Dermatologist Windsor - Dermatitis or inflammation of the outer layer of the skin known as the epidermis is referred to as eczema. The word literally means "to boil over", in the Greek language. Nearly 1 in 9 people in the UK have been diagnosed with eczema at some point in their lives. In some languages, the terms eczema and dermatitis are synonymous and often the two conditions are classified together. In other languages, the word eczema implies a chronic condition and dermatitis implies an acute one.
The term "eczema" covers various persistent skin conditions. These consist of recurring skin rashes and dryness that have associated symptoms of itching, dryness, flaking, crusting, bleeding, oozing, skin oedema or swelling and blistering. Every so often, temporary skin discoloration may result. As well, scratching open a lesion that is in the healing process could enlarge the rash and can lead to possible scarring.
Describing the symptoms of eczema can be quite confusing. The descriptions can consist of the possible cause, the specific appearance or the location. Lots of sources likewise utilize the terms atopic dermatitis that is the most common type of eczema and the term eczema interchangeably with may add to the confusion.
These classifications are ordered by the frequency of incidence.
Atopic eczema, that is likewise known as flexural eczema, atopic dermatitis or infantile eczema, is an allergic disease believed to have a hereditary component. Atopic eczema is prominent in families with people who also have asthma. There tends to be an itchy rash which develops on the head and scalp, the inside of elbows, behind the knees and on the buttocks. This kind of eczema is rather common in developed nations. It could be tricky to distinguish between irritant contact dermatitis.
The categories which contact dermatitis falls into is allergic and irritant. Irritant dermatitis may be caused to particular irritants consisting of detergents such as sodium lauryl sulphate. Allergic dermatitis can take place as a result of a delayed reaction to some allergen like for example nickel or poison ivy. Wet cement is an example of a substance which acts as both an irritant and an allergen. Phototoxic dermatitis can happen with other substances after exposure to sunlight. Roughly three quarters of contact eczema cases are the irritant kind. This is the most common occupational skin disease. If traces of the offending substance could be removed from one's environment and avoided, contact eczema can be curable.
This particular form of eczema will be worse during dryer winters and effects the limbs and the trunk more. It goes by various names, like xerotic eczema or craquele eczema, winter itch, asteatotic eczema, pruritus hiemalis or craquelatum eczema. The itchy, tender skin resembles a dry and cracked river bed. This condition is very popular among older individuals. A related disorder is Ichthyosis.
Infants normally have a condition of Cradle cap, or Seborrheic or Seborrhoeic dermatitis. This condition could also be classed as a type of eczema connected closely to dandruff. It causes a greasy or dry peeling of the scalp and could also affect the eyebrows, face and occasionally the trunk. This is considered a harmless condition except in severe conditions of cradle cap. In newborns, it presents as a crusty, thick, yellow scalp rash which is known as cradle cap. This condition has been associated to a lack of biotin and is generally curable.
Less Common Forms of Eczema
Dyshidrosis is one more kind of eczema which likewise goes under the names of dyshidrotic eczema, pompholyx eczema, vesicular palmoplantar dermatitis or housewife's eczema. This specific condition usually shows up on the palms, soles and sides of fingers and toes. It presents with small opaque bumps referred to as vesicles, thickening skin and cracks are accompanied by itching that worsens at night. This is a common kind of hand eczema and it becomes worse during warm weather.
Venous e., Discoid e., Duhring's Disease or DermaDermatitisetiformis, Autoeczematization and Neurodermatitis are other less common kinds of eczema, which are overlaid by viral infections. Some eczemas result from underlying disease, as in lymphoma for example. There are several other rare eczematous disorders which exist in addition to these also.
Various professionals have attributed eczema to the hypothesis of hygiene. The cause of eczema, based on this particular theory is asthma and other allergic diseases is because of a very clean surrounding. This theory is supported by epidemiologic research meant for asthma that states that during development it is vital to be exposed to bacteria and immune system modulators and thus, missing out on this exposure increases the possibility for asthma and allergy.
Another theory suggested is that eczema is an allergic reaction to the excrement from house dust mites. Although 5 percent of people show antibodies to the mites, the hypothesis awaits further corroboration.
Most often the diagnosis of eczema consists mostly on history and physical examination. Nonetheless, various cases could need a skin biopsy.
Because of the possibility of developing eczema vaccinatum, people who have eczema should not be given the smallpox vaccination. This is a potentially sever and sometimes fatal complication.
Because there is no common cure for eczema, general treatments comprise the control of signs by relieving the itching and reducing the inflammation. Medications which are offered consist of corticosteroids, hydrocortisone, injectable or oral corticosteroids. These come with several potential side effects, most commonly thinning the skin, even though there is ongoing research in this particular area. Usually, these steroids are to be used really carefully and a little goes a long way.
Due to probable risk of lymph node cancers and skin cancers, a public health advisory has been issued by the FDA on utilizing immunomodulators. Various expert medical organizations disagree with the FDA findings.
Some severe cases of eczema are treated with immunosuppressant drugs. These are sometimes prescribed and could yield dramatic improvements to the patient's eczema but as they dampen the immune system, they can have major side effects. In order to be on this type of therapy, patients be carefully monitored by a medical doctor and undergo blood tests regularly.
utilizing antihistamine and other anti-itch drugs could help in the treatment of the itching factor of eczema. By initiating a sedative effect, these work to reduce irritation and damage to the skin. Several popular sedating antihistamines include Phenergan or Benadryl. Moisturizers are also applied to the skin so as to help the soothing and healing purpose. Capsaicin applied to the skin acts as a counter irritant and hydrocortisone cream is likewise utilized, however, numerous health food stores offer some preparations along with tea tree oil and essential fatty acids as an alternative.
A lot of patients have found fast acting relief by applying cool water via a bath, swimming or a wet washcloth. utilizing an icepack wrapped in a soft cloth or even utilizing air blowing from an air conditioning vent has proven soothing.
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