Pic of eczema rash. Unraveling the Mysteries of Eczema: A Comprehensive Guide to Understanding the Different Types, Affected Body Parts, and Skin Tones
What are the different types of eczema? How do they affect various body parts and skin tones? Dive into this comprehensive guide to learn more about the complexities of this skin condition.
Navigating the Diverse Landscape of Eczema
Eczema, a chronic and often frustrating skin condition, can present itself in a myriad of ways, affecting various body parts and skin tones. This comprehensive guide delves into the nuances of the different types of eczema, their unique characteristics, and the ways in which they can manifest across diverse skin tones.
Unraveling the Types of Eczema
Eczema is not a one-size-fits-all condition, and there are several distinct types that can affect individuals. Let’s explore the key differences:
Atopic Dermatitis
Atopic dermatitis, the most common form of eczema, is characterized by itchy, dry, and scaly patches. This condition is often linked to allergies, environmental factors, and genetics, though it does not present with a patterned rash like contact dermatitis.
Contact Dermatitis
Contact dermatitis occurs when the skin comes into contact with a specific substance that triggers an allergic reaction. The resulting rash typically follows the shape of the allergen, such as a wedding band.
Dyshidrotic Eczema
Dyshidrotic eczema, on the other hand, manifests as water-filled blisters on the affected areas. This type of eczema can be exacerbated by stress, specific compounds, extreme temperatures, and excessive sweating.
Discoid Eczema
Discoid eczema is characterized by coin-shaped plaques with raised spots and scaling, and is more commonly seen in older adults and individuals with extremely dry skin, particularly during the winter months.
Varicose Eczema
Varicose eczema is associated with swelling and itchy discolored skin, often occurring on the lower legs due to circulation issues and the development of varicose veins.
Asteatotic Eczema
Asteatotic eczema, also known as “dry, cracked skin,” is a result of dry and colder climates, leading to scaling and itching.
Eczema Across Skin Tones
The manifestation of eczema can vary significantly depending on an individual’s skin tone. On lighter skin tones, eczema is often marked by reddening of the affected areas, while on darker skin, the condition can present as darker brown, purple, or gray discoloration.
Eczema and Body Parts
Certain types of eczema are more prone to affect specific body parts. Let’s explore the common areas where eczema may develop:
Scalp, Face, and Ears
Eczema can often be found on the scalp, face, and ears, particularly in babies and young children.
Hands and Fingers
The hands and fingers are also common sites for eczema, as they are frequently exposed to potential irritants and allergens.
Legs and Feet
Varicose eczema and asteatotic eczema are more likely to appear on the legs and feet, especially in older adults.
Elbows and Knees
The creases of the elbows and knees are also common areas for eczema to develop, particularly in children.
Eczema in Adults and Children
Eczema can affect individuals of all ages, but its presentation and affected areas may differ between adults and children:
Eczema in Adults
Adults can develop any type of eczema, and with prolonged exposure, the skin may appear thicker, rougher, and darker than the surrounding areas. Certain types, such as varicose eczema and asteatotic eczema, are more common in older adults.
Eczema in Children
In children, eczema often manifests as a dry, raw, and scaly rash, typically occurring on the scalp, face, creases of the elbows and knees, neck, wrists, and ankles. Over time, the skin may become bumpy, discolored, and thicker, leading to persistent itching.
Eczema Triggers
Numerous factors can trigger eczema, including stress, a family history of the condition, environmental allergens, extremely dry skin, contact with certain substances, food allergies, and immune system issues. Understanding and avoiding these triggers can be crucial in managing eczema effectively.
Navigating the Complexities of Eczema
Eczema is a multifaceted skin condition that requires a nuanced understanding of its various types, affected body parts, and the unique ways it can present across different skin tones. By exploring these complexities, individuals can better navigate the challenges of eczema and work towards effective management strategies.
Images, types, body parts, and more
Several types of eczema, including contact dermatitis and discoid eczema, affect certain age groups and body areas. They also present differently across skin tones. People with lighter skin tones may develop skin redness, and on darker-skinned individuals, these areas may appear purple or gray.
This article looks at the different types of eczema affecting certain body parts. We also examine eczema in adults and children and provide slideshows of the types of eczema on different skin tones and bodies.
There are different types of eczema, including:
- Atopic dermatitis: Atopic refers to a collection of allergic conditions, such as asthma and hay fever, and the word dermatitis refers to skin inflammation. This condition’s general symptoms tend to include itching and dry, scaly patches. Foods, environmental allergens, and genetics may trigger this type of eczema. However, atopic dermatitis does not present with a patterned rash, which occurs with contact dermatitis. This is how doctors differentiate the two conditions.
- Contact dermatitis: This skin condition occurs when a person receives contact with certain substances that trigger an allergic reaction. The rash usually appears in a pattern that follows the shape of the allergen, such as a wedding band. Symptoms include:
- itchy skin
- crusting or scaly skin
- lesions in affected areas
- Dyshidrotic eczema: This type causes water-filled blisters on the affected body area. It may cause accompanying symptoms, including extreme itching and a burning sensation. Factors that can aggravate this condition include:
- stress
- sensitivity to specific compounds
- extreme temperatures
- sweating
- Discoid eczema: This condition results in coin-shaped plaques with raised spots and scaling. It tends to be more common in older adults and those with extremely dry skin, such as during winter.
- Varicose eczema: This skin condition causes swelling and itchy discolored skin. It usually occurs on the lower legs when circulation issues lead to varicose veins.
- Asteatotic eczema: Doctors characterize this type of eczema as dry, cracked skin, scaling, and itching that results from dry and colder climates.
Skin tones
On lighter skin tones, eczema tends to cause skin reddening if people scratch itchy eczema patches. Conversely, the condition can cause darker brown, purple, or gray areas on darker skin.
Find out more about eczema on the skin of color.
The following slides show pictures of the types of eczema. To see all the images on one screen, click “view all.”
These different types of eczema may occur on specific body parts more than others, including the:
- scalp
- face
- ear
- neck
- fingers and hands
- legs, which doctors call varicose and asteatotic eczema
- feet
The images in the slideshow below show some of the different areas of the body that eczema may affect.
Adults can develop any type of eczema. If a person has had the condition for years, the skin may appear thick, rougher, and darker than the surrounding skin.
Specific types of eczema are more common in older adults. For example, varicose eczema tends to affect people over 50 years of age.
Additionally, asteatotic eczema affects those over 60 years, possibly due to drier skin occurring with older age.
Varicose eczema is quite common, affecting approximately 70% of people over the age of 70 years.
Adults also usually develop eczema on different parts of their bodies compared with children. Adult eczema may form in one or more of the following areas:
- the backs of the knees
- the creases of the elbows
- the back of the neck
- the face
To see all the pictures, click “view all.”
Eczema can appear on any area of the skin at any age. However, at certain ages, it is more likely to develop in some regions of the body.
Babies
In babies, eczema may occur on the scalp and face, particularly the cheeks. However, they rarely develop AD in the diaper area, as the skin stays too moist for AD. A rash in the diaper area usually indicates diaper rash.
Eczema often appears as a dry, raw, scaly rash. Itching may come and go, and any lesions may weep fluid in some cases.
Children
When eczema develops after the age of 2 years, it usually occurs as itchy and scaly patches in areas such as:
- the creases of the elbows and knees
- neck
- wrists
- ankles
- the crease between the buttocks and legs
Over time, the skin may change in appearance, causing it to become bumpy, discolored, and thicker, resulting in the skin becoming persistently itchy.
Read more about eczema in children.
In the following slides, find examples of the areas that eczema affects in children.
There are several risk factors can trigger eczema, including:
- stress
- a family history of this condition
- environmental allergens
- extremely dry skin
- contact with allergic substances in shampoo or cleansers
- certain food allergies
- hay fever
- cold or damp environments
- warm and humid environments
- immune system issues
- COVID-19
- metal compounds
- chemical compounds
Learn more about what causes eczema to flare.
There is no cure for eczema, but there are many treatments available. These may include over-the-counter (OTC) or prescription medications or lifestyle changes depending on the type of eczema.
- OTC treatments include topical and oral medications, such as antihistamines and hydrocortisone, to relieve itching. Other OTC remedies can help prevent flares and assist with sleep when nighttime itching occurs.
- prescription topical medications include:
- topical Janus kinase (JAK) inhibitors
- topical calcineurin inhibitors such as tacrolimus
- topical PDE4 inhibitors
- topical steroids
- prescription injectable medications, such as biologics
- prescription oral medications:
- immunosuppressants
- JAK inhibitors
- systemic medication
- steroids
- prescription phototherapy
Several types of eczema can cause symptoms ranging from itching, dry skin, and scaling. These may present in different body areas, varying by age and skin tone. There is no cure for any type of eczema, but treatments are available to relieve symptoms.
Images, types, body parts, and more
Several types of eczema, including contact dermatitis and discoid eczema, affect certain age groups and body areas. They also present differently across skin tones. People with lighter skin tones may develop skin redness, and on darker-skinned individuals, these areas may appear purple or gray.
This article looks at the different types of eczema affecting certain body parts. We also examine eczema in adults and children and provide slideshows of the types of eczema on different skin tones and bodies.
There are different types of eczema, including:
- Atopic dermatitis: Atopic refers to a collection of allergic conditions, such as asthma and hay fever, and the word dermatitis refers to skin inflammation. This condition’s general symptoms tend to include itching and dry, scaly patches. Foods, environmental allergens, and genetics may trigger this type of eczema. However, atopic dermatitis does not present with a patterned rash, which occurs with contact dermatitis. This is how doctors differentiate the two conditions.
- Contact dermatitis: This skin condition occurs when a person receives contact with certain substances that trigger an allergic reaction. The rash usually appears in a pattern that follows the shape of the allergen, such as a wedding band. Symptoms include:
- itchy skin
- crusting or scaly skin
- lesions in affected areas
- Dyshidrotic eczema: This type causes water-filled blisters on the affected body area. It may cause accompanying symptoms, including extreme itching and a burning sensation. Factors that can aggravate this condition include:
- stress
- sensitivity to specific compounds
- extreme temperatures
- sweating
- Discoid eczema: This condition results in coin-shaped plaques with raised spots and scaling. It tends to be more common in older adults and those with extremely dry skin, such as during winter.
- Varicose eczema: This skin condition causes swelling and itchy discolored skin. It usually occurs on the lower legs when circulation issues lead to varicose veins.
- Asteatotic eczema: Doctors characterize this type of eczema as dry, cracked skin, scaling, and itching that results from dry and colder climates.
Skin tones
On lighter skin tones, eczema tends to cause skin reddening if people scratch itchy eczema patches. Conversely, the condition can cause darker brown, purple, or gray areas on darker skin.
Find out more about eczema on the skin of color.
The following slides show pictures of the types of eczema. To see all the images on one screen, click “view all.”
These different types of eczema may occur on specific body parts more than others, including the:
- scalp
- face
- ear
- neck
- fingers and hands
- legs, which doctors call varicose and asteatotic eczema
- feet
The images in the slideshow below show some of the different areas of the body that eczema may affect.
Adults can develop any type of eczema. If a person has had the condition for years, the skin may appear thick, rougher, and darker than the surrounding skin.
Specific types of eczema are more common in older adults. For example, varicose eczema tends to affect people over 50 years of age.
Additionally, asteatotic eczema affects those over 60 years, possibly due to drier skin occurring with older age.
Varicose eczema is quite common, affecting approximately 70% of people over the age of 70 years.
Adults also usually develop eczema on different parts of their bodies compared with children. Adult eczema may form in one or more of the following areas:
- the backs of the knees
- the creases of the elbows
- the back of the neck
- the face
To see all the pictures, click “view all.”
Eczema can appear on any area of the skin at any age. However, at certain ages, it is more likely to develop in some regions of the body.
Babies
In babies, eczema may occur on the scalp and face, particularly the cheeks. However, they rarely develop AD in the diaper area, as the skin stays too moist for AD. A rash in the diaper area usually indicates diaper rash.
Eczema often appears as a dry, raw, scaly rash. Itching may come and go, and any lesions may weep fluid in some cases.
Children
When eczema develops after the age of 2 years, it usually occurs as itchy and scaly patches in areas such as:
- the creases of the elbows and knees
- neck
- wrists
- ankles
- the crease between the buttocks and legs
Over time, the skin may change in appearance, causing it to become bumpy, discolored, and thicker, resulting in the skin becoming persistently itchy.
Read more about eczema in children.
In the following slides, find examples of the areas that eczema affects in children.
There are several risk factors can trigger eczema, including:
- stress
- a family history of this condition
- environmental allergens
- extremely dry skin
- contact with allergic substances in shampoo or cleansers
- certain food allergies
- hay fever
- cold or damp environments
- warm and humid environments
- immune system issues
- COVID-19
- metal compounds
- chemical compounds
Learn more about what causes eczema to flare.
There is no cure for eczema, but there are many treatments available. These may include over-the-counter (OTC) or prescription medications or lifestyle changes depending on the type of eczema.
- OTC treatments include topical and oral medications, such as antihistamines and hydrocortisone, to relieve itching. Other OTC remedies can help prevent flares and assist with sleep when nighttime itching occurs.
- prescription topical medications include:
- topical Janus kinase (JAK) inhibitors
- topical calcineurin inhibitors such as tacrolimus
- topical PDE4 inhibitors
- topical steroids
- prescription injectable medications, such as biologics
- prescription oral medications:
- immunosuppressants
- JAK inhibitors
- systemic medication
- steroids
- prescription phototherapy
Several types of eczema can cause symptoms ranging from itching, dry skin, and scaling. These may present in different body areas, varying by age and skin tone. There is no cure for any type of eczema, but treatments are available to relieve symptoms.
Eczema herpetic Kaposi – Clinic of Modern Technologies
Eczema herpetic Kaposi
Synonyms: varicellaform rash, acute varicellaform pustulosis, acute vacciniform pustulosis.
The name “herpetic eczema” is more justified, as it indicates the connection of the disease with eczema and the epidemiological features of dermatosis. Herpetic eczema, first described by Kaposi in 1893, is a relatively rare and rather severe disease that presents certain difficulties for diagnosis and treatment.
Etiology and pathogenesis
Seidenberg (1941) was the first to isolate the herpes simplex virus from blisters of herpetic eczema. New studies have confirmed the etiological role of the herpes virus. In the lesions in the study in an electron microscope revealed particles of the virus, morphologically corresponding to the viruses of the herpes simplex group. This was confirmed by culture and complement fixation.
Occasionally, eczema herpes is the result of an accidental inoculation of the skin with a vaccine virus (eczema vaccinatum). Herpetic eczema mostly occurs when infected from patients with herpes simplex, and vaccinal – when in contact with persons vaccinated against smallpox or in connection with smallpox vaccination of the patient himself. It is believed that herpetic and vaccine eczema represent one disease. There is another view: despite the similarity of clinical manifestations, these diseases are independent viral complications of childhood eczema.
Herpetic (varicellaform) eczema, as a rule, develops in patients with previous chronic dermatoses, atopic dermatitis, especially in children. Sometimes rashes develop with other skin diseases – with seborrheic dermatitis, pemphigus, Darier’s follicular dyskeratosis, juvenile acne, mycosis fungoides, etc. doses of corticosteroids, carried out about the underlying disease, PUVA therapy. Literature data suggest that the occurrence of herpetic eczema is often associated with hypothermia, which leads to the activation of a dormant herpes infection.
Clinic
The clinical picture of herpetic eczema is very characteristic and is described in the literature by many domestic and foreign dermatologists. The disease affects children, but also adults who are sick or have recently suffered from eczema, atopic dermatitis, etc. The disease begins suddenly, is accompanied by high fever (up to 39-40 °), pronounced toxicosis and severe general condition. Against the background of edema and hyperemia of the skin, more or less abundant, grouped vesicles appear, ranging in size from millet to lentils, quickly turning into pustules with a characteristic umbilical depression in the center. When the pustules merge, large plaques with microcyclic outlines are formed. Fresh transparent vesicles with an umbilical depression in the center give the impression of chicken pox.
The rash is located on altered eczema, atopic dermatitis, follicular dyskeratosis, as well as on other areas of the skin (more often on the face, neck, chest, hands, forearms, etc.). Separate or grouped by 4-5 small pustules are also found on unaffected skin.
In the process of reverse development, the rashes dry up, bloody crusts remain in place of the pustules. After the crusts fall off, pink spots or secondary pigmentation remain at the site of the rash, extremely rarely superficial scars. Herpetic eczema often proceeds as a toxic-septic disease with symptoms of meningism, complicated by pneumonia, otitis media. Aneosinophilia is often observed in the blood. Perhaps simultaneous herpetic lesions of the oral mucosa in the form of aphthae, as well as the conjunctiva and cornea (photophobia and a sharp swelling of the eyelids).
Previously, mortality from herpetic eczema reached 16-25%, with the introduction of sulfa drugs, antibiotics and corticosteroids, it decreased to 2-3%.
Histopathology
Vesiculo-pustules in the epidermis, ballooning degeneration of epithelial cells, accumulation of neutrophilic leukocytes. Intracellular inclusions are found.
Differential diagnosis
Differential diagnosis should be carried out with chickenpox, vaccinia, pyoderma. It is difficult, and sometimes impossible, to make a differential diagnosis between varicelliform pustulosis (herpetic eczema) and vaccine eczema. Some dermatologists do not separate both of these forms, considering them the same disease.
Treatment
Antibiotics, sulfonamides, corticosteroids, interferon (parenteral), antihistamines, tonics, vitamins. Outwardly – Castellani liquid, ointments with antibiotics (heliomycin, lincomycin, etc.). The sick must be isolated. In order to prevent viral complications, children suffering from itchy dermatoses should not come into contact with persons with herpes who have undergone anti-smallpox vaccination.
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Our specialists
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Goncharov Alexander Valerievich
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Kovaleva Vesta Vladimirovna
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Pankova Yulia Leonidov at
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900 02 Anesthesiologist-resuscitator
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Andrey Gensenovich Sin
Anesthesiologist – resuscitator
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Anna Alekseevna Baranova
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Treatment of eczema in the clinic of Chelyabinsk: price from 1300 rubles.
Description
Eczema is a recurrent non-contagious chronic skin disease (dermatitis), the appearance of which is accompanied by severe itching, rash and redness (hyperemia, swelling). The disease provokes inflammation of the dermis, epidermis. It occurs in 12-23% of people and accounts for about 36% of all skin pathologies. The danger of the disease is resistance to treatment, a tendency to relapse. The most commonly localized eczema on the hands, ankles, neck, elbows and knees. It is easily diagnosed by the appearance of dermatitis, a rash of small, watery blisters progressing to large blisters. The foci of inflammation, as well as the appearance of the rashes themselves, will be different. Their shape, growth rate and clinical course of the disease depend on the type of pathology.
Types and clinical features of eczema
Skin eczema can be treated very well. The basis of therapy is the correct diagnosis of the type of disease. Distinguish:
True or idiopathic
The causes of development are severe nervous strain, prolonged stress, changing detergents, wearing low-quality synthetic clothing. It is manifested by slight reddening of the skin, which may be accompanied by itching. It is aggravated by contact with an irritant. The lesions are located symmetrically, do not have clear boundaries. Bubbles with liquid appear as a result of scratching itchy areas. Finger-injured areas become entry gates for infection. Its penetration is accompanied by the formation of bubbles with liquid.
Microbial
The causes of the appearance are streptococcal or staphylococcal infections, weakened immunity. It is formed in 9 out of 10 cases at the site of damage to the integrity of the skin. The disease has subspecies. Microbial eczema on the legs, appearing in the zone of varicose veins, is called varicose (cause injuries to the integument, progresses into ulcers). In the zone of infection of the wound (insufficient treatment with antiseptic agents), a paratraumatic form of dermatitis appears, its plaque form – in the zone of suppuration. The focus has clear boundaries, the situation is quickly aggravated by the capture of healthy skin.
Seborrheic
The reasons for the development are constant stress, improper skin care, covered with hairline. Dermatitis appears on the face, head, chest. Accompanied by the appearance of rough pink-yellow, borderless spots with papules.
Professional
Causes of appearance – contact with allergens, chemicals, drugs. Often, allergic eczema appears on the face, neck, hands (inner side), forearm. Pathology quickly disappears when contact with irritants is excluded.
Mycotic
The causes of formation are fungal and untreated skin lesions. The focus has distinguishable boundaries. Dermatitis goes away after a course of antifungal therapy.
Dyshidrotic
The reason for the development is increased sweating, improperly selected shoes, prolonged standing on the feet, weakened immunity. Appears on the palms, soles of the feet. A distinctive feature is the formation of a purulent crust.
A separate group includes children’s eczema. It is also called atopic dermatitis. It appears on the head of the child and slowly moves to the legs and arms. The cause of the appearance is unformed immunity, heredity.
Diagnosis of the disease and its complications
Effective treatment of eczema on the arms, legs, head, torso comes down to the correct diagnosis of the disease, identifying the causes. The risk group includes people with a weakened immune system, gastrointestinal diseases, a predisposition to allergies, a deficiency of fatty acids and vitamins, and hormonal disorders. To correctly diagnose, prescribe:
● general examination of blood, urine;
● allergic tests;
● biochemical analysis of urine;
● visiting an immunologist, mycologist, gastroenterologist.
The course of the disease has 6 stages. In the absence of treatment, a pyogenic infection joins dermatitis in 87%. It affects the general well-being – fever, weakness, nausea. Another complication of eczema is erythroderma. It is formed against the background of provoking factors. Secondary disease (inflammatory reaction on the skin) captures up to 85-90% healthy skin. Chronic diseases are on the rise. To avoid negative consequences, the treatment of the disease should be entrusted to professionals.
Treatment principles
With the appearance of dermatitis on the hands, neck, chest and eczema on the legs, we recommend starting treatment immediately. In the early stages, the disease responds well to drug therapy. Our doctors prescribe antihistamines, develop a diet, give recommendations on how to eliminate irritating factors. Assign detoxification, hormonal, sedative therapy.
Detoxification therapy implies a natural or artificial process of neutralizing toxic substances by chemical, physical or biological methods.