Eczema Specialist

What is Eczema?

Eczema is a generic term for any type of itchy rash skin disorder or dermatitis. Eczema is characterized by itching and redness. Some forms will cause peeling, blistering or weeping of the skin.  Eczema is typically found on the insides of elbows and knees or on the face, but it can occur anywhere on the body. It is typically an allergic reaction and can cause irritation and inflammation anywhere on the body. It is not contagious, even with direct skin-to-skin contact. There is no cure for eczema, but it can be managed to improve the comfort and appearance of the patient.

What Causes Eczema?

Any number things could cause an outbreak, however the underlying cause is difficult to diagnose and doctors are not sure if it is inherited or if eczema has links to other allergic diseases like asthma.  Some common triggers include:

• Irritants like soaps, laundry detergents, disinfectants or juices
• Allergens such as dust mites, pets, pollen, mold, or dandruff
• Microbes including bacteria, viruses and fungi
• Coarse fabrics
• Extreme temperatures
• Food allergens
• Stress and hormones

What Treatments Are Available?

The doctor will recommend a regular skincare regime involving gentle soap free cleansers and a good moisturizer to keep the skin hydrated. It is important for the itching sensation to be treated so the patient can avoid scratching. Scratching can not only damage the skin but also spread infection.  Also, maintaining overall good health with a balanced diet, regular exercise and hobbies that help to reduce stress can help to manage outbreaks. The patient may also be asked to keep a diary to identify any triggers, which will lead to taking steps to avoid triggers. The doctor may prescribe topical cocortizoid or calcineurin inhibitors to reduce the itch and rash associated with an outbreak. In some instances, phototherapy might be helpful. Phototherapy can help to reduce itch and inflammation and increases vitamin D production and bacteria fighting cells in the skin.  Dr. Soleymani may also prescribe immunomodulators like cyclosporine in some cases.