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What is Eczema? Understanding This Common Skin Condition

"Close-up of an eczema flare-up on the arm, showing red, inflamed, and irritated skin with dry patches and itching. Eczema symptoms include redness, scaling, and discomfort."

Dr. Matthew Fainman Virtual Care Medical Director at NextCare Urgent Care

Medically reviewed by Dr. Matthew Fainman Virtual Care Medical Director at NextCare.

Dr Fainman is an experienced Internal Medicine specialist, who earned his Bachelor’s, MBA, and Medical Doctorate from the University of Manitoba. He completed his residency at Cleveland Clinic and, with over 20 years in healthcare, is a leader in Telehealth innovation and patient care.

You’re dealing with dry, itchy, and red skin. You’re not alone—this is eczema, a common skin condition. Eczema is a group of conditions that cause skin inflammation, leading to dryness, itchiness, and red patches.

Around 31.6 million people in the United States are affected by this. You might also hear people call it atopic dermatitis – the most common type of eczema. And before you start worrying about catching it from someone, remember eczema is not contagious. Experts believe a combination of things might trigger it, like genetics and how your immune system works.

NextCare Urgent Care can help with the diagnosis and treatment of this chronic condition causing inflamed, red, itchy skin. With over 170 clinics nationwide, we provide immediate medical attention for non-life-threatening illnesses and injuries, including specialized care for dermatological conditions.

Different Types of Eczema

Eczema affects people of all ages, races, and genders. It can even appear in different ways. Before we talk about dealing with it, let’s understand the different types of eczema:

Atopic Dermatitis

This is the type of eczema we hear about most often. About one in four children experience atopic dermatitis. While some may outgrow it, atopic dermatitis affects 2-3% of adults as well. People with this type of eczema often find themselves prone to other allergic reactions too, like hay fever and asthma.

Contact Dermatitis

This type of eczema is all about triggers, such as an allergic reaction. When you come into contact with something that irritates your skin, a rash pops up. It gets itchy and sometimes it burns.

Whether you experience an irritant dermatitis rash or an allergic dermatitis rash, it all falls under contact dermatitis. The culprit could be anything from harsh soaps to jewelry, poison ivy, or even the sun.

Dyshidrotic Eczema

If tiny blisters, mostly on your hands and feet, are your issue, then you’re probably dealing with dyshidrotic eczema. It’s more common in men. While the cause is not fully understood, stress, sweat, and even allergies to things like nickel are on the suspect list.

Neurodermatitis

Ever feel like you have one particularly stubborn itchy patch of skin you just can’t stop scratching? That could be neurodermatitis. You scratch, it feels better for a moment, then the itch comes back stronger, creating a difficult cycle to break. Neurodermatitis tends to happen more often in women. Stress is a common trigger.

Nummular Eczema

It’s almost as if someone took a coin and traced perfectly round eczema patches on your skin. Nummular eczema usually appears after an injury, such as a burn or bug bite, and those patches can be really itchy, scaly, and even ooze. If you have a family history of atopic dermatitis, allergies, or even asthma, you might be more prone to it.

Seborrheic Dermatitis

You’ll usually find this type of eczema on the scalp. It causes persistent dandruff, itching, redness, and sometimes even greasy patches. Seborrheic dermatitis affects areas where our skin’s oil glands are most active.

Stasis Dermatitis

When blood circulation, especially in your legs, isn’t great, that’s when you might see this type of eczema. Swelling, itchy skin, redness, or even discoloration can be a sign of stasis dermatitis. Spider veins or varicose veins can be contributing factors.

What are Eczema Symptoms?

Let’s talk about what eczema can look like on your skin:

  • Dryness: Your skin feels like sandpaper – rough and dry, even flaky sometimes.
  • Itchiness: Oh, the itch. It’s persistent, it’s annoying, it can even make you feel crazy.
  • Rashes: This is that inflamed skin. It can be red, sometimes a bit swollen, or even show up as small bumps.
  • Discoloration: The affected skin might look darker or lighter than your normal skin tone. It varies depending on your natural skin color.
  • Oozing and Crusting: Some types of eczema can even cause fluid-filled blisters that break and crust over.
  • Thickening: The skin in affected areas might become thicker, feeling tough or leathery from constant scratching.

Eczema can affect different skin tones in unique ways. What looks like red on fair skin might look darker brown or even ashen gray on deeper skin tones. Keep this in mind when evaluating your symptoms.

The Usual Suspects: What Causes Eczema?

We still don’t have a definitive answer. It’s like a puzzle with many pieces. Here’s what we know so far about what causes eczema:

Immune System Mayhem

Our body’s defense system is great at protecting us. But sometimes, it overreacts, which can lead to eczema. Your body treats even harmless things, like dust mites or pollen, as threats, causing inflammation, itching, and redness. This overactive immune response is also common in people with other allergic conditions, such as food allergies.

Blame it on the Genes

Family history is not always a factor, but a family history of eczema or allergies can increase your odds of getting it. If someone in your family has dealt with eczema, there’s a chance it was passed down. However, that doesn’t necessarily mean you’re doomed to deal with it too.

Trigger Warning

We each have our own personal eczema triggers. These triggers can be anything from environmental triggers, such as weather changes, to irritating fabrics. They can all turn eczema into a full-blown nightmare. Here are some common eczema triggers:

Eczema TriggerPossible Troublemakers
Dry airCold climates, air conditioning
Sweat and heatVigorous exercise, hot weather
Stress and AnxietyBig life changes, daily pressure
Harsh soaps and detergentsDish soap, strong laundry detergent
FragrancesPerfumes, lotions, cleaning products
AllergensPollen, pet dander, mold, dust mites
Irritating fabricsWool, polyester, rough materials

We wish there was a one-size-fits-all solution: a magic pill or a special lotion to banish eczema forever. Sadly, there’s not. What works for one person might not work for another. The journey to eczema relief can feel like navigating a maze, but it’s possible to manage the symptoms and find what works for you.

Gentle Cleansing

Say “no” to those harsh soaps and bubbly bath products. Choose gentle cleansers specifically formulated for sensitive skin. You will want to avoid irritating your already aggravated skin.

Moisture is Key

Keep that skin hydrated. Use creams and lotions designed for sensitive skin and apply them generously right after a warm bath or shower. You want to lock in all that moisture. Think of your moisturizer as a shield for your skin, helping your skin retain moisture.

Avoid Trigger Territory

Knowing your eczema enemies is half the battle. Identify your personal triggers and stay far away from them. This might mean using unscented detergents, changing your soap, saying goodbye to that beloved wool sweater, or managing stress.

Seek Professional Help

Sometimes over-the-counter remedies just don’t cut it. A healthcare professional, such as a dermatologist, can properly diagnose eczema and prescribe topical medications, oral medications, or even light therapy to help treat your skin and tame the flare-ups. They can evaluate your specific symptoms and recommend a treatment option that addresses your unique needs.

Your doctor will know how best to address your eczema on a case-by-case basis. They are also a great resource for helping you identify your triggers, understand how eczema presents on your skin tone, and create a treatment plan tailored to you.

Mind Your Mental Well-Being

Stress is often overlooked but it’s a huge factor when it comes to eczema. Taking care of your mental health is essential for skin health. Meditation, relaxation techniques, and finding ways to cope with stress can surprisingly impact eczema management.

Conclusion

Eczema is a common yet challenging skin condition that affects millions of people. Understanding its types, symptoms, and triggers is crucial for effective management. While there is no cure, adopting good skincare habits and identifying personal triggers can significantly reduce flare-ups. NextCare Urgent Care is here to help. Our healthcare professionals can diagnose your condition, recommend effective treatments, and refer you to specialized care if needed.

 

Disclaimer: Treatment options are tailored to the patient’s current condition and the examples are to be used as possible treatment options. The actual treatment will be determined after an assessment performed by a medical professional. Additionally, procedures are recommended only after a comprehensive evaluation and a thoughtful determination of the most appropriate treatment options.

FAQs

Eczema is caused by a combination of genetic and environmental factors. These factors include a compromised skin barrier function and immune system dysfunction.

 

Common eczema triggers include dry air, harsh soaps, sweat, stress, allergens (like pollen or pet dander), and certain fabrics.

Eczema usually presents as dry, itchy patches of skin. The affected areas can appear red, inflamed, scaly, bumpy, or even have small fluid-filled blisters.

The 3-minute rule for eczema involves applying moisturizer within three minutes after bathing to lock in moisture and prevent the skin from drying out.

It is better to keep eczema moist. Moisturizing helps to protect the skin barrier, reduce dryness, and prevent flare-ups.

Stopping scratching can help prevent further skin damage and reduce the severity of eczema, but it does not make eczema go away completely.

Flaking can be a sign that eczema is healing, as it indicates the shedding of damaged skin and the beginning of new skin formation.

Eczema is a chronic condition, so while it can’t be completely cured, it can be managed effectively through various methods. Gentle skin care, moisturizers, avoiding triggers, and consulting a dermatologist for medication options, like topical steroids or oral antihistamines, can all help significantly reduce the symptoms and frequency of flare-ups.

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