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Eczema is a common skin condition that causes itchiness, rashes, dry patches, and infection. It's a type of dermatitis, which is a group of conditions that can inflame or irritate your skin. The most common type is atopic dermatitis or atopic eczema. “Atopic” means that you're more likely to get allergic conditions such as asthma and hay fever.
Eczema looks different for everyone. And your flare-ups won’t always happen in the same area.
No matter which part of your skin eczema affects, it's almost always itchy. The itching sometimes starts before the rash. Your skin may also be:
Eczema rash
One of the first signs of eczema is a rash that looks different on different individuals. For those with darker skin, the rash can be purple, brown, or gray. If you have a light skin tone, the rash can look pink, red, or purple.
Symptoms in infants
In infants, the itchy rash can lead to an oozing, crusting condition, mainly on the face and scalp. It can also appear on their arms, legs, back, and chest. Newborn babies can show symptoms within the first few weeks or months after birth.
Symptoms in children
Children and teens usually have a rash in the bends of their elbows, behind their knees, or on their necks, wrists, or ankles. The rash turns scaly and dry.
Symptoms in adults
The rash usually happens on your face, the backs of your knees, wrists, hands, or feet.
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Eczema treatment aims to ease and prevent itching, which can lead to infection.
Medications
Your doctor may also prescribe creams and ointments with corticosteroids to ease inflammation. If the area becomes infected, you’ll probably need antibiotics.
Other options include tar treatments (chemicals that reduce itching), phototherapy (using ultraviolet light), and the drug cyclosporine.
The FDA has warned doctors to use caution with Elidel and Protopic because of concerns over a cancer risk. The two products also carry the FDA's “black box” warning on their packaging to alert doctors and patients to these potential risks. The warning advises doctors to prescribe Elidel and Protopic for only a short time after other eczema treatments have failed in adults and children older than 2 years. It should not be used in kids younger than 2 years.
Other medication options for eczema include:
Eczema cream
Some moisturizing creams are not effective in treating eczema-prone skin. Some can even cause flare-ups. To protect and moisturize your skin, look for creams that are fragrance- and dye-free. Avoid ingredients such as citrus extract and lidocaine. The best creams are the ones that feel “greasy” because they contain more oil, which keeps moisture in and irritants out.
Eczema lotion
Lotions have more water than creams. Some contain preservatives that can irritate or burn the scratchy skin. Just like creams, lotions that are free of problematic ingredients are the safest and least irritating. Look for ingredients such as oat or shea butter, aloe, glycerin, hyaluronic acid, petrolatum, vitamin E, humectants, and niacinamide. Hypoallergenic products are a good choice.