Best treatment for scalp eczema. Scalp Eczema: Symptoms, Treatments, and Natural Remedies for Relief
What are the common symptoms of scalp eczema. How can it be effectively treated. Which natural remedies provide relief for scalp eczema. What are the best ways to manage seborrheic dermatitis on the scalp.
Understanding Scalp Eczema: Causes and Risk Factors
Scalp eczema, primarily manifesting as seborrheic dermatitis, is a chronic inflammatory skin condition affecting up to 5% of the general population. It occurs more frequently in males and individuals over 40 years old. While the exact cause remains unclear, researchers believe the Malassezia yeast, naturally present on human skin, may trigger an immune response in susceptible individuals, leading to inflammation and itchiness.
Several factors increase the risk of developing scalp eczema:
- Oily skin
- Male gender
- Dry or cold climate
- Weakened immune system (e.g., HIV)
- Neurological conditions (e.g., Parkinson’s disease)
- Mental health issues (e.g., depression, eating disorders)
- Certain medications (e.g., lithium, dopamine antagonists, immunosuppressants)
Common triggers for flare-ups include stress, lack of sleep, excessive sweating, skin irritants, and dry skin. Understanding these risk factors and triggers can help individuals better manage their condition and prevent exacerbations.
Recognizing Scalp Eczema Symptoms: Beyond Dandruff
Scalp eczema shares some similarities with dandruff, but it’s important to distinguish between the two conditions. Both can cause flaky skin and itchiness, but scalp eczema typically presents with more severe symptoms and visible signs of inflammation.
Key symptoms of scalp eczema include:
- Itchy, inflamed patches of skin
- Dry, scaly skin
- Waxy or oily skin patches
- Yellow or red discoloration (in lighter skin tones)
- Darker or lighter patches compared to surrounding skin (in deeper skin tones)
- Flaking skin
Are these symptoms confined to the scalp? Not necessarily. Seborrheic dermatitis can also affect other oil-producing areas of the body, such as the nose, eyelids, eyebrows, ear canal, behind the ears, and upper back. This widespread distribution can help differentiate it from simple dandruff, which is typically limited to the scalp.
Diagnosing Scalp Eczema: When to Seek Professional Help
Accurately diagnosing scalp eczema is crucial for effective treatment. While mild cases may be self-diagnosed and managed with over-the-counter products, persistent or severe symptoms warrant a visit to a dermatologist or healthcare provider.
During a consultation, the doctor will:
- Examine the affected areas
- Ask about symptoms and their duration
- Inquire about family history and potential triggers
- Possibly perform a skin scraping or biopsy to rule out other conditions
Why is professional diagnosis important? Scalp eczema can sometimes mimic other skin conditions, such as psoriasis or fungal infections. A dermatologist can differentiate between these conditions and provide an accurate diagnosis, ensuring you receive the most appropriate treatment.
Conventional Treatments for Scalp Eczema: Medical Approaches
The treatment of scalp eczema typically involves a multi-pronged approach aimed at reducing inflammation, controlling yeast growth, and managing symptoms. The specific treatment plan will depend on the severity of the condition and individual patient factors.
Topical Treatments
First-line treatments often include topical products containing one or more of the following active ingredients:
- Zinc pyrithione
- Salicylic acid
- Selenium sulfide
- Ketoconazole
- Ciclopirox
- Sulfacetamide
- Coal tar
- Sulfur
These ingredients work to reduce yeast growth, calm inflammation, and remove flaky skin. They may be found in shampoos, creams, or scalp treatments.
Corticosteroids and Immunosuppressants
For more severe cases, a dermatologist may prescribe:
- Topical corticosteroids: These potent anti-inflammatory medications can quickly relieve itching and reduce inflammation during acute flare-ups.
- Topical immunosuppressants: These non-steroidal medications can be used for longer periods to manage chronic symptoms.
Is long-term use of corticosteroids recommended? No, prolonged use of corticosteroids can lead to skin thinning and other side effects. Therefore, they are typically prescribed for short-term use only.
Oral Medications
In very severe or resistant cases, oral antifungal medications may be prescribed. These systemic treatments can help control the underlying yeast overgrowth that contributes to scalp eczema.
Natural Remedies for Scalp Eczema: Complementary Approaches
While medical treatments are often necessary for managing scalp eczema, many individuals find relief through natural remedies and lifestyle modifications. These approaches can be used alongside conventional treatments to enhance overall management of the condition.
Dietary Modifications
Some people with scalp eczema report improvement when making certain dietary changes:
- Reducing sugar intake
- Increasing consumption of omega-3 fatty acids (found in fish, flaxseed, and walnuts)
- Adding probiotics to the diet
- Avoiding potential food allergens
While scientific evidence supporting these dietary interventions is limited, they may be worth trying under the guidance of a healthcare provider.
Essential Oils and Natural Topicals
Certain natural oils and plant-based products may help soothe scalp eczema symptoms:
- Tea tree oil: Known for its antifungal and anti-inflammatory properties
- Aloe vera: Can help reduce inflammation and soothe irritated skin
- Coconut oil: May help moisturize the scalp and reduce yeast growth
- Apple cider vinegar: Some people find it helps balance scalp pH and reduce flaking
How should these natural remedies be used? Always dilute essential oils before applying to the skin and perform a patch test to check for allergic reactions. It’s also advisable to consult with a healthcare provider before incorporating new treatments into your regimen.
Stress Management
Given that stress can trigger or exacerbate scalp eczema flare-ups, stress reduction techniques may be beneficial:
- Meditation
- Deep breathing exercises
- Regular physical activity
- Adequate sleep
- Counseling or therapy, if needed
Incorporating these practices into daily life may help reduce the frequency and severity of flare-ups.
Managing Scalp Eczema in Infants: Cradle Cap Care
Seborrheic dermatitis in infants, commonly known as cradle cap, typically resolves on its own within a few months. However, parents can take steps to manage symptoms and promote healing:
- Gently wash the baby’s scalp daily with a mild, tear-free shampoo
- Use a soft brush to loosen and remove scales
- Apply mineral oil to the scalp to help loosen flakes
- Avoid picking or scratching at the scales
- Consult a pediatrician if symptoms persist or worsen
Is cradle cap painful for babies? Generally, cradle cap does not cause discomfort or itching for infants. However, if the baby appears distressed or if the condition spreads beyond the scalp, it’s important to seek medical advice.
Long-Term Management: Living with Scalp Eczema
For many adults, scalp eczema is a chronic condition that requires ongoing management. Developing a comprehensive long-term strategy can help minimize flare-ups and improve quality of life.
Scalp Care Routine
Establishing a gentle but effective scalp care routine is crucial:
- Use pH-balanced, fragrance-free shampoos
- Avoid hot water when washing hair; use lukewarm water instead
- Pat the scalp dry gently; avoid rubbing vigorously
- Apply medicated treatments as directed by a healthcare provider
- Moisturize the scalp regularly to prevent dryness
Trigger Avoidance
Identifying and avoiding personal triggers can help reduce flare-ups:
- Keep a symptom diary to track potential triggers
- Manage stress through relaxation techniques
- Avoid harsh hair products or treatments
- Protect the scalp from extreme weather conditions
Regular Check-ups
Maintaining regular appointments with a dermatologist or healthcare provider allows for ongoing assessment and adjustment of treatment plans as needed. This proactive approach can help prevent severe flare-ups and ensure optimal management of the condition.
Emerging Treatments and Research in Scalp Eczema
The field of dermatology continues to advance, with ongoing research into new treatments for scalp eczema and seborrheic dermatitis. Some promising areas of investigation include:
Microbiome Modulation
Researchers are exploring ways to manipulate the skin microbiome to restore balance and reduce inflammation. This may involve the use of probiotics or targeted antimicrobial therapies.
Novel Topical Agents
New formulations of topical medications are being developed to improve efficacy and reduce side effects. These may include nanoparticle-based delivery systems or combinations of active ingredients.
Biologics
While primarily used for more severe forms of eczema, biologic medications that target specific components of the immune system are being studied for their potential in treating seborrheic dermatitis.
Phototherapy
Targeted light therapy, particularly narrow-band UVB, is being investigated for its potential to reduce inflammation and control yeast growth in scalp eczema.
What does this ongoing research mean for individuals with scalp eczema? While current treatments can effectively manage symptoms for many people, these emerging therapies offer hope for improved outcomes and potentially new options for those with treatment-resistant cases.
In conclusion, scalp eczema is a complex condition that requires a multifaceted approach to management. By combining medical treatments, natural remedies, and lifestyle modifications, many individuals can achieve significant symptom relief and improved quality of life. As research progresses, we can look forward to even more effective and targeted therapies in the future. If you’re struggling with scalp eczema, don’t hesitate to seek professional help to develop a personalized treatment plan that works for you.
Symptoms, treatment, and natural remedies
Eczema can result in inflamed, dry, itchy skin. On the scalp, skin may appear scaly and red, or a lighter color than the surrounding skin. A person may also experience dandruff.
One of the main types of eczema that can affect the scalp is seborrheic dermatitis. It appears in areas where the skin is most oily, such as the scalp, face, and upper back. When seborrheic dermatitis affects babies, it is known as cradle cap.
In this article, we look at risk factors for scalp eczema, how to prevent it, and what treatment involves.
Seborrheic dermatitis is a type of eczema linked with the scalp, though it can appear in other areas with a lot of oil-producing glands in the skin.
Doctors do not fully understand what causes seborrheic dermatitis, but a type of yeast that lives on the skin may be involved. Malassezia, this yeast, exists on everyone’s skin, and it may trigger an immune response in some people. This response leads to the inflammation and itchiness.
Seborrheic dermatitis affects up to 5% of the general population, and slightly more males than females have it. It is common in babies. In adults, it is most common in people aged 40 or over.
Seborrheic dermatitis can resemble dandruff, which is a milder condition that affects up to half of the population.
It is possible for other types of eczema to affect the scalp, including atopic eczema or contact dermatitis. A doctor, such as a dermatologist, can identify the type.
Certain factors can make people more prone to seborrheic dermatitis. These include:
- having oily skin
- being male
- living in a dry or cold environment
- having a condition that weakens the immune system, such as HIV
- having a neurological condition, such as Parkinson’s disease
- having certain mental health conditions, such as depression or an eating disorder
- taking certain medications, such as lithium, dopamine antagonists, or immunosuppressants
The following might trigger a flare-up of this type of eczema:
- stress
- lack of sleep
- sweating
- irritants
- dry skin
People can usually tell the difference between eczema and dandruff by looking for visible signs of inflammation. Both eczema and dandruff can cause flaky skin and itchiness, but only eczema typically causes inflamed patches of skin.
Researchers think that dandruff and seborrheic dermatitis are part of the same disease process and that both are related to the presence of Malassezia fungus on the scalp.
Research from 2015 argues that the two exist on a continuum, with dandruff is on the milder end and seborrheic dermatitis causing more severe symptoms.
Scalp eczema causes patches of itchy, inflamed, dry skin. The patches may change in shape and size over time.
People with seborrheic dermatitis may also have:
- patches of waxy or oily skin
- skin that flakes off
- yellow or red discoloration, in people with lighter skin tones
- skin that is darker or lighter than the surrounding area, in people with deeper skin tones
The condition typically appears in areas with a lot of oil-producing glands. A person with seborrheic dermatitis on their scalp may also have it in other areas that produce oil, such as the:
- nose
- eyelids
- eyebrows
- ear canal
- area behind the ears
- upper back
Even after the rash heals, any color changes may last.
The best approach depends on the type of eczema a person has. For seborrheic dermatitis, treatment involves using topical products that reduce the growth of the yeast, calm inflammation, and remove the flakiness.
The first step involves skin care, and a dermatologist can describe how to keep the scalp clean and hydrated. Replacing any harsh shampoos with gentle, pH-balanced ones may reduce irritation, for example.
Next, the doctor may recommend an antifungal cream, spray, or scalp treatment. This may contain a combination of:
- zinc pyrithione
- salicylic acid
- selenium sulfide
- ketoconazole
- ciclopirox
- sulfacetamide
- coal tar
- sulfur
For more severe cases, a mild corticosteroid can calm the inflammation. A doctor may prescribe a topical corticosteroid, which goes on the skin, to treat an active flare-up that causes severe pain, itching, and flaking. Corticosteroids are not suitable for use over long periods, however.
A doctor may also prescribe a topical medication that suppresses the immune system. These products do not contain corticosteroids and a person can use them for longer periods. For very severe cases, doctors may prescribe an oral antifungal medication.
For babies with cradle cap, mineral oil can help loosen the flakes so that they fall off with gentle washing. Usually, this is all that is necessary. The condition often improves on its own after a few months.
In adults, seborrheic dermatitis can come and go for long periods and require managing to reduce flare-ups.
Many prescription products for seborrheic dermatitis contain ingredients that people can purchase over the counter, such as:
- coal tar, which reduces itching
- sulfur, an antibacterial mineral
- salicylic acid, a compound that naturally occurs in plants and exfoliates flaky skin
Many over-the-counter scalp treatments contain these substances.
Also, some research shows that daily use of a 5% tea tree oil shampoo can significantly improve mild-to-moderate symptoms without causing side effects. However, less research has gone into this approach.
People should never use essential oils undiluted on the skin. Also do not use these oils at all to treat eczema in children or babies.
There is no single test for scalp eczema. The yeasts that play a role in seborrheic dermatitis occur naturally on everyone’s scalp, so testing for these will not help.
Instead, a doctor does a physical examination and takes the person’s medical history. They may diagnose eczema based on the symptoms alone, or they may perform tests to rule out other possibilities, such as an allergic reaction.
The specific symptoms can also reveal the type of eczema.
If a doctor suspects a fungal infection, they may take a skin scraping and send it for analysis.
Since experts are not sure exactly why scalp eczema develops, they cannot recommend a surefire method of prevention.
Still, a person can reduce the chances of the condition flaring up by:
- avoiding contact with harsh soaps, chemicals, or solvents
- protecting the head in cold or dry weather
- using a humidifier to make indoor air less dry
- washing the scalp after exercise and other activities that cause sweating
- reducing and managing stress levels
- receiving treatment for any medical conditions that increase the risk of seborrheic dermatitis
If a medication may be contributing to scalp eczema, a doctor can describe the next steps.
Seborrheic dermatitis is a type of eczema that tends to affect the scalp. Doctors believe that it results from an immune system reaction to a type of yeast that naturally grows on the skin. Seborrheic dermatitis causes one or more patches of itchy, flaky skin, which may feel oily.
Treatment may involve using topical creams, sprays, or shampoos that contain antifungal and anti-inflammatory ingredients.
Because other types of eczema can also occur on the scalp, it is important to get a diagnosis. The doctor can also rule out other conditions that can cause an inflamed or flaky rash, such as psoriasis.
Read the article in Spanish.
Symptoms, treatment, and natural remedies
Eczema can result in inflamed, dry, itchy skin. On the scalp, skin may appear scaly and red, or a lighter color than the surrounding skin. A person may also experience dandruff.
One of the main types of eczema that can affect the scalp is seborrheic dermatitis. It appears in areas where the skin is most oily, such as the scalp, face, and upper back. When seborrheic dermatitis affects babies, it is known as cradle cap.
In this article, we look at risk factors for scalp eczema, how to prevent it, and what treatment involves.
Seborrheic dermatitis is a type of eczema linked with the scalp, though it can appear in other areas with a lot of oil-producing glands in the skin.
Doctors do not fully understand what causes seborrheic dermatitis, but a type of yeast that lives on the skin may be involved. Malassezia, this yeast, exists on everyone’s skin, and it may trigger an immune response in some people. This response leads to the inflammation and itchiness.
Seborrheic dermatitis affects up to 5% of the general population, and slightly more males than females have it. It is common in babies. In adults, it is most common in people aged 40 or over.
Seborrheic dermatitis can resemble dandruff, which is a milder condition that affects up to half of the population.
It is possible for other types of eczema to affect the scalp, including atopic eczema or contact dermatitis. A doctor, such as a dermatologist, can identify the type.
Certain factors can make people more prone to seborrheic dermatitis. These include:
- having oily skin
- being male
- living in a dry or cold environment
- having a condition that weakens the immune system, such as HIV
- having a neurological condition, such as Parkinson’s disease
- having certain mental health conditions, such as depression or an eating disorder
- taking certain medications, such as lithium, dopamine antagonists, or immunosuppressants
The following might trigger a flare-up of this type of eczema:
- stress
- lack of sleep
- sweating
- irritants
- dry skin
People can usually tell the difference between eczema and dandruff by looking for visible signs of inflammation. Both eczema and dandruff can cause flaky skin and itchiness, but only eczema typically causes inflamed patches of skin.
Researchers think that dandruff and seborrheic dermatitis are part of the same disease process and that both are related to the presence of Malassezia fungus on the scalp.
Research from 2015 argues that the two exist on a continuum, with dandruff is on the milder end and seborrheic dermatitis causing more severe symptoms.
Scalp eczema causes patches of itchy, inflamed, dry skin. The patches may change in shape and size over time.
People with seborrheic dermatitis may also have:
- patches of waxy or oily skin
- skin that flakes off
- yellow or red discoloration, in people with lighter skin tones
- skin that is darker or lighter than the surrounding area, in people with deeper skin tones
The condition typically appears in areas with a lot of oil-producing glands. A person with seborrheic dermatitis on their scalp may also have it in other areas that produce oil, such as the:
- nose
- eyelids
- eyebrows
- ear canal
- area behind the ears
- upper back
Even after the rash heals, any color changes may last.
The best approach depends on the type of eczema a person has. For seborrheic dermatitis, treatment involves using topical products that reduce the growth of the yeast, calm inflammation, and remove the flakiness.
The first step involves skin care, and a dermatologist can describe how to keep the scalp clean and hydrated. Replacing any harsh shampoos with gentle, pH-balanced ones may reduce irritation, for example.
Next, the doctor may recommend an antifungal cream, spray, or scalp treatment. This may contain a combination of:
- zinc pyrithione
- salicylic acid
- selenium sulfide
- ketoconazole
- ciclopirox
- sulfacetamide
- coal tar
- sulfur
For more severe cases, a mild corticosteroid can calm the inflammation. A doctor may prescribe a topical corticosteroid, which goes on the skin, to treat an active flare-up that causes severe pain, itching, and flaking. Corticosteroids are not suitable for use over long periods, however.
A doctor may also prescribe a topical medication that suppresses the immune system. These products do not contain corticosteroids and a person can use them for longer periods. For very severe cases, doctors may prescribe an oral antifungal medication.
For babies with cradle cap, mineral oil can help loosen the flakes so that they fall off with gentle washing. Usually, this is all that is necessary. The condition often improves on its own after a few months.
In adults, seborrheic dermatitis can come and go for long periods and require managing to reduce flare-ups.
Many prescription products for seborrheic dermatitis contain ingredients that people can purchase over the counter, such as:
- coal tar, which reduces itching
- sulfur, an antibacterial mineral
- salicylic acid, a compound that naturally occurs in plants and exfoliates flaky skin
Many over-the-counter scalp treatments contain these substances.
Also, some research shows that daily use of a 5% tea tree oil shampoo can significantly improve mild-to-moderate symptoms without causing side effects. However, less research has gone into this approach.
People should never use essential oils undiluted on the skin. Also do not use these oils at all to treat eczema in children or babies.
There is no single test for scalp eczema. The yeasts that play a role in seborrheic dermatitis occur naturally on everyone’s scalp, so testing for these will not help.
Instead, a doctor does a physical examination and takes the person’s medical history. They may diagnose eczema based on the symptoms alone, or they may perform tests to rule out other possibilities, such as an allergic reaction.
The specific symptoms can also reveal the type of eczema.
If a doctor suspects a fungal infection, they may take a skin scraping and send it for analysis.
Since experts are not sure exactly why scalp eczema develops, they cannot recommend a surefire method of prevention.
Still, a person can reduce the chances of the condition flaring up by:
- avoiding contact with harsh soaps, chemicals, or solvents
- protecting the head in cold or dry weather
- using a humidifier to make indoor air less dry
- washing the scalp after exercise and other activities that cause sweating
- reducing and managing stress levels
- receiving treatment for any medical conditions that increase the risk of seborrheic dermatitis
If a medication may be contributing to scalp eczema, a doctor can describe the next steps.
Seborrheic dermatitis is a type of eczema that tends to affect the scalp. Doctors believe that it results from an immune system reaction to a type of yeast that naturally grows on the skin. Seborrheic dermatitis causes one or more patches of itchy, flaky skin, which may feel oily.
Treatment may involve using topical creams, sprays, or shampoos that contain antifungal and anti-inflammatory ingredients.
Because other types of eczema can also occur on the scalp, it is important to get a diagnosis. The doctor can also rule out other conditions that can cause an inflamed or flaky rash, such as psoriasis.
Read the article in Spanish.
Natural Remedies for Eczema – Dermatologist’s Advice| iHerb Blog
The information in this blog has not been verified by your local health authority and is not intended as a diagnosis, treatment, or medical advice.
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Eczema is a common chronic inflammatory skin disease. Every tenth person in his life is faced with eczema. When the skin is affected, it becomes itchy, red, flaky and dry. Damage (cracking) of the skin can lead to infection. Eczema can occur at any age, but it most often develops during childhood.
Types of eczema
- The most common type of eczema is atopic dermatitis. It usually appears in infancy. In adulthood, other types of eczema develop. Atopic dermatitis often accompanies seasonal allergies and asthma and often develops in members of the same family.
- Another common type of eczema is seborrheic dermatitis. It manifests itself in the form of dandruff or crusts on the head in newborns. It can also affect the face, ears, body, and intimate areas.
- Another type of eczema is contact dermatitis, which can become inflamed and rash when in contact with certain foods or substances.
- Eczema on the hands can be extremely debilitating. In addition, it is often difficult to cure. It usually starts as very itchy small blisters on the fingers and palms. Sometimes the feet are affected. These blisters often develop into blisters that break open when scratched, leading to open sores and crusts. If the feet are affected, it can be painful to walk.
- Nummular (coin-shaped) eczema usually develops on the hands and feet. It occurs more often in winter in adults and the elderly, as the skin can become very dry with age.
Causes of eczema
Eczema can be caused by both genetic and environmental causes. Eczema-prone people often have a genetic predisposition to dry skin. The skin is our protective barrier: it retains water and keeps out allergens and bacteria. When dry, the skin cannot effectively perform its protective function. Its microdamages often lead to inflammation, causing itching and rashes.
Eczema develops more often in winter, when the weather is dry and cold. Stress plays a significant role in the development of eczema. Other common causes are heat, sweat, rough clothing. People with dry skin are often more sensitive to fragrances and preservatives in cosmetics, so they are more susceptible to contact dermatitis.
Natural home remedies for eczema
Eczema can come and go on a regular basis, so it’s important to develop good skincare habits. Dry skin is the main cause of eczema. Therefore, the main element of prevention is daily gentle skin care.
Daily shower or bath is recommended, but do not stay in the water for more than 10 minutes. Also, avoid hot water as it dries out the skin. Wash only underarms and intimate areas with soap. Do not lather your entire body – this can wash off the natural sebum. After showering, gently dry your skin by patting it with a towel without rubbing. While your skin is still damp, apply a powerful moisturizer all over your body.
What products to use for eczema?
In general, try to use products without flavors and preservatives. In the shower, do not use products that foam a lot. It is better to buy soap specifically for sensitive skin or skin with eczema. For facial skin, use gentle creamy cleansers or even cleansing lotions to effectively remove dirt and make-up while being gentle on the skin.
When it comes to moisturizers and emollients, choose products that are as thick as possible or even ointments, as these are the best at retaining moisture in the skin. Ceramides are natural lipids that are often deficient in eczema skin. Moisturizers with ceramides are most effective at restoring the skin’s protective barrier. Also, choose products specifically for sensitive or eczema-prone skin, as they are usually fragrance-free and hypoallergenic.
Other home and lifestyle tips for eczema
Avoid rubbing against the skin as much as possible. Because of it, microcracks appear in the skin, which lead to eczema or an increase in an existing rash. Due to wool and rough materials or fabrics, the skin begins to itch. Choose clothes made from breathable cotton.
Exfoliate no more than a few times a month when caring for your skin. Be careful with products with retinol or alpha hydroxy acid. They dry out the skin more. If you are using them for the first time, start in the absence of dermatitis and only use them a few days a week at first. With a normal reaction, gradually move to nightly use. Discontinue use if eczema recurs.
Itching is usually worse at night. To weaken it, you should sleep in a cool place. Do not use heated blankets as the heat can itch and dry out the skin. In winter, place a humidifier next to your bed to bring moisture back into your bedroom.
If the skin is very itchy, then scratching will only increase the itching and rash. Try taking a colloidal oatmeal bath for 10-15 minutes to soothe dry skin and ease itching. Cold compresses will not only soothe inflamed skin, but also reduce itching.
If you are prone to eczema on your hands, remember that frequent washing can irritate your hands. Try applying hand cream immediately after you wash them. It also helps to protect your hands with rubber gloves before washing dishes or handling chemicals.
Diet and eczema
Diet for eczema is a very controversial topic. At the moment, there is no research in favor of the fact that any specific foods lead to eczema. People with severe eczema and frequent seasonal allergies are more susceptible to food allergies, but these are different reactions from an immunological point of view.
Allergenic foods should be avoided due to the risk of anaphylaxis, but they will not necessarily cause eczema. In the absence of a clear relationship between the use of certain foods and the appearance of rashes, it is not recommended to introduce food restrictions, especially for babies and children. At the same time, a balanced diet with enough healthy fats and proteins is generally good for the body. You should avoid pro-inflammatory foods: those with a high glycemic index or highly processed.
Clinical studies have shown that daily intake of probiotics can improve symptoms in eczema. Fish oil, rich in omega-3 fatty acids, can help repair skin and manage inflammation.
When to see a dermatologist for eczema?
With eczema, it is very possible to develop a bacterial infection. See a dermatologist if your skin is sore, oozing, or crusty – these could be signs of an infection. In addition to checking for infection and treating it, a dermatologist may also prescribe topical products to soothe inflamed skin. Finally, a dermatologist may also suggest something else when mild skin care and home remedies don’t help.
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Exacerbation of eczema in children: causes, symptoms, recommendations for care – Care for children and expectant mothers – Blog
Eczema is one of the most common and at the same time the most “mysterious” skin diseases. At the moment, it is diagnosed in 20% of babies, but modern medicine does not have the means to completely cure it. So, faced with eczema in a child, parents will have to constantly pay attention to caring for his skin and closely monitoring the symptoms.
What is eczema?
Eczema is a non-contagious inflammatory skin disease characterized by various types of rash, burning sensation and itching. Translated from Greek, the word eczema means “boiling”: the rash that occurs with some of its types really resembles small air bubbles in boiling water.
In 65% of cases, the symptoms of the disease manifest themselves in infancy (up to a year), and 90% of young patients “outgrow” eczema by the time they reach the age of five.
In order to alleviate the unpleasant symptoms of the disease and make the periods of exacerbation more comfortable and calm for the baby and the whole family, it is important to strictly follow the recommendations of a pediatrician or pediatric dermatologist, as well as adhere to some basic rules in everyday life.
Triggers
As we mentioned above, a significant prerequisite for the development of eczema in childhood is a genetic predisposition. Most often, this disease has an allergic nature.
The main factors that can lead to exacerbation of eczema:
- dry skin
- contact with irritating chemicals (in the composition of soaps, bath foams, washing powders, etc.)
- eating or contact with foods to which the child is allergic
- contact with plant pollen, house dust, animal hair, dust mite faeces
- contact with woolen or synthetic fabrics
- Ambient temperature too high or too low
- transferred stress
Signs and symptoms
Manifestations of eczema vary in different age periods:
In infants, it usually occurs between 3 and 6 months of age and is a small red spot that is dry and rough to the touch. As the disease develops, their number increases, and the surface is covered with bubbles with a clear liquid. If their integrity is violated (independently or due to scratching), the surface of the skin becomes wet, wet.
At this age, foci of inflammation are located on the cheeks and limbs, less often on the body. Since the child’s immunity is weak and fragile, in the first months of life, eczema is often accompanied by a secondary infection.
Upon reaching one and a half to two years, rashes on the cheeks are less common, gradually moving to the limbs. The foci of damage are often the wrists and hands, bends of the elbows and knees. Excessive surface moisture is less typical, on the contrary, the skin becomes excessively dry, painful cracks may appear. The picture is aggravated by constant scratching, which is difficult for the child to control.
By adolescence, the symptoms of eczema can completely disappear: the body gets stronger, the immune system begins to work normally, and the child “outgrows” the disease. If this does not happen, foci of inflammation, manifested in the form of red scaly areas, a blistering rash and weeping spots, can appear on the wrists and hands, cheeks, forehead and chin, on the chest and between the shoulder blades, on the bends of the elbows and knees.
Eczema in children is manifested by symptoms of true, seborrheic and microbial eczema.
- True eczema is a reddening of the skin that does not have distinct boundaries. Accompanied by peeling, rash in the form of bubbles. For children, especially characteristic is the separation of fluid, “wetting” the surface of inflammation. Yellowish-brown crusts may also occur. As a rule, it primarily affects the cheeks and forehead (bypassing the nasolabial triangle), subsequently spreading to the scalp, auricles, neck, torso, folds of the limbs and buttocks. Its appearance is most often associated with the nutrition of the child. Moreover, the reaction can be caused by both the introduction of complementary foods and a change in the composition of breast milk.
- Seborrheic eczema is characterized by dry, red, scaly patches covered with greasy white or yellow scales. They appear in places where the sebaceous glands accumulate: on the scalp, forehead, cheeks, auricles, behind the ear and neck folds.
- Microbial eczema manifests itself in the form of asymmetric rashes provoked by the entry of microbes into wounds, abrasions, scratches or burns on the skin. The lesions have clear boundaries, often located on the arms and legs.
Any form of eczema is also characterized by itching and burning – depending on the degree of damage, their intensity may vary, but almost always they cause discomfort to the child, he becomes capricious and irritable, cannot sleep.
Stages of development of eczema
By identifying the symptoms of eczema in the early stages, treatment is much easier. As the disease progresses, the likelihood of complications, microbial and infectious inflammation increases.
Stage | Characteristic |
1. Erythrematous | Extensive reddening of the skin. Area of irritated skin without clear boundaries. |
2. Papular | A nodule-like rash is added. Small foci can merge with each other, forming plaques. Increased swelling. |
3. Vesicular | Nodules transform into vesicles with clear or whitish fluid. |
4. Wet | Bubbles burst, leaving areas of damaged skin exuding fluid (serous wells) in their place. |
5. Crustose | As the liquid dries, crusts form on the surface of the skin. |
6. Squamous | Dried crusts peel off, forming whitish scales. |
Basic recommendations for eczema in a child
Eczema is one of the chronic diseases that cannot be completely cured. However, a combination of drug treatment, physiotherapy and basic home care can significantly alleviate the condition and practically nullify the symptoms and bring the disease into remission.
Consultation with a specialist: eczema is easily confused with other conditions: diaper rash, white lichen, ichthyosis, etc. All these diseases require a different approach to treatment, so when the first symptoms appear, you should contact your pediatrician and get the doctor’s recommendations. He will be able to determine the nature of the disease and the factors provoking its exacerbation of the disease and select the appropriate treatment.
Proper nutrition: try to eliminate potential allergens from the baby’s (or mother’s, if breastfeeding) diet. Your doctor will also help you develop a safe diet.
Regular cleansing: Bathing daily is an easy way to help partially relieve rashes and other symptoms of eczema. An important nuance: you should not use hot water, as it, in fact, dries fragile skin even more.
Natural fabrics: It is best if the child’s clothes and bedding are made of cotton or other soft natural materials. Cotton mittens and socks will also help to solve the problem of combing.
Hypoallergenic household chemicals: washing powders for clothes, baby dishes and bottles should have a safe composition. Give preference not just to “children’s” products, but to those that have proven hypoallergenic formulas.
Maintain optimal humidity: Dry air in a heated room can lead to excessive dryness of the skin, which in turn increases irritation and itching. It is a good idea to put a humidifier in the children’s room to maintain optimal moisture levels. And if you need to calm the itching urgently, you can attach a soft towel moistened with cool water to the dry area for several minutes.
Baby skin care for eczema
Bathing
To soften crusts and prevent discomfort from contact with water, a special moisturizing oil can be applied shortly before bathing.
Gentle almond oil spray with vitamin E for babies from the first days of life, 75 ml
Nourishes the skin, suitable for massage
912 ₽
-20%
1140 ₽
Receipt expected
Calendula oil for babies 200 ml
Gently cleanses and protects baby’s skin, prevents irritation and inflammation
1550 ₽
Buy
12345
Emollient bath and shower oil for dry and atopic skin of babies, children and adults AP+, 200 ml
GENTLE CLEANSING AND SOFTENING DRY SKIN
906 ₽
-25%
1208 ₽
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12345
Products used to cleanse sensitive baby skin should not contain soap or aggressive surfactants. Also avoid excessive exposure to water – during prolonged contact with water, lipids are washed out of the skin, leading to a decrease in its barrier function.
Cleansing foaming cream for children and newborns 1 l
Gentle cleansing for delicate skin. gives softness and elasticity
2894 ₽
-10%
3215 ₽
Buy
123
Cleansing gel for face and body, 200 ml
GENTLY CLEANSES, DOES NOT CAUSE IRRITATION, REDUCES SKIN REACTIVITY
1043 ₽
-15%
1227 ₽
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12345
Use a soft towel to dry off, dabbing lightly on the skin.
Moisturizing and softening
Use lotions and emollient creams to prevent drying of the skin after water procedures and relieve the discomfort caused by dryness. They should be applied in a thick layer with light circular movements, without rubbing, so as not to disturb the integrity of fragile skin.
Nourishing protective body milk, 350 ml
Moisturizes and nourishes baby’s skin
2175 ₽
Receipt expected
Cold cream body 200 ml
NOURISHES, SOFTENS AND PROTECTS BABY’S SKIN
1804 ₽
-15%
2122 ₽
Buy
12345
Environmental protection
Exposure to cold and wind can cause skin dryness and flaking. Special protective creams will help strengthen the barrier function of the skin.
Protective balm against wind and cold with calendula, 30 ml
Reliably protects the skin from frostbite and chapping
646 ₽
-10%
717 ₽
Receipt expected
Cream for sensitive skin 0+, 100 g
Soothes, moisturizes, relieves itching
643 ₽
-15%
756 ₽
Receipt expected
Nutri-Protectrice Cold Cream, 50 ml
nourishes and protects dry and sensitive skin from wind and frost
735 ₽
Receipt expected
Despite the chronic, relapse-prone nature of the disease, with timely and proper treatment, it will not cause discomfort to the child.