of eczema comes and goes repeatedly, and usually occurs in people who have a genetic
(inherited) tendency to have allergies. In about 70 % of cases, either the patient
or a family member has allergic asthma, hay fever or food allergies. Atopic eczema
may appear early in life, usually between 2 months and 18 months of age. In babies,
atopic eczema usually affects the face, neck, ears and torso. In older children,
teenagers and adults, it usually involves the skin inside the creases of the inward
bend of the elbow, knee, ankle, or wrist joints, face, neck. The upper chest may
also be affected.
dermatitis can be of 2 types. Irritant contact dermatitis due to a direct irritation
of the skin or allergic contact dermatitis when an allergic reaction occurs in the
skin. Irritant contact dermatitis can be caused by prolonged contact with mild irritants
such as bubble bath, soap, sweat, etc. Allergic contact dermatitis only occurs in
people who have an allergy to a specific substance. For example sensitivity to metals
like nickel the skin beneath the watch belt and or ring, earring, may become inflamed.
Allergy can occur to wool or synthetic fibers, soaps and detergents, some perfumes,
dust, pollen, latex, cement, chemicals etc. Chemicals in fragrances, skin cream
and lotions, shampoos and shoes or clothing also can cause allergic reactions.
eczema is also very common. and presents like severe dandruff in adults and cradle
cap in babies, Babies tend to grow out of the cradle cap however in adult the scalp
eczema can be prolonged and can spread to adjoining areas of the face, ears, neck,
and a times to the chest.
may affect the backs of the hands, the palms or both. It usually starts as a mild
intermittent complaint, which can become increasingly severe and persistent. The
affected skin initially becomes red and dry, then progresses to itchy papules (bumps)
and fluid-filled blisters (vesicles), scaling, cracking (fissures), weeping (exudation)
and swelling (oedema). Bacterial infection can result in pustules, crusting and
pain. Long standing dermatitis at the ends of the fingers may result in deformed
nails. Hand dermatitis can spread to affect other sites, particularly the forearms
or Discoid eczema can affect any part of the body particularly the lower leg. It
is characterized by patches of eczema that are round or oval, hence the name 'discoid'
or 'nummular' dermatitis, which refers to their disc or coin shape. The patches
are pink, red, or brown, well defined and have a dry cracked surface or a bumpy,
blistered or crusted surface. Patches may vary in size from several centimeters
to as small as two millimetres. Discoid eczema may be extremely itchy, or scarcely
noticeable. The skin between the patches is usually normal, but may be dry and irritable.
Infantile or Baby Eczema:
patches are usually dry, red to brownish-gray, and may be scaly or thickened. The
intense, almost unbearable itching can continue, and may be most noticeable at night.
Some patients scratch the skin until it bleeds and crusts. When this occurs, the
skin can get infected.
Is a condition
found in the lower leg. People in their middle to late years are found most likely
to encounter this eczema. Poor circulation is suspected. The ankles are most often
affected and if the skin is left untreated, ulcers can develop.