Ask the dr
Eczema, or atopic dermatitis (AD), is a chronic inflammatory skin condition characterised by itchy patches of red, scaly rash. It is common in infants, children and young adults. AD typically affects the face, scalp, inside of elbows, knees, ankles and hands. It often accompanies other allergic conditions, such as asthma and hay fever. Symptoms can be worsened by temperature changes and dry climates, as well as stress. In some cases, certain soaps or detergents, metals, dust mites, and animal dander can trigger eczema. Dermatologists usually treat eczema with topical steroids or calcineurin inhibitors, but I believe these agents suppress the problem and may worsen it over time. Side effects are common and the long-term safety of these medications remains in doubt.
My patients find that simple measures can provide relief. Avoid triggers that seem to make your symptoms worse. Bathe or shower as quickly as possible with warm, not hot, water. Use non-perfumed moisturising soap sparingly and apply a hypoallergenic moisturising cream after patting yourself dry – don’t rub skin with the towel. Aloe vera gel, calendula lotion, and topical preparations of chaparral plant may be helpful, as well as topical virgin coconut oil.