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Eczema

WHAT YOU SHOULD KNOW

Eczema, known medically as atopic (a-TOP-ik) dermatitis (DER-muh-TIE-tis), is a long-term skin irritation. It can come and go for months or even years, and often accompanies other allergic problems such as asthma or hay fever. There is no cure for the problem, but the symptoms can be managed. The disease will not spread from person to person.

Causes

The cause of eczema is unknown. It tends to affect people with a family history of atopic dermatitis or other allergic problems. It can be brought on by stress, food, or other irritants. Certain chemicals and fabrics may also trigger the problem.

Signs/Symptoms

In young children, the problem surfaces as a red, itchy, oozing, crusted rash on the face, scalp, diaper area, arms, and legs. In older children and adults the rashes may appear as dry, red, scaly patches on the eyelids, neck, and wrists, and in the folds of the elbows and knees, neck, hands, feet, genital area (between the legs), and around the rectum.

Care

Medicine may be used to relieve the itching.

WHAT YOU SHOULD DO

  • To relieve itching and rash use the medication your doctor prescribed exactly as directed. Over-the-counter steroid creams may prove helpful, but check with your doctor before using any nonprescription medications.
  • To relieve the problem in young children, take the following steps:
    • Give the child short baths or showers (10 minutes) in warm water. You may add nonperfumed bath oil to the bath water. It is best to avoid soap; if necessary, use a nondrying soap. Do not use any soap on the rash itself. NEVER use bubble bath.
    • Immediately after a bath or shower, when the skin is still damp, apply a moisturizing cream to the entire body. This will seal in moisture and help prevent dryness.
    • Keep your child's fingernails cut short. Wash the youngster's hands often. Because scratching makes the rash and itching worse, you may need to put soft gloves or mittens on the child at night.
    • Dress the child in clothes made of cotton or cotton blends. Avoid wool and synthetic fibers. Don't dress your child too warmly.
    • Avoid feeding the youngster cow's milk, peanut butter, eggs, wheat or other foods that may cause flare-ups.
    • Keep the child away from anyone that has fever blisters. The virus that produces fever blisters can cause a serious skin infection in children with eczema.

Call Your Doctor If...

  • Itching interferes with sleep.
  • The rash gets worse or is not better after 7 days of treatment.
  • The rash develops pus or soft yellow scabs
  • A high temperature develops.
  • The rash flares up after contact with someone who has fever blisters.

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