Eczema products for face. The 12 Best Face Creams for Eczema in 2023: Expert-Recommended Solutions for Soothing Irritated Skin
What are the most effective face creams for managing eczema symptoms. How do dermatologists recommend treating facial eczema. Which ingredients should you look for in eczema-specific skincare products. What are the top-rated eczema creams available in 2023.
Understanding Eczema and Its Impact on Facial Skin
Eczema, a common skin condition affecting millions worldwide, can be particularly troublesome when it appears on the face. This inflammatory skin disorder often leads to dry, itchy, and inflamed patches that can cause significant discomfort and self-consciousness. Facial eczema requires special attention due to the delicate nature of the skin in this area.
According to Dr. Nava Greenfield, a board-certified dermatologist at Schweiger Dermatology Group, “Dry skin can cause inflammation, which leads to eczema.” This highlights the importance of maintaining proper skin hydration to manage and prevent eczema flare-ups.
Common Symptoms of Facial Eczema
- Intense itching
- Redness and inflammation
- Dry, scaly patches
- Burning or stinging sensations
- Small bumps or blisters
Can facial eczema be effectively managed with over-the-counter products? While severe cases may require prescription treatments, many individuals find relief using specially formulated face creams designed to address eczema symptoms. These products aim to restore the skin’s barrier function, reduce inflammation, and provide much-needed hydration.
Key Factors to Consider When Choosing an Eczema Face Cream
Selecting the right face cream for eczema involves more than just picking a random moisturizer off the shelf. Dr. Dustin Portela, a board-certified dermatologist at Treasure Valley Dermatology, advises, “I encourage my patients to look for thicker moisturizing creams, balms, and ointments.” This recommendation is based on the unique needs of eczema-prone skin.
Texture and Consistency
The texture of an eczema face cream plays a crucial role in its effectiveness. Thicker formulations tend to provide better barrier protection and longer-lasting hydration. However, personal preference also factors into the equation, as some individuals may prefer a silky cream texture while others gravitate towards more occlusive balms.
Key Ingredients to Look For
- Colloidal oatmeal: Known for its soothing and anti-inflammatory properties
- Ceramides: Help restore and strengthen the skin barrier
- Hyaluronic acid: Attracts and retains moisture in the skin
- Niacinamide: Helps reduce inflammation and improve skin barrier function
- Shea butter: Provides deep hydration and has anti-inflammatory effects
Are there any ingredients that should be avoided in eczema face creams? Dr. Greenfield cautions, “Avoid any product with fragrance and use only products formulated for sensitive skin.” Fragrances and certain preservatives can irritate eczema-prone skin, potentially exacerbating symptoms.
Top-Rated Face Creams for Eczema in 2023
After thorough research and expert consultations, we’ve compiled a list of the best face creams for eczema available in 2023. These products have been selected based on their ingredient profiles, effectiveness, and user feedback.
1. Eucerin Eczema Relief Flare-Up Treatment
Ideal for addressing scaly eczema patches, this cream combines colloidal oatmeal with ceramides to provide instant relief and long-term barrier repair. Its formula is free from steroids, making it suitable for frequent use during flare-ups.
Pros:
- Instantly soothing
- Affordable
- Steroid-free
Cons:
- May be difficult to rub in completely
2. Skinceuticals Triple Lipid Restore 2:4:2
This luxurious cream is formulated with an optimal ratio of ceramides, natural cholesterol, and fatty acids to replenish the skin’s lipid barrier. It’s particularly effective as a daily moisturizer for eczema-prone skin.
3. La Roche-Posay Lipikar Balm AP+ Intense Repair Body Cream
Although marketed as a body cream, this versatile product is gentle enough for facial use. Its formula, rich in shea butter and niacinamide, has been clinically proven to improve skin barrier function and reduce itching in eczema patients.
Pros:
- Suitable for face and body
- Dermatologist-approved
- Clinically tested
Cons:
- Some users report product pilling
The Role of Occlusive Agents in Eczema Management
Occlusive agents play a crucial role in managing eczema by creating a protective barrier on the skin’s surface. This barrier helps to lock in moisture and prevent irritants from penetrating the skin.
Vaseline: A Dermatologist Favorite
Dr. Mona Gohara, a board-certified dermatologist, highly recommends Vaseline for eczema treatment. “I love Vaseline,” she states, “especially around the eyes, where facial eczema can be very prevalent.” Pure petroleum jelly acts as an excellent occlusive agent, providing a protective layer that helps retain moisture and promote healing.
How does Vaseline compare to other occlusive products like Aquaphor? While both contain petroleum jelly, Vaseline is 100% petroleum jelly, whereas Aquaphor combines petroleum jelly with other emollients and oils. Vaseline tends to be heavier and more protective, while Aquaphor is more easily absorbed by the skin.
Prescription Options for Severe Eczema Cases
While over-the-counter creams can effectively manage mild to moderate eczema, some individuals may require stronger, prescription-strength treatments. Dr. Greenfield advises, “You should see results in two weeks, but see a doctor if the rash does not improve, worsens, or becomes itchy or painful.”
Types of Prescription Eczema Treatments
- Topical corticosteroids: Reduce inflammation and itching
- Topical calcineurin inhibitors: Suppress immune system response in the skin
- PDE4 inhibitors: Help reduce inflammation associated with eczema
When should you consider seeking prescription treatment for facial eczema? If over-the-counter products fail to provide relief after consistent use, or if your symptoms are severe and impacting your quality of life, it’s time to consult a dermatologist. They can assess your condition and prescribe appropriate treatments tailored to your specific needs.
Lifestyle Factors That Impact Facial Eczema
While using the right face cream is crucial for managing eczema, lifestyle factors also play a significant role in controlling flare-ups and maintaining overall skin health.
Skincare Routine Adjustments
- Use lukewarm water for cleansing, avoiding hot water which can strip natural oils
- Choose gentle, fragrance-free cleansers
- Pat skin dry instead of rubbing
- Apply moisturizer immediately after cleansing to lock in hydration
Environmental Considerations
Can environmental factors trigger or exacerbate facial eczema? Absolutely. Identifying and managing potential triggers is essential for long-term eczema control.
- Maintain optimal indoor humidity levels (30-50%)
- Protect skin from harsh weather conditions
- Be mindful of potential allergens in skincare products and cosmetics
- Consider using a humidifier in dry climates or during winter months
The Importance of Consistency in Eczema Care
Managing facial eczema requires dedication and consistency. Even when symptoms improve, it’s crucial to maintain a proper skincare routine to prevent future flare-ups.
How often should eczema-prone skin be moisturized? Experts recommend applying moisturizer at least twice daily, with additional applications as needed. Pay special attention to moisturizing after cleansing or exposure to water, as this helps lock in hydration.
Creating an Effective Eczema Care Routine
- Cleanse gently with a non-irritating, fragrance-free cleanser
- Apply any prescribed medications as directed
- Use a dedicated eczema face cream, focusing on affected areas
- Apply an occlusive agent like Vaseline to particularly dry or irritated spots
- Reapply moisturizer throughout the day as needed
Consistency in your skincare routine not only helps manage current symptoms but can also reduce the frequency and severity of future flare-ups.
Addressing Common Misconceptions About Facial Eczema
Several misconceptions surrounding facial eczema can lead to improper treatment or unnecessary worry. Let’s clarify some of these misunderstandings to ensure better management of the condition.
Myth: Eczema is Contagious
Is facial eczema contagious? No, eczema is not contagious and cannot be spread from person to person through contact. It’s an inflammatory skin condition that results from a combination of genetic and environmental factors.
Myth: Eczema Only Affects Children
While eczema often first appears in childhood, it can develop at any age. Many adults experience eczema, including those who never had it as children.
Myth: All Moisturizers Are Equally Effective for Eczema
Not all moisturizers are created equal when it comes to managing eczema. Products specifically formulated for eczema-prone skin typically contain ingredients that help repair the skin barrier and reduce inflammation, making them more effective than general moisturizers.
By understanding these common misconceptions, individuals with facial eczema can better advocate for their skin health and make informed decisions about their treatment options.
The 12 Best Face Creams for Eczema in 2023
Allow me to blunt: Eczema on your face isn’t fun. It can be wildly itchy, sting, burn, cause bumps and blisters—and a regular moisturizer isn’t going to cut it. The good news: Eczema is so common (up to 15 million people have to deal with it) that dermatologists have a pretty solid idea of what causes it (scroll down for the info) and are well-versed in the best face creams for eczema to alleviate symptoms. “Dry skin can cause inflammation, which leads to eczema,” explains board-certified dermatologist at Schweiger Dermatology Group Dr. Nava Greenfield.
As such, cosmetic chemists, doctors, and other beauty pros have spent years cooking up ultra-hydrating balms, creams, and ointments that will give eczema-prone skin an extra hefty dose of hydration. Here, we’ve rounded up the best ones out there.
What to Look For in an Eczema Face Cream
Texture
“I encourage my patients to look for thicker moisturizing creams, balms, and ointments,” says board-certified dermatologist at Treasure Valley Dermatology Dr. Dustin Portela. By nature, face creams for eczema are going to be on the thicker side, but there is an element of preference as well. Some may prefer a silky cream, while other will gravitate towards a very occlusive balm.
Formulation
Most face creams for eczema are going to include ingredients like colloidal oatmeal and ceramides—that’s the baseline. But Dr. Greenfield urges patients to take a closer look at the ingredient list. “Avoid any product with fragrance and use only products formulated with sensitive skin,” she advises.
Prescription Creams
While using a tried-and-true eczema cream will do the job for some people, others might have to pay a visit to the dermatologist for a prescription steroid cream. “You should see results in two weeks, but see a doctor if the rash does not improve, worsens, or becomes itchy or painful.”
That in mind, scroll ahead to shop for the best face creams for eczema. From ultra-nourishing drugstore options packed with calming and nourishing ingredients to dermatologist-formulated balms that promise overnight results, we’ve rounded up the top-rated products, below.
The Best Face Creams for Eczema
- The Best Cream for Scaly Eczema on the Face: Eucerin Eczema Relief Flare Up Treatment
- The Best Daily Cream for Eczema on the Face: Skinceuticals Triple Lipid Restore 2:4:2
- The Best Face and Body Cream for Eczema: La Roche-Posay Lipikar Balm AP+ Intense Repair Body Cream
- The Fastest Acting Face Cream for Eczema: First Aid Ultra Repair Cream
- The Best Preventative Face Cream for Eczema: Avene Cicalfate+ Restorative Protective Cream
The Best All-Over Face Cream for Eczema
Vaseline White Petroleum
“I love Vaseline,” says Dr. Gohara. “Especially around the eyes, where facial eczema can be very prevalent.” While Aquaphor is part petroleum jelly, part other ointments and oils, Vaseline is just pure petroleum jelly. (Again, if your skin is super-sensitive, go for the baby-friendly variety—the gentler, the better. ) Vaseline goes on heavier than Aquaphor, since the latter is more easily absorbed by your skin, and it’s more of a protectant than a treatment.
Pros: Affordable; Dermatologist-approved; Good for eye area
Cons: Not great for breakout-prone skin
The Best Face and Body Cream for Eczema
La Roche-Posay Lipikar Balm AP+ Intense Repair Body Cream
Eczema spreads—not between people, it isn’t chicken pox, but it can spread from your face to your body. If you’re skeptical about using a balm that works on your face and body, I promise this one is the way to go. But the main ingredients of shea butter and niacinamide will work on any area of skin. “This product also has many clinical studies showing improvement in skin barrier and reduction of itch in patients with eczema,” says Dr. Portela.
Pros: For face and body; Dermatologist-approved
Cons: Some report pilling
The Best Cream for Scaly Eczema on the Face
Eucerin Eczema Relief Flare Up Treatment
As someone who’s had eczema their entire life, I can confidently say that you won’t be disappointed by Eucerin. I make a point to slather my body in their cream every damn day as a preventative measure, but I always have this on standby for facial flares. Thanks to a formula packed with uber-calming colloidal oatmeal and a trio of hydrating ceramides, it works wonders on itchy, scaly patches. There’s no steroids in it either, so feel free to reapply whenever your heart desires.
Pros: Instantly soothing; Affordable; Editor favorite
Cons: Hard to rub in
The Best Moisture-Boosting Face Cream for Eczema
CeraVe Healing Ointment
Holy grail! Hero item! Cult favorite! The CeraVe Healing Ointment is all these things for its benefits in locking in the needed moisture on the skin’s barrier. Another favorite of Dr. Portela, he loves this ointment for because it benefits “cracked and fissured skin.” For best results, lather it on when you first get out of the shower.
Pros: Dermatologist-approved; Best for cracked skin; Affordable
Cons: Might break out acne-prone skin types
The Best Daily Cream for Eczema on the Face
Skinceuticals Triple Lipid Restore 2:4:2
While this isn’t a specific eczema treatment per se, it is one of the best soothing, preventative face creams on the market. The lipid-packed formula is solely focused on repairing a damaged skin barrier, which is the main cause of an eczema flare. In addition to keeping easily irritated skin in a happy, healthy state (always the goal, you guys), it’s also going to provide loads of additional benefits ranging from plumping to evening out skin texture.
Pros: Hydrating; Preventative; Good for every day use
Cons: Expensive; Not the best option for active eczema
The Best Eczema Cream for Itching
Mustela Stelatopia Intense Eczema Relief
When my eczema decides to flare, I want to calm it down as soon as physically possible. This new Mustela cream is one of the fastest-acting products I’ve tried—I notice a huge difference in just 24 hours. My skin feels softer and looks less flaky right off the bat thanks to the sensitive skin friendly blend that includes colloidal oatmeal, sunflower oil, and avocado.
Pros: Great for kids; Fast-acting
Cons: Some report an oily texture
The Best Targeted Treatment for Eczema on the Face
SkinFix Eczema+ Dermatitis Face Balm
Formulated specifically for sensitive skin, this handy little balm is a mini-sized savior for facial flares. It’s dermatologist and opthomologist tested, so rest assured it’s safe for use anywhere on the face and eyelids. It is designed for targeted treatment, so only apply the product where you’re having an issue. That in mind, it does contain pharmaceutical-grade active ingredients like colloidal oatmeal, so the brand recommends stopping use after seven days.
Pros: Spot treatment; Safe for eyelids
Cons: Not everyday treatment
The Best Kid-Safe Face Cream for Eczema
Aquaphor Healing Ointment
The original, and still the best. Aquaphor is a petroleum jelly–based ointment that the pros recommend slathering on your skin immediately after a shower or bath to lock in moisture. It won’t leave irritated skin feeling even more irritated, and it’ll provide a barrier between your skin and anything that might hurt it (the weather, pollutants, etc). I like using the kind developed specifically for babies—to me, it’s the gentlest.
Pros: Affordable; Multi-purpose
Cons: Sticky texture
The Fastest Acting Face Cream for Eczema
First Aid Ultra Repair Cream
Last winter, when my eczema was at its worst, I would dab some of this on my skin if it was feeling particularly itchy. And trust, I plan on stocking up on this super-effective product once again. It’s *that* good. And I’m not the only one to think so: A tub of Ultra Repair Cream is literally sold every minute.
Pros: Anti-itch; Editor-approved; Good for every day use
Cons: Expensive
The Best Short-Term Face Cream for Eczema
Cortizone 10 Intensive Healing Lotion
This one isn’t for the faint of heart, but if you want to steer clear of prescription creams, try this during a flare-up—it’s for that moment that you can’t bear to itch anymore. But, it is important to note that while this can be successful in a pinch, it’s not a long term treatment. Dermatologists don’t recommend using hydrocortisone on the face for more than three days.
Pros: Fast acting; Effective; Anti-itch
Cons: Must be stopped after three days
The Best Long-Lasting Face Cream for Eczema
Elizabeth Arden Eight Hour Cream
This Eight Hour Cream is legendary in skincare circles. While not developed for eczema specifically, I’ve found that a tiny amount of this goes a long way toward treating my issues—it’s thicker and stickier than most of the others on this list, but it also sits more comfortably on my sensitive skin than any other premium skincare product. In particular, if you get eczema on your lips (or have dry, cracked lips generally), this is perfect—make sure you get the fragrance-free kind.
Pros: Preventative; Great for lips
Cons: Expensive; Sticky
The Best Preventative Face Cream for Eczema
Avene Cicalfate+ Restorative Protective Cream
So, miracle upon miracle, your eczema is gone. Hooray! But you know that one patch of dry skin that isn’t well-moisturized can kick-start the whole cycle again. Don’t fret: This moisturizer will keep your skin hydrated for hours at a time. Unlike Aquaphor and Vaseline, which can result in skin shinier than the Tin Man in The Wizard of Oz, this cream will go on light.
Pros: Long-lasting hydration; Not shiny
Cons: Not the best for active eczema (more preventative)
What Causes Eczema?
“Eczema causes are multifactorial,” explains Dr. Greenfield. “Genetic and environmental factors can trigger an inflammatory cascade that results in itching, scales, and redness.” Dry skin is by and large the biggest trigger, which is why people might notice more flares during the winter or in cold weather.
Are There Different Types of Eczema?
“There are a lot of different kinds of eczema,” explains board-certified dermatologist Mona Gohara. While most eczema will be treated relatively the same way, a quick trip to your doctor can help identify the specific type of eczema you’re dealing with. “Nummular eczema appears as round, red, and scaly plaques and most commonly presents on the arms and legs,” says Dr. Greenfield. “Dyshidrotic eczema shows up as small fluid filled vesicles on the fingers and toes on the hands and feet.” There’s also atopic dermatitis, which is a bumpy rash that’s very common in babies.
Meet the Experts
Board-Certified Dermatologist at Schweiger Dermatology Group
Dr. Nava Greenfield is a dermatologist practicing at Schweiger Dermatology Group. Dr. Greenfield earned her Bachelor’s Degree from Queens College, City University of New York, where she graduated Cum Laude with honors in mathematics, natural sciences, chemistry and biochemistry. Dr. Greenfield attended medical school at the Albert Einstein College of Medicine, Yeshiva University. She completed her internship at Yale-New Haven Hospital and her residency in dermatology at SUNY Downstate Medical Center. Dr. Greenfield has been published in many medical journals, including The Journal of Dermatological Treatment, the Journal of Women’s Dermatology and Pediatrics. Dr. Greenfield is a member of the American Academy of Dermatology, Alpha Omega Alpha Honor Medical Society, Women’s Dermatologic Society and the American Medical Association.
Board-Certified Dermatologist
Dustin Portela, DO, is a Board Certified Dermatologist and Dermatologic Surgeon. He is certified through the American Board of Dermatology, the largest national group of board certified dermatologists. Dr. Portela is an Idaho native having grown up in Southeast Idaho. His professional interests include skin cancer surgery and facial reconstruction, skin cancer prevention, complex medical dermatology and wound healing. Dr. Portela has lectured at national dermatology meetings and has published articles in several medical journals. Dr. Portela graduated with an Honors-Bachelor of Science in Zoology from Idaho State University. He received his medical degree at Des Moines University in Des Moines, IA graduating among the top of his class and being recognized with the Award for Excellence in Physiology. Following medical school Dr. Portela completed his internship through Michigan State University at the Oakwood Southshore Hospital. His residency training in Dermatology and Cutaneous Surgery was completed at Michigan State University through the Beaumont Trenton Hospital in Trenton, Michigan, where he also received his training in Mohs micrographic surgery and was recognized with the Excellence in Dermatologic Surgery Award.
Board-Certified Dermatologist
After graduating from medical school with AOA honors, Dr. Mona Gohara did her dermatology training at Yale New Haven Hospital, where she served as chief resident. Dr. Gohara continues to teach at Yale where she holds a faculty appointment as an associate clinical professor. Dr. Gohara and her husband have two tween boys. Besides mothering and doctoring, she spends time watching her son’s basketball games, educating the public on skin health, skin cancer, and sun protection. She has done this through writing, lecturing on the local, national, and international level, and by engaging popular media. Dr. Gohara serves as Vice President of the Women’s Dermatologic Society. She is an active member of The American Academy of Dermatology, where she chairs the Social Media Task Force, and The American Society For Dermatologic Surgery, where she chairs the Media Relations Work Group.
Lotion and moisturizer for eczema
Keeping your skin’s moisture intact is one of the most important things you can do to help control your eczema or atopic dermatitis.
Moisturizers and lotions help protect the outermost layer of skin known as the stratum corneum or skin barrier. People living with eczema have damaged a skin barrier, which makes their skin more sensitive to irritants, allergens, bacteria and other invaders. A damaged skin barrier also makes it harder for the skin to retain water, leading to chronic dry, itchy skin, which can cause eczema and other skin conditions to flare-up or get worse.
Wind, low humidity, cold temperatures, harsh soaps and prolonged exposure to water, all lead to dry skin, especially for some skin types. So, it’s important to understand how and when to properly moisturize and which products are best to use when you have eczema.
Some things to remember when moisturizing or using lotion:
- If you use a prescription topical medication, apply it as directed, before you moisturize.
- Apply a thick layer of moisturizer all over your skin within three minutes of bathing or showering to “lock in” moisture and protect the skin barrier.
- Moisturizers that are fragrance and dye-free are the safest and least irritating.
- Prevent contamination by using a clean implement rather than your hands to remove moisturizer from the container.
- Soften moisturizer by rubbing it between your hands and then apply it to your body using the palm, in downward strokes. Avoid rubbing in the moisturizer by stroking up and down, or in circles.
- If the moisturizer feels “tacky” on your skin, don’t remove the excess. It will be absorbed within a few minutes.
- Moisturize hands every time you wash them or when they come into contact with water.
What kinds of lotions are most effective for my eczema?
When shopping for your next lotion, beware: some have ingredients that can do more harm than good. Because lotions are primarily made of water, they evaporate quickly and may contain preservatives that burn when applied to skin that’s scratched or broken. To prevent using a lotion with preservatives, use lotions which contain the right oils and choose fragrance-free hand creams and body lotions.
This is especially true for affected areas with lots of eczema flare-ups. An eczema cream or lotion that is eczema friendly, for example, is often the best lotion to use on affected areas when compared to a general body lotion. Lotions which are hypoallergenic are also a good choice. Some products, such as Aveeno parabens lotion, Cerave moisturizing cream, and Cetaphil lotion, are designed specifically to be hypoallergenic, anti-itch, and effective for those with eczema.
In general, look for moisturizing lotions which contain ingredients that help eczema-prone skin, including:
- oat or shea butter
- aloe
- glycerin
- hyaluronic acid
- petrolatum
- vitamin E
- humectants
- niacinamide
When considering lotion and skincare options, make sure to consult with a dermatologist and check out these products with the NEA Seal of Approval.
What kinds of moisturizers are most effective for my eczema?
Not all moisturizing creams are created equal. In fact, there are many types of common moisturizers that aren’t good at helping control your eczema and may even make it flare or get worse. It’s important to understand the differences between the three basic types of moisturizers other than lotion — ointments, creams, and skin barrier creams — so that you can properly hydrate your skin, get the itch relief you need and help keep your symptoms under control.
Moisturizers are classified based on the amount of oil and water they contain. The more oil in a moisturizer, the better it usually is at treating eczema. The best moisturizers to use are the ones that feel “greasy” (ointments and creams), because they contain more oil. These are very effective at keeping moisture in and irritants out.
All moisturizers should also be applied to your hands immediately after washing and gently blotting them dry. For this reason, it’s a good idea to keep moisturizer near every sink in your home and carry a small tube with you at all times, so that you can reapply it throughout the day.
Ointments
Ointments are usually the first choice for eczema treatment. They have the highest oil content of all the products (followed by creams and then lotions), so they don’t generally burn when they’re applied to sensitive skin and are very good at sealing in moisture.
Products high in oil content, such as petroleum jelly and mineral oil, are particularly good for treating eczema. But if you don’t like the way petroleum jelly, Vaseline, mineral oil or other ointments feel on your skin, the next best alternative is a cream. Apply healing ointments to the irritated skin as often as necessary.
Creams
Creams are second to ointments in the amount of oil they contain and are also very good at sealing in moisture. Because relief creams contain less oil, they are also less greasy to the touch. Be sure to read labels carefully — creams sometimes contain stabilizers or preservatives that can irritate your skin. The best eczema creams will advertise that help manage eczema symptoms.
Skin barrier creams
Skin barrier creams are infused with lipids and ceramides, which are naturally occurring substances found in healthy skin barriers.
Lipids make up the building blocks of the structure and function of living cells. Ceramides are naturally occurring lipids in our skin that consist of an oily wax that forms a barrier in our stratum corneum.
The lipids and ceramides found in skin barrier moisturizers form a protective layer on the skin to help lock in moisture while keeping out impurities. This allows eczema skin to heal and become more resistant to symptoms, including burning, dryness and itch.
Apply skin barrier creams only to the skin affected by eczema and under the direction of a qualified healthcare provider.
Skin barrier creams are available by prescription and over-the-counter.
Why is it so important to moisturize after a bath or shower?
Water is an effective way to put moisture back into the skin, but only if you use lukewarm (not hot) water, avoid scrubbing and apply a moisturizer within three minutes after bathing or showering. This last step is very important — if you don’t moisturize immediately afterward, the moisture your skin needs will evaporate and may cause a rebound effect making the skin even more dry.
Some processes such as emollient after a bath or adding colloidal oatmeal to your bath may provide additional eczema relief.
Tips on choosing a moisturizer
Finding a moisturizer that works can be a challenge. What works for one person may not work for another. As your skin’s wellness changes, so can the effectiveness of a product. A manufacturer may also change the formulation of a product from one year to the next. The best eczema lotion, cream or moisturizer is the one that works for you.
Take the following steps when introducing a new product to your skin:
- If you know you are allergic to a particular ingredient, check a product’s label before you buy it.
- Review the list of moisturizers that have received the National Eczema Association Seal of Acceptance™ to see if the product you are interested in is on it.
- The first time you use a new product, apply a small amount (about the size of a pea) to the pulse of your wrist or the crook of your elbow. Do not wash the area for 24 to 48 hours and watch for any allergic reaction, such as redness, a rash, any form of breakouts on the skin, itchiness, pain or flaking.
Some processes such as emollient after a bath or adding colloidal oatmeal to your bath may provide additional eczema relief.
Tips on choosing a moisturizer
Finding a moisturizer that works can be a challenge. What works for one person may not work for another. As the condition of your skin changes so can the effectiveness of a product. A manufacturer may also change the formulation of a product from one year to the next. The best eczema lotion, cream or moisturizer is the one that works for you.
Take the following steps when introducing a new product to your skin:
- If you know you are allergic to a particular ingredient, check a product’s label before you buy it.
- Review the list of moisturizers that have received the National Eczema Association Seal of Acceptance™ to see if the product you are interested in is on it.
- The first time you use a new product apply a small amount (about the size of a pea) to the pulse of your wrist or the crook of your elbow. Do not wash the area for 24 to 48 hours and watch for any allergic reaction, such as redness, a rash, any form of breakouts on the skin, itchiness, pain or flaking.
NEA’s Seal of Acceptance Product Directory will help you find eczema-specific moisturizers, commercial wet wraps and eczema therapy products that help with symptoms.
Eczema treatment – how to treat eczema on the hands? Eczema causes types of symptoms and treatments.
Contents:
- Causes of eczema
- Stages of eczema
- Symptoms of eczema
- Classification
- Complications of eczema
- Treatment of eczema
- Prophylaxis
- Complications
- Recommendations for eczema
- Is eczema contagious?
- Author’s methods
- Record Form
- Literature
The skin boiled.
It is with bubbling water that eczema can be compared. Not without reason, translated from Greek, eczema means “to boil.”
A very unpleasant condition, usually localized on the hands, but can appear anywhere. It is hard to live with eczema: it is impossible to perform basic household chores, it often gets wet, bursts, itches and does not heal.
External manifestations of the disease begin with the fact that the skin in the affected areas turns red and swells. Then small bubbles appear. After a while, the bubbles burst, forming a weeping surface on the skin, which dries out over time, forming yellowish crusts on the skin surface. After a few days, the crusts fall off. The main problem with eczema (especially in children) is the high probability of bacterial infection of the affected areas of the skin, which leads to the development of purulent complications.
Eczema is a non-infectious chronic or acute inflammatory skin disease that is characterized by frequent relapses with itching, redness and a small rash in the form of blisters with liquid.
The serous discharge of the latter causes weeping of the affected area of the skin, characteristic of eczema. In most cases, the clinical picture of the disease is so specific that it makes it possible to diagnose eczema without error.
Causes of eczema
The reasons, as always, are not very clear. They say there are several:
- infectious-allergic,
- endocrine-metabolic,
- neurogenic,
- hereditary factors.
Currently, the appearance of eczema is considered as a pathological immune reaction, accompanied by damage and inflammation of body tissues. The main role is played by T-lymphocytes – cells involved in acquired immunity. They carry specific receptors on their surface and secrete a number of biologically active substances – pro-inflammatory cytokines. T-lymphocytes cause the development of inflammation in tissues, including an inflammatory reaction in the skin.
Thus, eczema occurs when a combination of provoking factors (chemicals, drugs and microbial antigens in the foci of chronic infection) and impaired immunity. The body begins to produce antibodies – immunoglobulins to its own skin cells, which leads to the development of inflammation and the appearance of eczematous areas with vesicles and redness.
Stages of eczema
During the course of the disease, the following stages can be distinguished:
- Erythematous – redness of the skin, swelling and itching appear.
- Papular – red papules (nodules) form.
- Vesicular – there are grouped bubbles with liquid, resembling air bubbles when water boils.
- Weeping – Bubble covers break open and form weeping and erosion.
- Cortical – pockets of weeping dry up and become covered with crusts.
- Exfoliation – exfoliation of crusts and resurfacing of the skin
Factors contributing to eczema include:
- nervous tension;
- psychologically traumatic situations;
- vegetative-vascular dystonia;
- hyperthyroidism;
- diabetes mellitus;
- chronic infections and unfortunately;
- predisposition at the gene level.
But there are still provocateurs who can act as the debut of eczema:
- Temperature e. g. subcooling
- traumatization – mechanical impact, friction
- chemical agents, including cosmetics
- food and alcohol.
Symptoms of eczema
Eczema is characterized by sudden exacerbations and remissions. It can occur under the influence of provoking factors, but after a couple of weeks it will pass without a trace.
The main symptoms of eczema:
- severe or moderate itching;
- burning;
- redness and swelling of the skin;
- rash in the form of bubbles.
Later, weeping erosions, cracks in the skin, and then crusts appear. Yellow scales can be localized on the scalp and on the eyebrows. In adults, eczema most often appears under the knees, in the elbow area, on the palms and neck.
What other symptoms may indicate the development of eczema:
- Scaly layer on the border of the scalp. Develops with seborrheic eczema. At the initial stage, it manifests itself as single yellowish nodules that grow rapidly. In the future, a scaly layer is formed along the border of the hair.
- Roundish eruptions on the arms. Appear in almost 80% of cases of eczema. At the initial stage, they have a rounded shape, but over time they lose it.
- Eruptions with sharp edges. Most often found on the legs. They can be seen with varicose veins, the rashes have a rounded shape and pronounced borders.
- Symmetrical eruptions on the body. Are located on all body, often are shelled. At the initial stages, they look typical – they are vesicles with liquid, later areas of thickened skin with severe peeling appear.
- Callous eruptions on the palms. Such formations, especially in places atypical for corns, also indicate eczema. Bubbles form, but due to the dense skin, they may not open.
- Vesicles in the axillary region with a hair in the center. A rash with a hair in the center is a sign of sycosis – damage to the hair follicles. As a rule, such rashes are accompanied by itching and redness.
- Tubercles on the face and hands. Such formations do not have wetting and crusts, often appear on the face.
- Itching redness on hands and feet. Indicate true or microbial eczema. Accompanied by multiple vesicles.
- Suppuration around wounds. With the development of microbial pathology, purulent crusts and hyperemia of the skin appear.
Classification
Based on the clinical picture of the disease, the following classification of eczema is usually distinguished:
- Idiopathic (true) eczema is characterized by acute inflammatory edematous erythema followed by a rash of small vesicles.
- Microbial eczema develops on damaged skin (around wounds). There are mycotic (fungal), near-wound (occurring around wound skin defects) and varicose eczema.
- Seborrheic eczema develops in the same places as seborrheic dermatitis.
- Coin eczema.
- Dry eczema.
- Children’s eczema.
- Occupational eczema develops in people who frequently come into contact with irritating agents. It is possible that eczema may appear in people wearing tight, uncomfortable clothes, which contributes to impaired microcirculation and the appearance of microtraumas on the skin.
Eczema can be both an independent disease and a symptom.
In this case, a cure without eliminating the cause is impossible – eczema will constantly recur, the treatment will be ineffective, and the underlying disease may become chronic.
True eczema affects exposed areas of the body, with the formation of erythematous rashes. In the center of the focus, vesicles filled with serous contents first form. After the opening of the bubbles, areas with a richly weeping surface are formed. The process is accompanied by severe itching. Gradually, the serous fluid dries up, forming grayish-yellow crusts, under which epithelialization occurs. These areas of the skin are very flaky, rough, and become hyperpigmented over time. Provoking factors in the development of idiopathic eczema are nervous stress, the use of potentially allergenic products, frequent contact with household chemicals, etc.
Microbial eczema develops at the site of chronic foci of pyoderma (purulent skin lesions). Areas of inflammation can grow, a secondary infection often joins, suppuration develops. The borders of the spots are uneven, red, the location is continuous, without layers of healthy skin. The process is accompanied by itching.
Seborrheic eczema develops only on the scalp, behind the ears, in natural skin folds, on the face and on the extensor surfaces of the limbs. It is characterized by dry skin, itching, the appearance of gray bran-like scales, when removed, an eroded weeping surface with clear boundaries is exposed.
Occupational eczema occurs as a result of exposure to occupational harmful factors and has a sluggish chronic course. The clinical picture is almost identical to true eczema, a characteristic feature is the presence of a provoking factor.
Varicose eczema , as the name implies, occurs when a patient has varicose veins. The skin of the legs next to varicose ulcers is predominantly affected. The development of this type of eczema leads to irrational and untimely treatment of varicose ulcers, skin maceration (wrinkling of the skin during prolonged contact with water), and injuries.
Coin-shaped eczema is manifested by the formation of red spots, shaped like coins. They may not go away for a long time (from a month to several years). In most cases, symptoms begin to appear on the inner thigh and outer side of the hands.
In addition to blisters of a red-pink, sometimes bluish hue, there is a strong itching and burning sensation, weeping is noted after the opening of the rash.
With dry eczema , spots with blurred pink edges form in the initial stages, later the contours become red. Sharp papules appear, merging into large plaques.
Bubbles are not formed, but there is a violation of the integrity of the skin. The upper thin and dry layer peels off, forming small and deep cracks. Without treatment, the disease progresses and becomes acute with weeping, the formation of dense crusts and severe redness. In this case, the patient may not experience pain.
The disease is exacerbated in the dry and cold seasons of the year.
The first symptoms of infantile eczema can be noticed at the age of 3-6 months. Eczematous areas are symmetrical, the skin within the foci is brightly hyperemic, edematous, hot to the touch, has a shiny smooth surface, there is weeping, stratifying and milky crusts. Eczema affects mainly the cheeks, forehead, scalp, ears, buttocks and limbs (usually extensor surfaces). It is characteristic that eczema does not affect the skin of the nasolabial triangle.
Complications of eczema
The course of eczema can be complicated by the addition of a pyogenic infection caused by beta-hemolytic streptococcus, Staphylococcus aureus and gonococcus. As a result of the development of purulent inflammation, a weeping surface with a putrid odor is formed. This also affects the general well-being – malaise appears and the temperature rises.
Another formidable complication of eczema is erythroderma, in which the inflammatory reaction captures up to 90% of the entire skin surface. The disease occurs against the background of provoking factors, for example, when taking medications, stress, irrational treatment or exacerbation of chronic diseases. With erythroderma, body temperature rises, this condition has a high mortality rate.
Eczema treatment
The mechanics of the onset of the disease is very similar to the processes of manifestation of rosacea. So the treatment prescribed for such patients is almost the same as for rosacea, everything is according to WHO standards: diet, hormones, antihistamines and various other lotions.
And they are also united by the stories of my patients – I smeared, drank pills, did photo procedures. It helped for a while, but then it got worse.
And this is natural, because it is necessary to treat these dermatoses at the level of pathogenesis. That is, not to influence the symptoms, but to remove the cause. Do not tie up a dripping faucet with an old towel, but change the pipe.
In order for this pipe (read skin) to become new, you need to:
- get rid of total dryness
- restore the functioning of the sebaceous glands
- remove inflammation of deep vessels (with rosacea)
- restore the lipid mantle.
Unfortunately, many people diagnosed with eczema are advised by doctors to change their profession. Quite often, manicure masters, doctors, jewelers, everyone who works with their hands and comes into contact with disinfectants and water, are forced to think about parting with their favorite work.
It’s sad, but we can fix it.
Like rosacea, eczema is not treated with pharmaceuticals. But usually patients with eczema are offered hormones, boron lotions, antihistamines.
And, in theory, it is quite logical that histamine relieves allergic syndrome, boron dries, hormones remove inflammation. But these are all symptoms, you don’t want to just shade your sore. I’m sure you want to get rid of her. In addition, you smear hormones once, you will smear them all your life.
With patients who come to me with eczema, we treat this disease at the pathogenetic level – we eliminate the cause.
Activation of special healing points and acids allow you to restore the functions of the skin, and not mask the symptoms. No need to change profession, you need to make the skin healthy. And I know how.
We always add a set of measures to the main therapy in order to effectively treat eczema:
As with other complex dermatoses, it is very important to choose the right home care for eczema.
Cosmeceuticals from Acantha and Passaggio are almost 99% natural ingredients. I spent about two years developing better formulas to be able to maintain skin with complex dermatoses at home.
Home care regimens for patients with eczema are selected individually. But there are also medium schemes that are suitable for skin care with eczema. See my social networks, there is an ocean of information.
Prophylaxis
There is no specific prevention for eczema. With true eczema, a decrease in the impact of provoking factors has a positive effect. As I said, in an exacerbation, the patient should follow the rules of a healthy diet, adhere to the correct work and rest regimen, eliminate provoking factors, and carry out skin care agreed with the doctor.
As with other complex dermatoses, it is very important to choose the right home care for eczema.
Eczema and mental health
Studies show that people with eczema, especially those with atopic dermatitis, are more likely to experience depression and anxiety. Blame itching, difficult to control, frequent infections and the appearance of the skin itself.
Before you begin treatment for eczema, it’s helpful to think about what’s going on in your life. Do you experience a lot of stress, do you feel anxiety. These conditions can make you itch even if you treat the itch with medication. Anti-anxiety medication and psychotherapy may be needed to find ways to manage anxiety and stress if these nervous reactions are a constant part of your life.
It is interesting that in 1901 P.V. Nikolsky in lectures on the pathogenesis of neurodermatosis considered the eczematous process as one of the manifestations of hysteria.
According to R. Griesemer and T. Nadelson, the triggering role of psychogenic factors in the development of skin diseases was noted in 76% of patients with dyshidrotic eczema of the hands and 70% of patients with atopic dermatitis. At the same time, the time interval between exposure to a psychogenic factor and the onset of symptoms of eczema was 2 days, and in atopic dermatitis, the reaction occurred instantly.
Skin symptoms in most cases are noticeable to others, which makes these manifestations an additional stress factor, which, being included in the pathogenesis of the disease, creates the basis for the formation of secondary experiences (mainly anxiety and depressive), thereby making the disease chronic.
In other words, it’s just a vicious circle. That’s why I always talk so much about the need to carefully monitor your emotional health and try to avoid stress.
Recommendations for eczema
How to take a bath for eczema:
- daily;
- without using washcloths and scrubs;
- do not take hot baths, as hot water additionally dries out the skin;
- add water-soluble oils to the bath. You can choose ready-made products for people with dry and atopic skin. The composition of such products must necessarily include soybean, almond oil, jojoba and wheat germ. Sulphates in the composition should not be;
- after taking a bath, be sure to apply a moisturizing and regenerating emollient. This is very important: if you do not moisturize your skin immediately after a shower, the moisture will evaporate and the skin will become even drier.
Is eczema contagious?
A very important issue affecting the quality of life and the possibility of socialization of patients. No, atopic dermatitis and eczema are not contagious. If you don’t have eczema, there’s no way you can catch it from someone else even through close contact.
Author’s methods (the price is for 1 procedure)
Consultation with a doctor Elena Gennadievna Perevalova, PhD, cosmetologist, dermatovenereologist, dermatooncologist, doctor of the highest category | 4 000 ₽ |
eczema treatment | from 20,000 to 92,000 ₽ |
Dryness treatment | from 20,000 to 92,000 ₽ |
Rosacea treatment | from 24,000 to 92,000 ₽ |
acne treatment | from 20,000 to 92,000 ₽ |
Form
You can sign up for a procedure with us by calling +7 (495) 7447-845 or +7 (925) 82-500-50.
We will select the most convenient time for you, the treatment of rosacea is performed only by the head doctor of the clinic, candidate of medical sciences Perevalova E.G.
Literature:
- Butov Yu. S., Skripkin Yu. K., Ivanov O. L. Dermatovenereology. National leadership. — M.: GEOTAR-Media, 2017. — 896 s.
- Vladimirov VV, Zudin BI Skin and venereal diseases. Atlas, 2nd edition. M.: Medicine, 2012. – 288 p.
- Nikonova I. V. The state of skin biocenosis in microbial eczema // Practical Medicine, 2011. — P. 80–83.
- Federal clinical guidelines. Dermatovenereology 2015: Skin diseases. Sexually transmitted infections. 5th ed., revised. and additional – M.: Business Express, 2016. – 768 p.
- Karavaeva T.A., Korolkova T.N. Psychological mechanisms and psychosomatic correlations in various dermatoses. Clinical dermatology and venereology. 2018;17(5):7‑17.
Faces for psoriasis and eczema
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You can find on the side of our pharmacy, a selection of medicines that can be used for non-infectious infections of the skin, which are accompanied by igniting reactions. Before such processes, psoriasis, eczema and bites of various comas are put. Rehabilitated pathological processes may have a lot of common symptoms, which allow you to see the beauty of faces, which are vicarious for their adoption. With coma bites, there is a hot fuse reaction, which may cause an allergic reaction. Also, prepare in the shortest terms to give a therapeutic action. In order of necessity in carrying out a trival liturgy, to make hormonal anti-seizure care a priority in litter bites. At the same time, they also zastosovuyt antihistamine speeches. Antihistamines have one more positive power. It is possible to vicariate as a preparation and as an overthrow, as an accompanying skin from the transfer of stations. Psoriasis is manifested by damage to the lining of the skin, which is accompanied by a chronic ignition reaction. It is a pity that the remedy for psoriasis has not been broken down, as a way to save a person from these ailments. The jubilation is aimed at smothering the ignition reaction, changing the peeling and dryness of the lesions. As a rule, preparations for psoriasis are protected on a trial course of healing, with the final method to achieve remission of illness. In the period of congestion, it is also possible to win more intensive benefits, which can avenge hormonal speech. You will be recommended to prepa- rations, as zasib in the form of eczema. Eczema can protіkat in hostile or chronic form. Looking at the type of inflammation, the faces of eczema can be assigned locally, in the middle or in front of infective diseases. On the same medicinal forms, there are also preparations, which are vicorous in case of other non-infectious diseases. In the article, the names of the drugs were not predicted for the fact that they can only be recognized as a drug, if the stage of the disease is diagnosed, it can threaten life and carry out differential diagnostics from the flickering diseases of the skin infections other nature. Remember, self-exaltation can call for important complication!
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