Constitutional Eczema

Atopic eczema, also known as constitutional eczema, is a common skin condition characterized by dry, itchy, and inflamed skin. It affects both children and adults and can impact various parts of the body.

Symptoms

  • Red, dry, and flaky skin
  • Severe itching, especially at night
  • Rash in the form of bumps or blisters
  • Thickened skin due to repeated scratching
  • Cracked skin that may bleed
  • Skin infections may also occur
  • In children, often found in elbow creases, knee hollows, and the face

Causes
In atopic eczema, there is a combination of a poorly functioning skin barrier and an overly sensitive immune system in the skin. The poorly functioning skin barrier makes the overly sensitive immune system easily triggered by skin and environmental factors, leading to eczema.

Some causes include:

  • Age: Babies do not yet have a well-functioning skin barrier, which takes several years to develop optimally.
  • Hereditary Factors: Can occur in families with a history of eczema, asthma, or hay fever.
  • Allergens: Exposure to substances such as house dust mites, pollen, animal hair, or certain foods can worsen eczema.
  • Environmental Factors: Dry air, cold, heat, and sweat can cause or worsen symptoms.

Diagnosis
A doctor usually diagnoses atopic eczema based on symptoms and physical examination. Additional tests may be needed to rule out other skin conditions or identify allergens.

Treatment
Although there is no definitive cure for atopic eczema, there are various treatment options:

  1. Topical Corticosteroids: Ointments or creams containing corticosteroids can quickly reduce inflammation and itching.
  2. Restore Skin Barrier: Prevent skin dryness by avoiding warm water and using a good body lotion with ceramides daily.
  3. Antihistamines: These can be used to reduce itching and improve sleep.
  4. Avoid Allergens: Identify and avoid substances you are allergic to or that worsen your symptoms.
  5. Stress Management: Stress can worsen eczema, so it’s important to manage it through relaxation techniques.

Self-Care Tips

  • Moisturize: Use a good moisturizer daily to keep the skin hydrated.
  • Avoid Scratching: Keep nails short to prevent scratching and sores.
  • Warm Shower: Shower with lukewarm water and use mild, soap-free products.

Other

Always consult a doctor if you have symptoms of atopic eczema. A doctor can make an accurate diagnosis and develop a treatment plan tailored to your specific situation.

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Thomas Wiese
Admin
01/10/2025 11:01

this is really helpful :-)

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Consultation types

Walk-in Consultation

A walk-in consultation allows you to have a real-time video consultation with the doctor without a prior appointment. You will enter a virtual waiting room and the doctor will attend to you as soon as they are available.

E-mail advice

An email advice allows you to receive a professional assessment from a certified dermatologist via email within two working days. You will complete a questionnaire describing your skin concern, and the doctor will provide their evaluation and recommendations in writing.

Physical Consultation

A physical consultation involves an in-person visit to the doctor's clinic or designated location. You will have the opportunity to discuss your skin concerns face-to-face and receive a thorough examination and treatment plan.

Video Consultation

A video consultation enables you to have a remote appointment with the doctor via a secure video platform. This option provides convenience and flexibility, allowing you to discuss your skin concerns from the comfort of your own home.

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