Atopic Dermatitis (Eczema)

Atopic Dermatitis Symptoms

  • Itchy bumps, blisters or very dry skin
  • Appear as red to brownish-gray colored patches
  • May "weep" or leak fluid that crusts over when scratched
  • Eczema in infants often appears on the cheeks, forehead or scalp
  • Eczema in children and adolescents at the bend of the elbow joint, wrists, behind the knees and behind the ears
  • Might have extra crease, called a Dennie's line, across the lower eyelids.
  • img
  • img

Food allergies are very common in infants and children who have eczema,
which can be determined quickly with skin testing.

Diagnosis

Identifying the cause of the skin irritation is essential to relieving the symptoms. An allergist / immunologist will take a complete health history and may perform aeroallergen and food skin test to diagnose allergies that could be causing symptoms.

Treatment for Atopic Dermatitis (Eczema)

  • Avoid scratching or rubbing the rash. Scratching can cause bleeding, skin infections, or cause permanent damage to the skin, making thick leathery patches.
  • Try applying cold compresses and creams or ointments to help relieve the itch. Keeping your skin mosturized will help restore the skin barrier. Be sure to use moisturizing ointments and creams rather than lotions.
  • Avoid using soap products that contain sodium laurel sulfate.
  • Avoid triggers that cause a reaction. Your allergist will help you determine what these triggers are.
  • Your allergist may also prescribe medications as an allergy treatment for your eczema symptoms:
    • Topical corticosteroid cream medications and topical calcineurin inhibitors are most effective in treating the rash.
    • Antihistamines are often recommended to help relieve the itchiness. Oral corticosteroids are sometimes prescribed in severe cases.
    • Anitbiotics may be prescribed if a skin bacterial infection is suspected as a trigger for your eczema flare-up.

These skin allergy treatment and management strategies can relieve social challenges as well. People with eczema, especially children, are sometimes ignored or singled out by others who believe the rash is contagious.

How We Can Help

Dr. Judge may begin by taking a detailed history, looking for clues in your lifestyle that will help pinpoint the cause of your symptoms. You'll be asked about your work and home environments, your eating habits, your family's medical history, the frequency and severity of your symptoms, and miscellaneous matters, such as if you have pets. Then, you may require some tests. Skin testing is the easiest, most sensitive and generally least expensive way of making the diagnosis. Another advantage is that results are available immediately. In rare cases, it also may be necessary to do a special IgE allergy blood test for specific allergens.

 

American Academy of Allergy Asthma and Immunology
American College of Allergy, Asthma, and Immunology