The term 'eczema' is used in two different
ways. It can be used widely to describe any rash-like skin conditions. It is
usually used specifically to refer to the most common type of these skin
conditions: atopic dermatitis.
Atopic dermatitis is a chronic skin condition
that commonly starts during infancy and continues through into childhood. Some
people outgrow the condition while some people will continue to have it into
adulthood.
There are
many different types of eczema.
·
Allergic
contact eczema (dermatitis) - a reaction where the skin has come into contact
with a substance that the immune system recognizes as foreign
- Contact eczema - a localized reaction where the skin has come into
contact with an allergen
- Dyshidriotic eczema - irritation of skin on palms of hands and soles
of feet, characterized by blisters
- Neurodermatitis - scaly patches of skin on head, forearms, wrists,
lower legs caused by localized itch such as an insect bite
- Nummular eczema - circular patches of irritated skin that can be
crusted, scaling and itchy
- Seborrheic eczema - oily, scaly yellowish patches of skin, usually
on scalp and face
- Stasis dermatitis - skin irritation on lower legs,
usually related to circulatory problems.
Causes
The specific cause of eczema remains unknown,
but it is believed to develop due to a combination of hereditary and
environmental factors.
Children are more likely to develop eczema if
a parent has had it or another atopic disease. If both parents have an atopic
disease, the chances increase further.
Environmental
factors are also known to bring out the symptoms of eczema. These include:
- Irritants: soaps, detergents, shampoos,
disinfectants, juices from fresh fruits, meats or vegetables
- Allergens: dust mites, pets, pollens, mold, dandruff
- Microbes: bacteria such as Staphylococcus
aureus, viruses, certain fungi
- Hot and cold temperatures: hot weather, high and low
humidity, perspiration from exercise
- Foods: dairy products, eggs, nuts and seeds, soy products, wheat
- Stress: it is not a cause of eczema but
can make symptoms worse
- Hormones: women can experience worsening of
eczema symptoms at times when their hormone levels are changing, for
example during pregnancy and at certain points in their menstrual cycle.
Symptoms
of eczema
Atopic dermatitis commonly manifests itself
in infants with dry and scaly patches appearing on the skin. These patches are
often intensely itchy. The symptoms of atopic dermatitis can vary,
depending on the age of the person with the condition.
Most people develop atopic dermatitis before
the age of 5. Half of people who develop the condition in
childhood continue to have symptoms of it as an adult, though these symptoms
are often different to those experienced by children.
People
with the condition will often experience periods of time where their symptoms
will flare up or worsen, followed by periods of time where their symptoms will
improve or clear up.
Infants:
- Rashes commonly appear on scalp and cheeks
- Rashes usually bubble up before weeping fluid
- Rashes can cause extreme itchiness, which may lead to trouble
sleeping. Continuous rubbing and scratching can lead to skin infections.
Children,
from 2 years old to puberty:
- Rashes commonly appear behind the creases of elbows or knees
- Also common on neck, wrists, ankles, crease between buttock and
legs.
Over time, the following symptoms can
manifest:
- Rashes can become bumpy, like goosebumps
- Rashes can lighten or darken in color
- Rashes can thicken (also known as lichenification) and then develop
knots and a permanent itch.
Adults:
- Rashes commonly appear in creases of elbows or knees or nape of neck
- Rashes cover much of the body
- Rashes can be especially prominent on neck, face and around the eyes
- Rashes can cause very dry skin
- Rashes can be permanently itchy
- Rashes can cause scaly skin (more scaly than in children)
- Rashes can lead to skin infections.
Adults who developed atopic dermatitis as a
child but no longer experience the condition, can still experience dry or
easily irritated skin, hand eczema and eye problems.
The appearance of skin affected by atopic
dermatitis will depend on how much a person scratches and whether the skin is
infected. Scratching and rubbing irritates the skin further, increases
inflammation and makes itchiness worse.
Skin
features associated with atopic dermatitis:
- Atopic pleat - an extra fold of skin that develops under the eye
- Cheilitis - inflammation of the skin on and around the lips
- Hyperlinear palms - increased number of skin creases on the palms
- Hyperpigmented eyelids - eyelids that have become darker in color
from inflammation or hay fever
- Ichthyosis - dry, rectangular scales on the skin
- Keratosis pilaris - small, rough bumps, generally on the face, upper
arms and thighs
- Lichenification - thick, leathery skin resulting from constant
scratching and rubbing
- Papules - small raised bumps that may open when scratched and become
crusty and infected
- Urticaria - hives (red, raised bumps) that may
occur after exposure to an allergen, at the beginning of flares, or after
exercise or a hot bath.
Remedies
for Eczema
1.
Coconut Oil
Coconut oil
is one of the most popular remedies for eczema. It has antifungal,
antibacterial, antimicrobial and antioxidant properties.
Plus, it is
a storehouse of healthy vitamins and nutrients, such as lauric acid and
vitamins K and E, that help combat itchiness and soothe the skin. For best results,
use unrefined, virgin, cold-pressed coconut oil.
- Apply coconut oil directly on the
affected skin several times a day to get instant relief from itching or
mild pain. Continue for as many days as needed until the symptoms are gone
completely.
- You can also consume two to four
tablespoons of coconut oil daily to help alleviate eczema symptoms and
improve your overall immunity. You can simply swallow the coconut oil or
add it to your foods or drinks.
2.
Colloidal Oatmeal
Colloidal
oatmeal (very finely ground oatmeal) can be very effective in treating eczema.
It contains anti-irritating, anti-inflammatory and soothing properties that
ease itchiness and reduce pain.
- Add one to two cups of colloidal
oatmeal to a bath tub filled with lukewarm water. Soak in it for at least
15 to 20 minutes. Pat dry your skin gently, and then apply a mild
moisturizer.
- Alternatively, add one tablespoon of
cold milk to two tablespoons of colloidal oatmeal to make a thick paste.
Apply this paste on the affected area, massaging gently for a minute.
Allow the paste to sit for 15 to 20 minutes, and then rinse it off with
cool water.
Repeat
either of these remedies three or four times a week for a few months to notice
improvement.
3.
Turmeric
Turmeric has
been used extensively in the treatment of different skin disorders, including
eczema. A study published in the June 2010 issue of Journal of Drugs in
Dermatology found that turmeric, among other herbs, is beneficial in skin care
due to its antioxidant qualities.
Plus,
curcumin, the active ingredient present in turmeric, has anti-inflammatory and
bactericidal properties that help treat inflammation and itching.
- Mix one-half teaspoon of turmeric
with enough milk to make a paste. Apply this paste on the affected skin
twice daily until the redness and itchiness is gone.
- Alternatively, you can add one-half
teaspoon of turmeric to one cup of boiling water and let it simmer for 10
minutes. Allow it to cool. You can drink it or use it to wash the affected
area.
Repeat
whichever option suits you two or three times a day until you get relief.
4. Indian
Lilac
Indian
lilac, also known as neem, is another great remedy for eczema. Studies have
shown that neem has antibacterial, analgesic, anti-inflammatory and
antimicrobial properties that can relieve eczema symptoms like dryness, pain,
redness, swelling and inflammation.
Plus, neem
oil is a good source of essential fatty oils and vitamin E that help keep the
affected skin moisturized. Both neem leaves and neem oil can be used to treat
eczema.
- Grind together one tablespoon each of
turmeric root, neem leaves and sesame oil into a fine paste. Apply it on
the affected areas, let it air dry, and then rinse it off with warm water.
Use this treatment once daily for a few months.
- Alternatively, you can add a few drops
of neem oil to warm bath water and soak in it for no longer than 20
minutes. Pat dry your skin and apply some light moisturizer. Use this
treatment once daily for one or two months.
5. Aloe
Vera
Aloe vera
has several properties that make it an effective treatment for eczema. It has
anti-inflammatory properties that help soothe the itching as well as the
burning sensation. Plus, its antimicrobial properties help prevent further skin
infection. Also, aloe vera helps hydrate the skin and keep the area
moisturized.
- Extract the gel from a fresh aloe
leaf. You can also add a few drops of vitamin E oil in the aloe gel.
- Apply the gel directly on the affected
skin.
- Allow it to dry on its own, and then
rinse it off with warm water.
- Use this simple treatment twice daily
for several weeks.
6. Epsom
Salt
Epsom salt
is another soothing home treatment for serious skin conditions like eczema. The
magnesium sulfate present in Epsom salt has anti-inflammatory properties that
help reduce inflammation and relieves itching.
Also, Epsom
salt promotes the removal of toxins from the body and
its antimicrobial effect helps reduce the inflamed eczema
lesions.
- Mix one to two cups of Epsom salt in
a bath tub filled with warm water.
- Mix in 10 to 15 drops of lavender
essential oil.
- Soak in it for 15 to 20 minutes.
- Pat dry your skin and apply some
moisturizer.
- Do this up to three times per week.
Note: Epsom
salt baths are not recommended for people who have heart problems, high blood
pressure or diabetes.
7.
Chamomile
Chamomile is
another popular remedy for eczema. The herb has flavonoids that have
anti-inflammatory properties, which help reduce itching, inflammation, swelling
and redness.
- Add one tablespoon of dried chamomile
flowers to one cup of boiling water. Let it steep for at least 15 minutes.
Strain and allow the solution to cool. Soak a clean piece of cloth in it
and place it on the affected skin for 10 to 15 minutes. Use this
treatment three times a day until symptoms subside.
- Alternatively, you can mix a few drops
of chamomile essential oil in one teaspoon of olive oil. Apply it on
the affected area and massage gently for five to 10 minutes. Repeat at
least twice daily until the problem is solved.
8.
Sandalwood
Sandalwood
is extensively used in Ayurveda to treat many skin problems, including eczema
as it has soothing, cooling, antimicrobial and anti-inflammatory
properties that help soothe irritated and dry skin. Plus, sandalwood can help clear
up eczema scars.
- Mix one teaspoon each of sandalwood
powder and camphor with sufficient rose water or just plain
water to make a thick paste.
- Apply this paste on the affected skin.
- Allow it to sit for 10 minutes, and
then rinse it off with lukewarm water.
- Repeat twice daily for a month
REMEMBER
Eczema
outbreaks can sometimes be avoided or the severity lessened by following these
simple tips.
- Moisturize frequently.
- Avoid sudden changes in temperature
or humidity.
- Avoid sweating or
overheating.
- Reduce stress.
- Avoid scratchy materials, such as
wool.
- Avoid harsh soaps, detergents, and
solvents.
- Be aware of any foods that may cause an outbreak and avoid those foods.