Eczema - self-care
Eczema is a chronic skin disorder that involves scaly and itchy rashes. Atopic dermatitis is the most common type.
Atopic dermatitis is due to a hypersensitive reaction (similar to an allergy), leading to long-term inflammation of the skin.
Taking care of your skin at home may reduce the need for medications.
Try not to scratch the rash or your skin in the inflamed area.
Antihistamines taken by mouth may help with itching if you have allergies. Often you can buy them over-the-counter. Some antihistamines can cause sleepiness. But they may help with scratching while you sleep. Newer antihistamines cause little or no sleepiness. These include:
Keep the skin lubricated or moisturized. Use ointment (such as petroleum jelly), cream, or lotion 2 to 3 times a day. Moisturizers should be free of alcohol, scents, dyes, fragrances, or other chemicals. Having a humidifier in the home may also help.
Moisturizers and emollients work best when they're applied to skin that is wet or damp. After washing or bathing, pat the skin dry and then apply the moisturizer right away.
Different types of emollients or moisturizers may be used at different times of the day. For the most part, you can apply these substances as often as you need to keep your skin soft. Avoid anything that makes your symptoms worse. This may include:
When washing or bathing:
The rash itself, as well as the scratching, often causes breaks in the skin and may lead to infection. Keep an eye out for redness, warmth, swelling, or other signs of infection.
Topical corticosteroids are medicines used to treat conditions where your skin becomes red, sore, or inflamed. "Topical" means you place it on the skin. Topical corticosteroids may also be called topical steroids or topical cortisones.
Topical steroids contain a hormone that helps "calm" your skin when it is swollen or inflamed. Your doctor will tell you how much of this medicine to use and how often. Do not use more medicine or use it more often than your doctor tells you to.
Your doctor may give you other medicines to use on your skin or take by mouth. Be sure to follow the directions carefully.
Call for an appointment with your doctor if:
Breternitz M. Placebo-controlled, double-blind, randomized, prospective study of a glycerol-based emollient on eczematous skin in atopic dermatitis: biophysical and clinical evaluation. Skin Pharmacol Physiol. 2008 Jan; 21(1): 39-45.
Wollenberg A, Schnopp C. Evolution of conventional therapy in atopic dermatitis. Immunology and Allergy Clinics of North America. 2010 Aug; 30(3).
Updated by: Richard J. Moskowitz, MD, Dermatologist in Private Practice, Mineola, NY. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Bethanne Black, and the A.D.A.M. Editorial team.
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