23)
• Turmeric
• Ginger

For an anti-inflammatory diet, make sure to avoid refined carbohydrates and sugar, which may stimulate inflammation. (24) Refined carbohydrates have had most of their nutritional value removed. These include white rice, white bread, and white pasta. Also, be on the lookout for hidden sugar. These can be found in cereals, ketchup and other condiments, sauces, granola bars, and yogurt.

Editorial Sources and Fact-Checking

1. What Is Eczema? National Eczema Association.
2. Atopic Dermatitis (Eczema): Symptoms and Causes. Mayo Clinic. October 28, 2022.
3. Eczema Causes and Triggers. National Eczema Association.
4. Food Allergy and Children With Eczema. National Eczema Association. July 15, 2021.
5. Eczema and Exercise. National Eczema Association. August 13, 2021.
6. Allergies.  Centers for Disease Control and Prevention. February 1, 2023.
7. What Is a Food Allergy? Food Allergy Research & Education.
8. Flohr C, Perkin M, Logan K, et al. Atopic Dermatitis and Disease Severity Are the Main Risk Factors for Food Sensitization in Exclusively Breastfed Infants. Journal of Investigative Dermatology. February 2014.
9. Scientists Identify Unique Subtype of Eczema Linked to Food Allergy. National Institutes of Health. February 20, 2019.
10. Food Allergy. American College of Allergy, Asthma, & Immunology.
11. Prevention of Allergies and Asthma in Children. American Academy of Allergy Asthma & Immunology. September 28, 2020.
12. Food Elimination Diet. Food Allergy Research & Education.
13. Bath-Hextall F, Delamere FM, Williams HC. Dietary Exclusions for Established Atopic Eczema. Cochrane Database of Systematic Reviews. January 23, 2008.
14. Contact Dermatitis. National Eczema Association.
15. Katta R, Schlichte M. Diet and Dermatitis: Food Triggers. The Journal of Clinical and Aesthetic Dermatology. March 2014.
16. Nickel Allergy. Cleveland Clinic. July 4, 2018.
17. Sharma AD. Low Nickel Diet in Dermatology. Indian Journal of Dermatology. May–June 2013.
18. Dyshidrotic Eczema. National Eczema Foundation.
19. Anti-Inflammatory Diet Do’s and Don’ts. Arthritis Foundation.
20. Omega-6 Fatty Acids: Can They Cause Heart Disease? Mayo Clinic. December 17, 2021.
21. Omega-3 Fatty Acids. National Institutes of Health. July 18, 2022.
22. Alcohol and Public Health: Frequently Asked Questions. Centers for Disease Control and Prevention. April 19, 2022.
23. Best Drinks for Arthritis. Arthritis Foundation.
24. Defending Against Disease With an Anti-Inflammation Lifestyle. National Eczema Association. July 15, 2021.
25. Schlichte MJ, Vandersall A, Katta R. Diet and Eczema: A Review of Dietary Supplements for the Treatment of Atopic Dermatitis. Dermatology Practical & Conceptual. July 2016.
26. Pullar JM, Carr AC, Vissers MCM. The Roles of Vitamin C in Skin Health. Nutrients. August 2017.
27. Jaffary F, Faghihi G, Mokhtarian A, Hosseini SM. Effects of Oral Vitamin E on Treatment of Atopic Dermatitis: A Randomized Controlled Trial. Journal of Research in Medical Sciences. November 2015.
28. Vitamin B6. National Institutes of Health. June 2, 2022.
29. Bamford JTM, Ray S, Musekiwa A, et al. Oral Evening Primrose Oil and Borage Oil for Eczema. Cochrane Database of Systematic Reviews. December 7, 2020.
30. Kawai M, Hirano T, Higa S, et al. Flavonoids and Related Compounds as Anti-Allergic Substances. Allergology International. June 2007.
31. Callaway J, Schwab U, Harvima I, et al. Efficacy of Dietary Hempseed Oil in Patients With Atopic Dermatitis. The Journal of Dermatological Treatment. April 2005.
32. Goddard AL, Lio PA. Alternative, Complementary, and Forgotten Remedies for Atopic Dermatitis. Evidence-Based Complementary and Alternative Medicine. July 15, 2015.
33. Bath-Hextall FJ, Jenkinson C, Humphreys R, Williams HC. Dietary Supplements for Established Atopic Eczema. Cochrane Database of Systematic Reviews. February 15, 2012.
34. Makrgeorgou A, Leonardi-Bee J, Bath-Hextall FJ, et al. Probiotics for Treating Eczema. Cochrane Database of Systematic Reviews. November 21, 2018.

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reasons, how to treat and smear, what eczema looks like on the hands, feet, face and fingers

Anonymous

struggles with eczema for 13 years

I first got eczema at 24 years old. Now the disease is either progressing or subsiding, and I have tried various methods of treatment.

The disease began with a small weeping spot on the back of the hand, over time the rash spread to the hands and forearms, legs, neck and even the face. I continue to fight this disease to this day. I will tell you which methods of treatment improved my condition and which did not.

Warning: inside may not be the most pleasant photos.

Greetings from the medical editors T⁠—F

This article talks about medical areas with an ambiguous reputation. Nevertheless, we decided to publish the story of the hero with minimal cuts and asked an independent expert to talk about evidence-based approaches to treating his illness so that you get a more objective idea of ​​​​the situation.

Traditionally, we remind you that the responsibility for your health lies with you and your doctor. We don’t write prescriptions, we give recommendations. Relying on our point of view or not is up to you.

What is eczema

Classification of eczema. Eczema is not one, but a whole group of chronic skin diseases. They are similar in that the skin in the affected areas becomes inflamed, changes color, itches, swells, and flakes.

Types of eczema – National Eczema Association

My diagnosis is nummular eczema. It is also called nummular dermatitis, and in Russia sometimes – microbial eczema. There is also dyshidrotic eczema, seborrheic eczema, or seborrheic dermatitis, and others – these diseases are often very similar, only a doctor can distinguish one from the other.

Nummular Dermatitis – MSD Manual

Eruptions in this disease can be on any part of the body, face, head. Moreover, there can be several types of eczema on the body at the same time.

Body eczema is usually located on the trunk: chest, abdomen or back.

Eczema on the hands and feet more commonly affects the extensor surfaces of the limbs or the feet and hands. For example, dyshidrotic eczema is characterized by rashes on the lateral surfaces of the fingers and soles.

Eczema on the face and head is usually seborrheic or atopic dermatitis. Rashes on the face can be isolated or combined with skin lesions on other parts of the body.

Is eczema contagious? Eczema cannot be contracted from another person: it is a non-communicable disease. It cannot be picked up through everyday contact or otherwise.

What eczema looks like. Eruptions in nummular eczema are usually round, and may resemble a coin in shape. With dyshidrotic eczema, these are more often separate vesicles filled with liquid, and with seborrheic dermatitis – scales on skin areas where there are many sebaceous glands.

/seboreya/

How to cure seborrheic dermatitis and how much it costs

This is what rashes look like in nummular eczema, with the spread of the disease, the spots can merge. Source: nhs.uk

What dermatologists usually mean by eczema

Anna Trushina

dermatologist, Rassvet Clinic

In the Tenth Revision of the International Classification of Diseases, dermatitis and eczema are combined into one section, these names are used as synonyms. As a rule, depending on the type of disease, one option is chosen, for example, seborrheic dermatitis is commonly called dermatitis, and dyshidrotic eczema, respectively, eczema.

Terminology also depends on the country and dermatological school: for example, in American and English terminology, the term “dermatitis” is more common, while in Europe the concept of “eczema” is used. Or abroad, atopic dermatitis is often called eczema, and in our country the diagnosis usually sounds like “atopic dermatitis”.

In fact, the concept of “eczema” is different in meaning from the concept of “dermatitis”. Eczema refers to certain changes in the skin that are visible only under a microscope, such as tiny blisters, while dermatitis in Latin means simply inflammation of the skin.

As for nummular eczema, it is considered a subtype of microbial eczema in the draft Russian clinical guidelines for the treatment of eczema. Some authors put an equal sign between these concepts. However, in the International Classification of Diseases, as well as in the English literature, the term “microbial eczema” is not used. There is only a diagnosis of “coin-shaped eczema”, reflecting the clinical picture of the disease.

Draft Clinical Guidelines for the Treatment of EczemaPDF, 934 KB

The definition of “microbial” can be misleading regarding the cause of the disease: numb eczema is not associated with a microbial infection, it can only be complicated by it. Some infections, including fungal ones, can become a trigger for the development of such eczema, that is, a factor provoking its appearance.

Causes of eczema

Why eczema develops is not exactly known. It is believed that most types of the disease arise due to the influence of several factors at once: genetic predisposition, disruption of the immune system, stress, substances that irritate the skin. Often eczemas are chronic diseases, their symptoms may come and go.

Causes of eczema – National Eczema Association

Prevention of eczema. The triggers for eczema vary from person to person. Most often, rashes provoke dry skin, detergents, household chemicals, cosmetics, contact with metals, certain types of fabrics, and wool. It is important to identify your individual factors and eliminate them.

How I was diagnosed with eczema

My story of dealing with the disease began with trading on the stock exchange in 2008, when the global financial markets collapsed and I also began to incur losses on my open positions. Then I was very nervous.

After a while, I got a small spot on the back of my hand. At first I did not pay attention to it, but it began to get wet and did not want to pass. I was embarrassed, but I went to the dermatovenerological dispensary in my city. Then the doctor recommended that I buy an antifungal ointment at a certain pharmacy, but it did not help.

/healthcare/

9 problems of free medicine in Russia

I was diagnosed with eczema later in another clinic, which I contacted on the recommendation.

How eczema is diagnosed

Anna Trushina

dermatologist, Rassvet clinic

In the case of eczema, the doctor makes the diagnosis on the basis of the clinical picture, that is, changes in the skin, and the anamnesis, that is, the history of the disease. Specific tests and analyzes are not required to make a diagnosis.

In rare, atypical situations, the doctor may order a skin biopsy with a histological examination – when a piece of the affected skin is taken and examined under a microscope. This is not always necessary, but when there is a suspicion of other diseases, such as psoriasis or malignant skin diseases, while it is visually difficult to distinguish them from eczema.

Treatment of eczema

Methods of official medicine

After the diagnosis was made, everything happened like this: I made an appointment with a dermatologist, and if the treatment did not help, then about a month later I went to another specialist. At the same time, the disease only progressed: from the hands, the rashes moved first to the forearms, and then to the legs.

For the first four years I was treated with hormonal ointments. At first, I treated my illness as something temporary, but time passed, I changed several doctors, but the illness did not recede.

Treatment of nummular dermatitis – Medscape

Draft of federal clinical guidelines of the Russian Society of Dermatologists and Cosmetologists

All dermatologists advised to smear hormonal ointment on skin rashes and drink allergy pills. Some of them also added that a certain diet should be followed, such as avoiding fried and spicy foods. The nutritional advice was fairly general, and I didn’t notice a quick connection between following the recommendations and skin condition. However, he adhered to the diet.

How to treat eczema

Anna Trushina

dermatologist, Rassvet Clinic

Usually, the treatment of eczema includes the correction of daily skin care and the appointment of external anti-inflammatory drugs, including hormonal ointments containing glucocorticoids. Such drugs are prescribed taking into account where the skin is affected, how acute and severe the inflammatory process is. Less commonly, systemic drugs are prescribed: these can be, for example, the same anti-inflammatory glucocorticoids or antihistamines that relieve allergic manifestations.

In the treatment of eczema, it is important to identify and eliminate individual triggers, that is, factors that cause an aggravation. These can be cosmetics and detergents, frequent contact with water, metals, dyes, long-term wearing of rubber or latex gloves, stress caused by SARS, clothing, smoking, alcohol, various food and respiratory allergens. The main burden of finding and eliminating triggers falls on the patient’s shoulders.

In severe cases, when eczema is resistant to treatment, the doctor may prescribe skin phototherapy – irradiation of affected areas using artificial light sources. As a rule, two methods are used:

1. narrow-band UVB therapy – irradiation of the skin with UV-B rays with a specific wavelength;
2. photochemotherapy (PUVA) – the patient takes or applies a drug that increases sensitivity to UV radiation, then the affected areas are irradiated with UV light.

Other physiotherapy and similar treatments have no evidence base.

Treatment failure may be due to many factors. Usually these are improper skin care, non-compliance with the doctor’s recommendations, an incorrectly chosen treatment regimen, for example, a too weak drug or too short a course, various complications, for example, skin infections. It also happens when the triggers that provoke the disease continue to act on the body during treatment. For example, if a person with contact dermatitis continues to wear metal jewelry.

It is worth saying that sometimes both the doctor and the patient do everything right, but the eczema still does not go away. Unfortunately, this is possible simply because of the peculiarities of the course of the disease in a particular person.

I visited both private and public clinics, looking for doctors based on recommendations. Usually a dermatologist advised to smear a hormonal remedy for two weeks, I smeared it, the manifestations remained, I again went to the appointment, and the appointment was repeated. I started treatment 13 years ago in the Perm Territory, it was 2008, and it took me about 5,000 rubles per month for doctors. In 2021, the cost of an appointment with a dermatologist in Moscow is an average of 2,000 rubles.

5000 R

I spent on paying for visits to doctors

I was prescribed various hormonal ointments, but all of them gave me only a temporary effect. On average, such drugs cost about 400-500 R per 25 g – how long the package lasts depends on the area of ​​the affected skin.

Only a doctor can prescribe an appropriate drug for the treatment of eczema. Source: apteka.ru

These four years of manifestations of eczema were episodic, associated with seasonality: they occurred in spring and autumn. Hormonal agents managed to reduce them by applying the ointment locally to small areas of the skin. I spent about an hour a day on this in the evening.

Despite treatment, the eczema moved from the hands to the forearms. I think that partly this could have happened because of the sodium thiosulfate droppers prescribed at that time – they were also included in the treatment of eczema as a remedy for allergies.

/guide/tabletki-allergia/

Alternatives to expensive allergy medications

During this time, my condition did not improve, and I did not want to continue using hormonal ointments, so I decided to try other methods of treatment other than traditional ones.

Eczema and psychosomatics

Anna Trushina

dermatologist, Rassvet clinic

Working with a psychologist or psychotherapist can help with eczema. Stress is considered one of the triggers of the disease, while the rashes themselves, especially if they are strong, also become a source of experience – a vicious circle is obtained. Anxiety increases, quality of life worsens, depressive conditions may appear.

Treatment of eczema

Homeopathy and sea water

In the spring of 2012, during another exacerbation, I went to see a homeopath on the recommendation of my friends. As a result, I was treated with homeopathy for three years, I went to one doctor. He underwent a course of treatment in the spring, closer to the summer the condition improved, in the fall it worsened again.

The doctor used various homeopathic methods of treatment: pills and injections, as well as magnetotherapy – a treatment using magnetic fields. I was generally satisfied: in my opinion, the result was better than from traditional treatment, although modern science does not recognize homeopathy. There is evidence that its positive effect, noted in some cases, is due to the placebo effect.

Memorandum No. 2 of the Commission of the Russian Academy of Sciences on the fight against pseudoscience and falsification of scientific research “On the pseudoscience of homeopathy”

I visited the doctor on average once every three weeks, between appointments I went for procedures three to four times a week, it took about 300 R per visit, that is, per month I spent 5,000-7,000 R. In 2021, the cost of taking a homeopath in Moscow averages 4,000 R.

In the same period, I noticed that after bathing in sea water or even in based on a kilogram for the whole bath, my condition improved. This is a cheap treatment: plain salt can be bought for about 90-150 R in the nearest pharmacy, supermarket or online stores.

/guide/magnetotherapy/

What are magnetotherapy machines

Iodine-bromine salt has proven to be an inexpensive and effective treatment for eczema. Source: Yandex Market

I am lucky that I live in a region where there is a resort village of Ust-Kachka with its Dead Sea pool. The pool is visited completely naked, only in a hair cap, so there is a division into male and female time. The water there is so salty that it is impossible to drown, it pushes back. Ten minutes in such a pool cost 400 R.

If the skin is even slightly damaged, then the procedure will cause very unpleasant sensations. However, for me, this non-drug method of treatment turned out to be very effective: in a course of ten procedures, the skin became smooth, eczema receded. True, I had to spend almost two hours on the road a day – an hour one way and an hour the other.

Dead Sea pool in Ust-Kachka. Source: travelata.ru

The treatment during this period suited me, but in the fall of 2014 I flew to rest in Tenerife, Canary Islands. This vacation was remembered for a long time by the fact that my condition deteriorated greatly, including rashes appeared on my face – it turned yellow and swollen.

An appointment with a local doctor cost 60 €⁣ (5400 R), he took me on insurance. The doctor suggested that it was the local pollen of plants, he gave a hormonal injection, after which I felt a little better. I returned to my city, continued homeopathic treatment, but now the rashes were worse.

Exacerbation of eczema and swelling on the thigh and arms during a holiday in the Canary Islands

Treatment of eczema

Other alternative and semi-official methods of treatment

In the spring of 2015, after another aggravation, I realized that homeopathy did not fully cope with the treatment. There were more areas of affected skin than there were at the beginning, and I began to look for other methods.

I accidentally learned through word of mouth that there is a former military doctor who specializes in the treatment of psoriasis. He had his own medical center, where I applied.

/short/medical-services/

7 medical services for consultations and appointments

In April 2015, I started treatment – the procedures were mainly in the form of intravenous injections. He did not prescribe local hormonal preparations, the skin had to be smeared only with moisturizing creams.

Immediately after the start of treatment, I had a severe exacerbation, but it quickly passed. I was prescribed several different methods of treatment at the same time in courses of 6-7 procedures, that is, one procedure every working day. Each of the courses lasted about three months, costing between 30,000 and 50,000 R. That year I underwent three courses of such treatment.

What procedures and medicines have I been prescribed

Ultraviolet irradiation (UVR) of blood is an alternative medicine technique when blood is irradiated with ultraviolet light. Venous blood passes through a special apparatus, is irradiated with UV rays, then returns to the bloodstream. UV blood was used in 191940s-1950s: This is how they tried to treat infectious diseases before the advent of antibiotics. However, now the method is not recommended by official medicine, its effectiveness and safety have not been proven. In Moscow, one procedure of UVR of blood costs an average of 1500 RUR. During the procedure, a laser source is injected into a vein, usually in the forearm. With its effectiveness, the situation is similar: there are no serious studies. The cost of one procedure in Moscow is on average about 1000 R.

Intravenous Ozone Therapy is an alternative treatment using ozone or its derivatives. There is no reliable evidence of the effectiveness and safety of the technique. In the United States, the Food and Drug Administration (FDA) bans the use of ozone due to its toxicity in any disease for which there is no evidence of effectiveness and safety – and there is none. In Moscow, one procedure of intravenous ozone therapy costs an average of 1500 R.

Adrenal Laser Therapy – treatment of the adrenal glands with laser radiation, this allegedly improves immunity and adrenal function. Laser exposure is more often used as a local physiotherapy for the treatment of injuries, diseases of the musculoskeletal system, wound healing, although research data on the effectiveness of the method are contradictory. There is no reliable data on the effect of laser irradiation of the adrenal zone: the technique is described only in a number of publications by Russian researchers who used it to treat bronchial asthma. The cost of adrenal laser therapy in Moscow is an average of 300 R per procedure.

Autohemotherapy – intramuscular administration of one’s own venous blood, sometimes enriched with ozone or oxygen. The effectiveness of the technique has not been proven, a review of its use in the treatment of urticaria and eczema showed that the results are comparable to placebo treatment. The cost of the procedure in Moscow is an average of 400 RUR.

Intravenous injections of cycloferon. Cycloferon is a drug known only in Russia. It is believed that it has an immunomodulatory effect. It is included in the list of vital and essential drugs (VED), however, the effectiveness of the drug has not been proven, and it is not used in other countries. The cost of packaging the drug for intravenous administration is about 300 R for five ampoules.

Single injections of polyoxidonium. Polyoxidonium is also an immunomodulator used only in Russia, also included in the Vital and Essential Drugs, the effectiveness is a big question. It costs from 1200 R for a package with five ampoules.

Reamberin injections. Reamberin is an antioxidant from the manufacturer of cycloferon. Together with him, it is included in the hit list of drugs. It costs an average of 700 R for one package with five ampoules.

Since the procedures were carried out every day, one day, when I had to go to the drug dispensary for a certificate for a driver’s license, I was afraid to show my hands. I constantly had injection marks on my veins.

This treatment was very different from the methods I had previously received. After a few months of daily procedures, my condition began to improve. For example, after a while, the rashes on the face disappeared.

I saw this doctor, a former military man, for four years. For the third and fourth years, he entered into service contracts with a fixed price of 40,000 R per year. This, in my opinion, reduced the quality of treatment. For example, I sometimes did not receive intravenous procedures, but only external laser therapy. Most likely, this allowed me to meet the cost of my annual contract.

40,000 R

spent a year on a contract with an alternative medicine clinic

This is how the laser blood irradiation procedure looks like. Source: 1kdmc.ru

In 2019, this medical organization closed, the doctor left. The treatment suited me, I began to look for clinics with similar services, but the service there was many times more expensive. A small course of only one type of procedure cost 30,000-50,000 R, and they also imposed examinations that I didn’t need. I tried several clinics, for the last year and a half I have been treated in one, but with different doctors.

In 2020, microcracks appeared on my hands, which did not heal well. I tried two more procedures:

1. UHF therapy is a physiotherapeutic treatment method, exposure to a high-frequency electromagnetic field, one of the types of electrotherapy. There is no reliable evidence of the effectiveness of electrotherapy. The cost of the procedure in Moscow is an average of 500 RUR. More often used in cosmetology for skin rejuvenation. The cost of the procedure in Moscow is about 5000 R.

Plasmolifting turned out to be effective for me, and I did this injection procedure on my hands four times. However, it turned out to be very painful: in an hour, the doctor makes 40-50 micro-injections in different places. Almost immediately, the skin condition improved, microcracks disappeared, but after a few days they appeared in other places.

While still at the clinic, I was prescribed Heptral injections. It is an antioxidant and hepatoprotector, data on its effectiveness are contradictory, in the USA it is classified as a dietary supplement. The cost for five ampoules in Moscow is about 1900 Р. Is it true?

How I feel and what I am doing now

Now, after 13 years of treatment, my condition is better, there are fewer rashes. Now my main problem is itchy skin. It most often appears at night, but it happens during the day and evening, especially after I get nervous.

Of the procedures, I consider ILBI, ultraviolet blood irradiation and intravenous injections of Heptral to be the most effective. Sometimes one or two procedures of ILBI or UVI of blood are enough for me to get an improvement.

I also discovered self-adhesive bandages. They cost up to 200 R per package, in which there are four meters of bandage. It is convenient to quickly bandage injured fingers with such bandages, they do not hinder movement, you can put on gloves over them.

Self-adhesive bandages are very useful for dressings. Source: eapteka.ru

I also stick to a diet: I don’t eat fried and spicy foods, chicken and eggs, even in baked goods, I don’t drink alcohol. In the mornings I do light physical activity – I walk in the park at any time of the year and in any weather. In the evenings I sometimes take iodine-bromine baths. I go for a massage every week. I believe that lifestyle also affects my condition.

I now spend less on eczema treatment than before – I don’t regret these expenses, because they help me feel better. Without a massage, it costs me about 90,000 R per year – I live in the region, and the prices here are lower than in Moscow. In terms of time, I spend several tens of hours annually on procedures in clinics and at home.

90,000 R

on average I spend on eczema treatment per year

Please. If you are a doctor or have a positive experience with eczema, advice and thoughts on alleviating my condition without hormonal treatment, please contact me via an anonymous Telegram account: @man_phone.

Hand eczema before treatment After treatment

How much do I currently spend on eczema treatments in three months

Plasmolifting

4500 R, did one procedure in three months

ILBI

1300 R per procedure, did 9 procedures for 11 700 R

9 0002 Massage

950 R per procedure, did 12 procedures for 11 400 R

Total

R27,600

Things to remember about eczema

1. Eczema is not contagious, although its manifestations on the skin can look frightening to strangers. This is a non-communicable disease.
2. For the treatment of eczema, it is important to find out what triggers the body reacts to, which triggers an exacerbation of the disease. If the provoking factors continue to act during treatment, it will not help. And sometimes the treatment does not help due to the severe course of the disease, although both the doctor and the patient are doing everything right.
3. Only a doctor can choose the treatment for eczema. The choice depends on the type of disease, the severity and severity of the process, the location of the affected areas. It is impossible to independently distinguish between different types of dermatitis and select a course of drugs.

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a list of top 10 inexpensive and effective products for adults according to KP with reviews and prices

Eczema can cause not only physical discomfort, but also difficulties in communicating with people. It can be difficult to explain to outsiders that red spots on the hands are banal eczema, and not the notorious lichen or other contagious rash.

What is eczema

Eczema is a chronic disease in which red spots, plaques, vesicles, severe itching appear on the skin. It can appear on any area of ​​the skin, but most often the rash occurs on the skin of the hands and feet ¹ . According to statistics, about 1-2% of the adult population of the planet suffer from eczema ² .

With eczema, the protective barrier of the skin suffers: the water-fat film on the surface is deformed, which is designed to protect the body from allergens, chemicals and pathogens ¹ . ⠀

Eczema is a multifactorial disease, but for the most part it is genetically determined. Patients with eczema have been found to have faults in the gene responsible for the production of filaggrin, one of the important components of the skin barrier that protects us from outside irritants. Simply put, a “gap” appears in the invisible armor on the skin, through which all kinds of irritants penetrate deep into and cause inflammation.

List of top 10 ointments for eczema on the legs and hands of adults according to KP

Important! All drugs have side effects and contraindications. Our material is an overview and does not serve as a guide to action. Before buying drugs, consult your doctor.

Betamethasone-VERTEX

Betamethasone-VERTEX is available as a thick white translucent ointment. There are also forms of release in the form of a cream, and they differ in their consistency. The drug contains a synthetic glucocorticosteroid betamethasone, which, when applied to the skin, has a vasoconstrictive, anti-inflammatory and antipruritic effect.

The ointment helps relieve itching and fights the very cause of inflammation. The instructions indicate that the ointment is best used on dry, flaky areas of the skin, and when weeping, it is more advisable to use a cream. Also, the ointment is not used if a secondary infection has joined, since there are no antibiotics and antimicrobial components in the composition.

Indicated for dermatitis, eczema, allergic reactions to insect stings, psoriasis and other skin conditions.

Contraindications : hypersensitivity to components, bacterial, fungal and viral skin diseases, open wounds, trophic ulcers, rosacea, atheroma, lactation, age up to 1 year and others.

Betaderm

The agent is a greasy white ointment and contains a combination of the glucocorticosteroid betamethasone and the antibiotic gentamicin. The first component has a vasoconstrictive effect, fights inflammation and hyperemia, and relieves itching. Gentamicin provides the antibacterial property of the ointment and protects against secondary infection of the affected skin.

The ointment is indicated for eczema, atopic, allergic and contact dermatitis, psoriasis, lichen planus, etc. The instructions indicate that care must be taken when using the ointment on the face, in skin folds, as well as when applied to large areas of the skin. The duration of the course of treatment is determined by the doctor.

Contraindications : hypersensitivity to components, chickenpox, fungal and viral skin lesions, acne, rosacea, open wounds, phlebitis and trophic ulcers, pregnancy and lactation, children under 1 year of age.

Komfoderm

Glucocorticosteroid for local use is available as an emulsion, cream and white-gray ointment with a slight characteristic odor. All formulations contain methylprednisolone aceponate, which is listed in clinical guidelines as a first-line drug for the treatment of eczema on the hands and feet ³ .

Fights inflammation and allergic reactions, helps relieve irritation, itching and pain, helps reduce swelling and weeping. The ointment can be used for eczema (including true, professional and microbial), atopic and contact dermatitis, neurodermatitis.

Contraindications : hypersensitivity to components, tuberculosis and syphilis of the skin, chicken pox, herpes zoster, rosacea, perioral dermatitis, age up to 4 months. Before use during pregnancy, it is necessary to consult a doctor, during lactation – avoid getting the product on the mammary glands.

Radevit Active

The ointment is a homogeneous thick substance of white or light yellow color and contains a combination of vitamins A (retinol), E (alpha-tocopherol) and D2 (ergocalciferol). The drug has a complex effect: it fights inflammation and relieves itching, normalizes the processes of keratinization of the skin, enhances its protective function.

The ointment is used as part of complex therapy for such skin diseases as non-acute eczema, ichthyosis, seborrheic dermatitis, skin fissures and erosions.

Contraindications : hypersensitivity to components, hypervitaminosis A, E, D, concomitant use of retinoids. It is not recommended to apply the ointment to large areas of the skin during pregnancy and lactation.

Afloderm

Another topical glucocorticosteroid on our list. It is available as an ointment and cream and contains alklomethasone, which is listed in clinical guidelines as a first-line treatment for eczema ³ . The agent has anti-inflammatory, antipruritic, vasoconstrictive and immunosuppressive (reduces hypersensitivity) action.

The drug can be used to treat skin diseases such as eczema, atopic, allergic and contact dermatitis, psoriasis, etc. The drug is suitable for use on the face and sensitive areas of the skin – neck, chest and groin.

Contraindications : hypersensitivity to components, acne, herpes zoster, chickenpox, perioral dermatitis, fungal or bacterial skin infections, application to open wounds. Before using the cream during pregnancy, it is better to consult a doctor first, and when breastfeeding, avoid getting the product on the mammary glands.

“Naftaderm”

Medical ointment is produced in the form of brown liniment with a peculiar smell. The product contains purified Naftalan oil and has a complex effect: relieves inflammation, relieves itching, pain and irritation, protects against microbes, promotes healing of damaged skin. The cream can be used for eczema, psoriasis, allergic dermatosis, keratosis and lichen planus.

Contraindications : hypersensitivity, renal failure, hemorrhagic syndrome, severe anemia. During pregnancy and lactation, a doctor’s consultation is necessary.

Akriderm GK

The drug is also available as a thick oily ointment and white cream with a slight characteristic odor. The active ingredients in the composition are the antibiotic gentamicin, the glucocorticosteroid betamethasone and the antifungal component clotrimazole. The combination of these substances alleviates the external manifestations of eczema – reduces itching, swelling, redness, and also protects the skin from secondary infection with fungal or bacterial infections.

The product is indicated for versicolor versicolor, allergic dermatitis, candidiasis, eczema, atopic and contact dermatitis. The duration of the course of treatment is determined by the doctor. Self-medication is strongly not recommended.

Contraindications : hypersensitivity to the components, skin tuberculosis, open wounds, children under 2 years of age and others. With caution: pregnancy (especially 1 trimester), age up to 18 years.

Advantan

The drug is available as an emulsion, cream and ointment. All these dosage forms differ in consistency and are prescribed for different degrees of severity of eczema. The composition of the drug contains methylprednisolone aceponate, which helps to suppress inflammatory and allergic skin reactions, helps reduce swelling, itching, irritation and pain, fights dry skin, restores its normal fat content.

The cream is indicated for eczema, atopic, allergic and simple contact dermatitis, neurodermatitis, photodermatitis, as well as for the treatment of sunburn.

Contraindications : tuberculous or syphilitic processes, viral diseases in the area of ​​application, rosacea, perioral dermatitis, skin reaction to vaccination, children under 4 months of age, hypersensitivity to the components of the drug. The use of the cream during pregnancy and lactation should be discussed with your doctor.

“Pimafucort”

The drug is produced in the form of a homogeneous white or light yellow ointment. It contains the glucocorticosteroid hydrocortisone, the antifungal agent natamycin, and the antibiotic neomycin. Due to this, the combined effect of the ointment is also ensured: antibacterial, antifungal and local anti-inflammatory. Neomycin helps prevent secondary infection with staphylococci, enterococci, and natamycin is active against yeast and yeast-like fungi. Hydrocortisone fights inflammation and swelling, and helps reduce itching and skin irritation in eczema.

Among the indications for the use of the ointment are various dermatoses complicated by a bacterial or fungal infection.

Contraindications : hypersensitivity to components, skin tuberculosis, skin manifestations of syphilis, acne, rosacea, ichthyosis, anogenital itching, various skin tumors. Use during pregnancy is possible after consulting a doctor.

“Triderm”

This is a combined preparation, which includes a glucocorticosteroid (betamethasone dipropionate), a broad spectrum antibiotic (gentamycin sulfate) and an antifungal component (clotrimazole). This means that the ointment helps relieve inflammation, swelling and itching and at the same time fights fungal and bacterial infections of the skin, prevents the attachment of a secondary infection.

Indications for the use of the ointment: dermatoses complicated by infections, including eczema and dermatitis.

Contraindications : skin tuberculosis, chicken pox, herpes simplex, open wounds, children under 2 years of age, hypersensitivity to the components of the drug.

How to choose an ointment for eczema

Eczema is usually treated with anti-inflammatory ointments with glucocorticosteroids and calcineurin inhibitors ³ . Therapy should be prescribed by a dermatologist, since there are many nuances. The fact is that an infection can join eczema: bacterial or fungal. In this case, in addition to ointments, you will need to take antimicrobial drugs ³ .

In addition, skin diseases have similar symptoms: it is unlikely to be able to distinguish eczema from dermatitis without medical knowledge and experience.

Reviews of doctors about ointments for eczema

According to dermatologist, trichologist Marina Nikolaeva , the treatment of eczema includes the use of proper skin care and medications. Basic skin care, gentle cleansing and moisturizing will help maintain the skin barrier.

– To cleanse the skin, it is worth using products with a neutral pH, containing a minimum of aggressive surfactants. In the pharmacy, such products are sold on the shelf with special cosmetics for dry and atopic skin and may be called “syndet”, “cleansing cream gel” or “cleansing oil”. To moisturize the skin, it is worth using products without fragrances, dyes, aggressive skin-irritating components, essential oils.

Anti-inflammatory creams such as topical glucocorticosteroids and topical calcineurin inhibitors may be prescribed to treat eczema. They are prescribed by a doctor after an examination and confirmation of the diagnosis, our expert emphasizes.

– The main task in the treatment of eczema is to restore an adequate skin reaction and eliminate provoking factors (for example, exclude contact with water), – says Irina Parfenenkova, PhD, dermatovenereologist, cosmetologist, nutritionist . – If bacteria and fungi join the inflammatory processes on the skin, this requires the appointment of combined drugs. Moreover, in the acute stage, when there is oozing, lotions, wet-drying dressings with astringents are used, and only then creams, pastes, ointments are used.

Emollients and regenerating agents are used to restore the barrier function of the skin.

Popular questions and answers

Dermatologist, trichologist Marina Nikolaeva answers the most popular questions regarding the treatment of eczema on the hands and feet.

Why does eczema appear on the legs and arms?

– Most often, the appearance of eczema is provoked by external factors: excessive washing of hands with soap, the use of antiseptics, cold. Often, eczema is faced by those who, on duty, are forced to contact water or work with gloves – doctors, cooks, masters of the beauty industry.

Why does eczema get worse?

— Eczema is exacerbated by insufficient skin hydration, violation of its barrier properties (use of antiseptics, household chemicals, mechanical damage to the skin), during severe psycho-emotional experiences, stress. Sometimes exacerbations are tied to the time of year.

Why is eczema on the legs and arms dangerous?

– Eczema causes serious discomfort to its owner – dryness, cracks and peeling appear. The skin itches, hurts, and becomes fertile ground for bacteria to grow. A secondary infection easily joins the damaged areas of the skin – in this case, antibiotic treatment (in creams or tablets) will be required. ⠀

Can eczema be completely cured?

— Eczema is a chronic disease that periodically worsens. There is a high probability of achieving a stable remission, that is, a calm state of the skin with the help of anti-inflammatory therapy. Sometimes anti-inflammatory creams are prescribed for a long time to achieve control of the disease as a prevention of flare-ups.

What not to do with eczema?

— In the period of exacerbation, it is necessary first of all not to irritate the skin. Its protective properties are reduced, so additional damage and violation of the skin barrier will lead to more pronounced inflammation.

It is better to avoid contact with household chemicals, do not scratch the affected areas, do not pierce the vesicles and do not pinch off pieces of inflamed skin.