What are the main symptoms of flexural eczema. How does it differ from other types of eczema. What causes flexural eczema and who is most at risk. Which treatments are most effective for managing flexural eczema symptoms. How can flexural eczema flare-ups be prevented.

Understanding Flexural Eczema: A Comprehensive Overview

Flexural eczema is a specific type of eczema that affects the skin around joint creases, particularly in the elbows and knees. It’s characterized by red, irritated, and itchy patches of skin that can significantly impact a person’s quality of life. This chronic condition often appears in late childhood and can persist into adulthood, with symptoms that may come and go over time.

While flexural eczema shares many similarities with other forms of eczema, its location sets it apart. The condition tends to develop in areas where the skin folds and rubs against itself, creating a warm and moist environment that can exacerbate symptoms.

Key Characteristics of Flexural Eczema

• Appears in skin creases, primarily elbows and knees
• Can also affect ankles, wrists, and neck
• Causes red, irritated, and itchy skin patches
• Symptoms may clear up and recur periodically
• Most common in late childhood and adulthood

Recognizing the Symptoms of Flexural Eczema

Identifying flexural eczema early can lead to more effective management of the condition. The symptoms typically begin with itchy skin in the affected areas. As the person scratches, a characteristic rash develops, which can vary in appearance depending on the individual’s age and the severity of the condition.

Common Symptoms in Children and Adults

• Itchy, scaly patches in joint creases
• Redness and inflammation
• Darkening or lightening of affected skin
• Permanent goose bump-like texture
• Thickened skin from chronic scratching

Is flexural eczema appearance different in various age groups. Yes, the presentation of flexural eczema can vary with age. Infants often experience eczema on their face, scalp, and extensor surfaces of limbs. As children grow older, the rash tends to localize more in the flexural areas, particularly the elbow and knee creases. In adolescents and adults, the neck, wrists, and ankles may also be affected.

Unraveling the Causes of Flexural Eczema

While the exact cause of flexural eczema remains elusive, researchers have identified several factors that contribute to its development. Understanding these potential causes can help in managing the condition more effectively.

Genetic Factors

Can genetics play a role in flexural eczema development. Indeed, genetic predisposition appears to be a significant factor. Studies have shown that individuals with a family history of eczema, asthma, or allergies are more likely to develop the condition. Specifically, a mutation in the FLG gene, which encodes the protein filaggrin, has been linked to an increased risk of eczema.

Environmental Triggers

Environmental factors can also trigger or exacerbate flexural eczema. These may include:

• Allergens (e.g., pollen, dust mites, pet dander)
• Irritants (e.g., soaps, detergents, certain fabrics)
• Climate conditions (extreme heat or cold, high humidity)
• Stress
• Hormonal changes

Immune System Dysfunction

How does the immune system contribute to flexural eczema. Many individuals with eczema have an overactive immune system that responds excessively to environmental stimuli. This heightened immune response leads to inflammation in the skin, resulting in the characteristic symptoms of eczema.

Effective Treatment Strategies for Flexural Eczema

While there is no cure for flexural eczema, various treatment options can help manage symptoms and prevent flare-ups. A comprehensive treatment plan often involves a combination of medical interventions and lifestyle modifications.

Topical Treatments

What are the most common topical treatments for flexural eczema. Topical medications are often the first line of defense against eczema symptoms. These may include:

• Topical corticosteroids to reduce inflammation
• Topical calcineurin inhibitors (TCIs) to modulate the immune response
• Moisturizers and emollients to hydrate the skin and improve barrier function

Systemic Medications

In more severe cases, systemic medications may be prescribed. These can include:

• Immunosuppressants like methotrexate, cyclosporine, or mycophenolate mofetil
• Biologic drugs that target specific components of the immune system
• Oral corticosteroids for short-term use in severe flares

Phototherapy

How does phototherapy help in treating flexural eczema. Phototherapy involves exposing the skin to controlled amounts of ultraviolet light. This treatment can help reduce inflammation, itching, and bacterial colonization on the skin. It’s particularly useful for widespread eczema that doesn’t respond well to topical treatments alone.

Complementary and Alternative Therapies for Flexural Eczema

In addition to conventional medical treatments, many individuals find relief through complementary and alternative therapies. While these approaches may not work for everyone, they can be valuable additions to a comprehensive eczema management plan.

Mind-Body Techniques

• Meditation for stress reduction
• Hypnosis to manage itching and discomfort
• Biofeedback to control physiological responses

Natural Remedies

Which natural remedies can help alleviate flexural eczema symptoms. Several home remedies have shown promise in managing eczema symptoms:

• Colloidal oatmeal baths to soothe irritated skin
• Cool compresses to reduce inflammation and itching
• Natural moisturizers like coconut oil or shea butter
• Probiotics to support skin health and immune function

It’s important to note that while these natural approaches can be helpful, they should be used in conjunction with, not as a replacement for, medical treatments prescribed by a healthcare professional.

Preventing Flare-Ups: Strategies for Long-Term Management

Managing flexural eczema is not just about treating active symptoms; prevention is equally crucial. By identifying and avoiding triggers, maintaining good skin care habits, and adhering to a treatment plan, individuals can significantly reduce the frequency and severity of flare-ups.

Identifying and Avoiding Triggers

How can one identify personal eczema triggers. Keeping a detailed diary of activities, diet, and environmental factors can help pinpoint specific triggers. Common triggers to watch out for include:

• Certain fabrics (e.g., wool, synthetic materials)
• Fragranced products
• Hot showers or baths
• Sweating
• Stress
• Specific foods (in some cases)

Maintaining Skin Hydration

Proper skin hydration is crucial in preventing eczema flares. This involves:

• Using gentle, fragrance-free moisturizers regularly
• Applying moisturizer immediately after bathing
• Using lukewarm water for bathing and limiting bath time
• Patting the skin dry instead of rubbing

Stress Management

Can stress management techniques help prevent flexural eczema flares. Absolutely. Stress is a known trigger for many individuals with eczema. Incorporating stress-reduction techniques into daily life can help prevent flare-ups:

• Regular exercise
• Mindfulness practices
• Adequate sleep
• Engaging in enjoyable hobbies

The Prognosis of Flexural Eczema: What to Expect

Understanding the long-term outlook for flexural eczema can help individuals and their families better prepare for the future and maintain a positive outlook.

Eczema in Childhood

Does childhood eczema always persist into adulthood. Not necessarily. Research indicates that many children with eczema will “outgrow” the condition by adulthood. However, several factors can influence whether eczema persists:

• Severity of the condition
• Age of onset
• Persistence of symptoms over time
• Presence of other allergic conditions

Adult-Onset Flexural Eczema

What is the outlook for adult-onset flexural eczema. Eczema that develops later in life tends to be more persistent. However, with proper management and treatment, many adults can achieve good control of their symptoms and experience long periods of remission.

Quality of Life Considerations

Living with flexural eczema can have significant impacts on quality of life, affecting sleep, social interactions, and emotional well-being. It’s important for individuals with eczema to have access to support systems and resources to help them cope with the physical and emotional aspects of the condition.

Emerging Treatments and Future Directions in Flexural Eczema Research

The field of eczema research is rapidly evolving, with new treatments and management strategies on the horizon. Understanding these developments can provide hope and new options for those living with flexural eczema.

Biologic Therapies

What are biologic therapies for eczema. Biologic drugs are a class of medications that target specific components of the immune system involved in eczema. These treatments have shown promising results in clinical trials and offer new hope for individuals with severe or treatment-resistant eczema.

Microbiome-Based Treatments

Research into the skin microbiome is opening up new avenues for eczema treatment. Scientists are exploring ways to manipulate the skin’s bacterial population to improve eczema symptoms and prevent flares.

Gene Therapy

As our understanding of the genetic factors contributing to eczema grows, researchers are investigating potential gene therapies that could correct or compensate for genetic mutations associated with the condition.

Personalized Medicine Approaches

How might personalized medicine benefit flexural eczema patients. The future of eczema treatment lies in personalized medicine approaches that take into account an individual’s genetic profile, environmental exposures, and specific symptom patterns. This tailored approach could lead to more effective and targeted treatments with fewer side effects.

As research continues, individuals with flexural eczema can look forward to an expanding array of treatment options and management strategies. While living with eczema can be challenging, staying informed about the latest developments and working closely with healthcare providers can help ensure the best possible outcomes.

In conclusion, flexural eczema is a complex condition that requires a multifaceted approach to management. By understanding its causes, recognizing symptoms early, and implementing effective treatment and prevention strategies, individuals can significantly improve their quality of life. As research progresses, new and more targeted treatments offer hope for even better management of this chronic skin condition in the future.

Symptoms, Causes, Treatment and More

Eczema is the term for a group of skin conditions that cause irritated, red, and itchy skin. The most common form of eczema is atopic dermatitis.

Flexural eczema describes the location where an eczema rash occurs. It appears around the creases of the joints, most frequently the elbows and knees. It can also occur at the ankles, wrists, and neck. Flexural eczema most commonly appears in late childhood and adulthood.

Here’s everything you need to know about flexural eczema.

Flexural eczema causes red, irritated, and itchy patches of skin to appear on the skin near your or your child’s joints. The condition is chronic, which means you might notice that symptoms clear up for a while only to return again several weeks, months, or years later.

Typically, an eczema rash starts as itchy skin. Once you or your child starts scratching it, the rash will develop.

Eczema can affect a person at any age and can continue into adulthood in some more severe cases, but it can look different based on age.

While babies tend to have eczema on the face, scalp, and extensors, like the front of the knee or back of the elbow, children between 2 years old and adolescence are more likely to develop the itchy rash around the creases in their elbows and knees. Other areas of eczema that are common in this age group are the neck, wrists, and ankles.

Other symptoms and signs of eczema in children can include:

• itchy, scaly patches
• rash that appears in the knee or elbow creases or in other areas of the body
• darkening or lightening of skin near the rashes
• permanent goose bumps
• thickened skin that develops from chronic itching or rubbing

The exact cause of eczema is still unknown, but researchers have some ideas. According to the National Eczema Association, causes of eczema include:

• genetics, which may influence whether someone develops eczema as a child
• environmental factors, also known as triggers, like allergens, chemicals, or other stimuli that causes eczema to start or flare

Children or adults living with eczema may also have an overactive immune system. In this case, the immune system overreacts to a substance outside or inside the body, which results in inflammation.

Evidence suggests that people with eczema may have a mutation in the FLG gene that encodes a protein called filaggrin. Filaggrin helps create a protective barrier between the skin and the outside world. Without a sufficient barrier, your skin or your child’s skin can become dry and prone to infection.

Eczema does not have a cure, but you can take steps to help lessen the severity of symptoms and prevent flares for you or your child.

Medical treatments can involve both topical and systemic medications. During a flare, you can apply topical medications, such as topical calcineurin inhibitors (TCIs) and steroids, directly to the affected skin.

Your doctor may also recommend phototherapy to topically treat eczema. Phototherapy involves using light to help reduce the severity of an eczema flare and help heal the skin.

A doctor may also recommend taking systemic medications such as methotrexate, cyclosporine, and mycophenolate mofetil. Additionally, over 40 clinical trials are underway or in the process of getting approval, which means new medications may eventually become available that better treat eczema.

You or your child may also find some relief with complementary therapies. Some techniques include meditation, hypnosis, and biofeedback.

Some at-home treatments may also help improve flexural eczema symptoms. These include:

• oatmeal baths
• cool compresses
• petroleum jelly or other moisturizing cream or ointment
• finding distractions from the itch

Taking steps to avoid known triggers can help prevent flexural eczema flares. It is important to take time to set up a treatment plan for flexural eczema.

Several treatment options can help prevent flares. For example, systematic medications can have a preventive effect on flexural eczema. Keeping your or your child’s skin moisturized can also help prevent new flares from occurring.

Research shows that most children will “outgrow” eczema by the time they are adults. However, several factors can make lifelong eczema more likely. The following factors affect whether eczema will subside or go away completely over time:

• severity of the condition, as more severe cases are more likely to continue into adulthood
• time of onset, as eczema that appears later in life is more likely to last
• persistency of the condition

Flexural eczema is a type of eczema that appears around the creases of joints, often on the elbows and knees. It causes an itchy rash to form. Children may be more likely to develop flexural eczema, though it can occur in adults as well. If your child develops eczema, there is a chance that it will go away as they age.

There are many treatment options for eczema, like topical medications, systemic medications, and home remedies. Talk with your doctor about creating a treatment plan that is right for you or your child’s eczema.

Symptoms, Causes, Treatment and More

Eczema is the term for a group of skin conditions that cause irritated, red, and itchy skin. The most common form of eczema is atopic dermatitis.

Flexural eczema describes the location where an eczema rash occurs. It appears around the creases of the joints, most frequently the elbows and knees. It can also occur at the ankles, wrists, and neck. Flexural eczema most commonly appears in late childhood and adulthood.

Here’s everything you need to know about flexural eczema.

Flexural eczema causes red, irritated, and itchy patches of skin to appear on the skin near your or your child’s joints. The condition is chronic, which means you might notice that symptoms clear up for a while only to return again several weeks, months, or years later.

Typically, an eczema rash starts as itchy skin. Once you or your child starts scratching it, the rash will develop.

Eczema can affect a person at any age and can continue into adulthood in some more severe cases, but it can look different based on age.

While babies tend to have eczema on the face, scalp, and extensors, like the front of the knee or back of the elbow, children between 2 years old and adolescence are more likely to develop the itchy rash around the creases in their elbows and knees. Other areas of eczema that are common in this age group are the neck, wrists, and ankles.

Other symptoms and signs of eczema in children can include:

• itchy, scaly patches
• rash that appears in the knee or elbow creases or in other areas of the body
• darkening or lightening of skin near the rashes
• permanent goose bumps
• thickened skin that develops from chronic itching or rubbing

The exact cause of eczema is still unknown, but researchers have some ideas. According to the National Eczema Association, causes of eczema include:

• genetics, which may influence whether someone develops eczema as a child
• environmental factors, also known as triggers, like allergens, chemicals, or other stimuli that causes eczema to start or flare

Children or adults living with eczema may also have an overactive immune system. In this case, the immune system overreacts to a substance outside or inside the body, which results in inflammation.

Evidence suggests that people with eczema may have a mutation in the FLG gene that encodes a protein called filaggrin. Filaggrin helps create a protective barrier between the skin and the outside world. Without a sufficient barrier, your skin or your child’s skin can become dry and prone to infection.

Eczema does not have a cure, but you can take steps to help lessen the severity of symptoms and prevent flares for you or your child.

Medical treatments can involve both topical and systemic medications. During a flare, you can apply topical medications, such as topical calcineurin inhibitors (TCIs) and steroids, directly to the affected skin.

Your doctor may also recommend phototherapy to topically treat eczema. Phototherapy involves using light to help reduce the severity of an eczema flare and help heal the skin.

A doctor may also recommend taking systemic medications such as methotrexate, cyclosporine, and mycophenolate mofetil. Additionally, over 40 clinical trials are underway or in the process of getting approval, which means new medications may eventually become available that better treat eczema.

You or your child may also find some relief with complementary therapies. Some techniques include meditation, hypnosis, and biofeedback.

Some at-home treatments may also help improve flexural eczema symptoms. These include:

• oatmeal baths
• cool compresses
• petroleum jelly or other moisturizing cream or ointment
• finding distractions from the itch

Taking steps to avoid known triggers can help prevent flexural eczema flares. It is important to take time to set up a treatment plan for flexural eczema.

Several treatment options can help prevent flares. For example, systematic medications can have a preventive effect on flexural eczema. Keeping your or your child’s skin moisturized can also help prevent new flares from occurring.

Research shows that most children will “outgrow” eczema by the time they are adults. However, several factors can make lifelong eczema more likely. The following factors affect whether eczema will subside or go away completely over time:

• severity of the condition, as more severe cases are more likely to continue into adulthood
• time of onset, as eczema that appears later in life is more likely to last
• persistency of the condition

Flexural eczema is a type of eczema that appears around the creases of joints, often on the elbows and knees. It causes an itchy rash to form. Children may be more likely to develop flexural eczema, though it can occur in adults as well. If your child develops eczema, there is a chance that it will go away as they age.

There are many treatment options for eczema, like topical medications, systemic medications, and home remedies. Talk with your doctor about creating a treatment plan that is right for you or your child’s eczema.

Itching on the elbows: causes, treatment, diagnosis

FREE SELECTION OF PRIVATE CLINICS AND DOCTORS IN MOSCOW

Itching on the elbows is not a disease, but a sign of a painful skin condition that has arisen as a manifestation of a genetic disease, pathologies of internal organs, skin infections, inflammation of the elbow joint.

To identify the causes of itching of the elbows, a consultation with a dermatologist is necessary , who can differentiate the types of the disease using special skin tests and tests. Eliminating itching, as a symptom, will not solve the problem; it is necessary to treat a disease that manifests itself as a desire to comb the skin of the elbow.

Appointment for a consultation with a dermatologist by phone +7(495) 256-49-52 or by filling out the online form

Answers to frequently asked questions about itchy skin:

• Which doctor treats itchy skin?
• What organs are affected by itching?
• Why is itching dangerous?
• What tests should be done for pruritus?
• What is the diet for itchy skin?
• What diseases does pruritus speak of?
• Itching for no apparent reason?
• What parasites cause itching?
• What microorganisms cause pruritus?
• How to get rid of itchy skin?
• Is it necessary to isolate a patient with pruritus?
• Skin itching in diseases of the gastrointestinal tract?
• What are the main causes of pruritus?
• How to distinguish between allergic and parasitic pruritus?
• How to prepare for a dermatologist appointment?
• How to check for skin diseases?
• What diseases does a dermatologist treat?
• What tests should be done by a dermatologist?
• What diagnostics can a dermatologist perform at the clinic?
• Where to go with a skin disease?

Signs to see a doctor

Itching on the elbows, accompanied by:

• Skin redness
• Appearance of rash, abscesses, peeling on the skin
• Tumor formation
• Pain

Despite the fact that itching may not cause severe discomfort, it can be the first symptom of an infectious and inflammatory skin disease, an allergic reaction, skin infections, characterize inflammation of the elbow joint, which a dermatologist diagnoses.

Useful information on the topic of itchy skin:

• Dermatologist
• Itching in skin diseases
• Pruritus without skin manifestations
• Itching in the groin
• Itching on legs
• Itching on the hands
• Itching on the back
• Pruritus during pregnancy
• Pruritus in liver disease
• Pruritus in children
• Pruritus in the elderly
• Treatment of pruritus
• Nocturnal pruritus
• Causes of pruritus

Allergies that occur with itching on the elbows

• Atopic dermatitis develops due to local exposure to the skin of the elbow of a chemical or plant poison, or appear as a systemic reaction to foods, drugs, endogenous toxins. Itching in atopic dermatitis is always associated with the appearance of a rash on the skin.
• Eczema
  characterized by the appearance of itchy areas that differ from healthy skin by peeling, vesicles, resolved by the formation of crusts. These signs indicate an exacerbation of the disease, which affects large areas of the skin.
• Urticaria
  – This is a contact dermatitis that occurs suddenly with signs of severe itching and the appearance of small dot bubbles, resembling a nettle burn.

Infectious diseases

• Mycosis
  – This is a generalized process that has moved from a local stage (hair, fingers) to other areas of the skin, including the skin of the elbows. The disease is caused by a fungal infection and is characterized by severe itching, redness, and peeling of the surface of the skin of the elbow.
• Lichen planus is one of the causes of itchy elbows. Lichen has the shape of an oval, raised above the surface of the skin with an impression in the middle of the focus. The oval itself consists of many small elements – nodules. A feature of the flow of lichen is the appearance of a “mesh” when pathological areas are wetted with water.
• Scabies mite in the advanced stages of the disease can also affect the ulnar surface. It is characterized by unbearable itching on the elbows. In the focus of the disease, scabies are observed – gray stripes under the epithelium of the skin.

Methods for diagnosing skin diseases:

• Diagnosis of skin diseases
• Diagnosis of skin diseases at home
• Diagnosis of allergic skin diseases
• Diagnosis of bacterial skin diseases
• Diagnosis of viral skin diseases
• Diagnosis of hair diseases
• Diagnosis of nail diseases
• Diagnosis of neoplasms on the skin
• Skin scraping
• Blisters on the skin
• Dermoscopy
• Demodex tests
• Diagnosis of genital infections
• Fungal tests
• Skin scraping

Elbow joint disorders

Arthritis, bursitis, tendovaginitis – inflammatory diseases accompanied by itching on the elbows, affecting one or all structures of the joint. They can be complicated by purulent-inflammatory reactions – the formation of phlegmon and fistula.

Pathologies of internal organs

Liver diseases that occur with difficulty in the outflow of bile, kidney failure, pathologies of the parathyroid and thyroid glands, diabetes mellitus can cause generalized itching, including itching on the elbows.

Diagnostics

A certified dermatologist, focusing on the external signs of skin lesions, the results of skin tests and samples, can establish a diagnosis. Skin scraping tests confirm that the pathology belongs to one of the types of inflammation.

The modern level of medical care allows you to diagnose skin diseases without leaving your home. To do this, you can contact the clinic and call a dermatologist at home.

You can make an appointment with a dermatologist at one of the private clinics on the Vash Doctor Information Center website.

Publication date: 2018-0 2- 03

Common symptoms and manipulations in dermatology:

• Eruptions on the skin
• Dermatologist house call
• Itching in the urethra
• Pruritus
• Skin rash
• Prevention of casual sex
• Skin neoplasms
• Pyoderma
• Rosacea
• Streptoderma
• Scabies
• Skin peeling
• Fungal infections
• Skin infection
• Skin pus
• Blisters on the skin
• Papillomas on the foreskin
• Venereal diseases
• Structure of the skin

This article is for educational purposes only and does not constitute scientific material or professional medical advice.

Abdullaev Arsen Mukhtarovich

Andrologist, Venereologist, Dermatologist, Urologist, Dermatovenereologist

Years of service: 36

54
recall

3.90
rating

Cost of admission – 2000 rubles.

Aircraft

Abramova Victoria Yurievna

Venereologist, Dermatologist, Cosmetologist, Dermatovenereologist

Years of service: 2

2
recall

4.20
rating

Cost of admission – 3000 rubles.

Mayakovskaya, Okhotny Ryad

Abramova Elena Viktorovna

Dermatologist, Cosmetologist

Years of service: 20

164
recall

5.00
rating

Cost of admission – 3350 rubles.

Kantemirovskaya, Kashirskaya

Abramyan Seda Samvelovna

Dermatologist, Cosmetologist

Years of service: 8

10
recall

4. 29
rating

Cost of admission – 2000 rubles.

Dostoevskaya, Maryina Roshcha

Avagyan Simona Araevna

Dermatologist, Cosmetologist

Years of service: 9

21
recall

4.34
rating

Cost of admission – 5000 rubles.

Bagrationovskaya, Exhibition

Avdalyan Ilona Veylandovna

Dermatologist, Cosmetologist

Years of service: 23

1
recall

4.61
rating

Cost of admission – 2500 rubles.

Kuznetsky Most, Okhotny Ryad

Avdeeva Vera Vladimirovna

Dermatologist, Cosmetologist, Trichologist

Years of service: 12

3
recall

4.22
rating

Cost of admission – 3000 rubles.

Alekseevskaya, Rizhskaya

Avetisyan Karina Martikovna

Venereologist, Dermatologist, Cosmetologist, Dermatovenereologist

Years of service: 11

3
recall

4.33
rating

Cost of admission – 3450 rubles.

Avtozavodskaya, Dubrovka

Avin Marika

Venereologist, Dermatologist, Cosmetologist, Trichologist, Oncodermatologist

Years of service: 8

35
recall

4.61
rating

Cost of admission – 2000 rubles.

Kaluga, Prospekt Vernadskogo

Agareva Oksana Alexandrovna

Venereologist, Dermatologist, Cosmetologist, Trichologist, Dermatovenereologist

Years of service: 16

19
recall

4.69
rating

Cost of admission – 2100 rubles.

Water stadium, Voikovskaya

Previous

View all doctors

Next

Calling a doctor at home

Diseases

Diagnosis and treatment of atopic dermatitis in children

Atopic dermatitis (another name for this disease is eczema) is a skin disease that causes dryness, itching, peeling, redness of the skin. Atopic dermatitis affects both children and adults, it has a genetic predisposition, so members of the same family often get sick. Atopic dermatitis can be treated with moisturizers and some medicinal ointments.

Causes of atopic dermatitis

The cause of atopic dermatitis is not fully understood. Heredity appears to play an important role, and people with a family history of eczema have an increased risk of developing the disease. Most people with eczema have a genetic abnormality in the outer layer of the skin called the epidermis.

The epidermis is the first line of defense between the body and the environment. When the epidermis is intact, it prevents environmental irritants, allergens and microbes from entering the body and prevents the skin from losing too much water. In people with atopic dermatitis, this barrier is less strong and more permeable than it should be.

Despite popular belief, atopic dermatitis in children is rarely associated with food allergies.

Symptoms of atopic dermatitis

Most people with atopic dermatitis show their first symptoms before the age of 5 years. Atopic dermatitis can look different in people of different ages:

• In children, atopic dermatitis is more likely to affect the front of the arms and legs, the cheeks, or the scalp (the diaper area is usually not affected)

Copyright VisualDx

• In older children and adults, atopic dermatitis often affects the sides of the neck, the creases inside the elbow, and the back of the knees. In adults, the rash can be on the wrists, hands, forearms, and face. In some cases, over time, the skin at the sites of the lesions may become dark or thickened.

Copyright VisualDx

Diagnosis of atopic dermatitis

There is no specific test (blood or other tests) to diagnose atopic dermatitis. The doctor establishes the diagnosis of atopic dermatitis on the basis of a survey and examination, in the presence of characteristic symptoms.

Treatment of atopic dermatitis

Atopic dermatitis is a chronic disease that has periods of exacerbations and improvement in skin condition. Some people may not experience exacerbations for several years.

The symptoms of atopic dermatitis can be controlled with a variety of skin care measures and medications.

Several factors aggravate the symptoms of atopic dermatitis and their management may help control the symptoms. Possible aggravating factors include:

• dry air,
• sweating,
• emotional stress,
• rapid temperature changes,
• Exposure to certain physical or chemical irritants, including soaps and detergents, perfumes and cosmetics, wool or synthetic fibres, dust, sand and cigarette smoke.

Maintain skin hydration

• Moisturizers (emollients) are creams and ointments that moisturize the skin and prevent it from drying out. The best moisturizers for people with atopic dermatitis are creams or ointments that contain little or no water (Vaseline is the easiest emollient).

Emollients are most effective when applied immediately after bathing. Emollients can be applied twice a day or more often if needed.

Lotions contain more water than creams and ointments and are less effective at moisturizing the skin.

• Bathing: Warm baths or showers can moisturize and cool the skin, temporarily relieving itchy eczema. Hot or long baths (more than 10-15 minutes) and showers should be avoided as they can dry out the skin.

Skin irritation treatment

Topical steroids – Your doctor may prescribe a steroid (also called a “corticosteroid”) cream or ointment if you have a flare-up of atopic dermatitis.

As your skin improves, you can switch to a moisturizer (emollient). Strong topical steroids may be prescribed for severe exacerbations of atopic dermatitis.