Medically reviewed on May 14, 2018
Dermatitis is a skin inflammation. Eczema is the most common type of dermatitis.
Eczema first appears as an episode of itching and redness of the skin. You also may have tiny bumps or blisters.
When eczema develops into a long-term condition, it is called chronic eczema. This leads to:
Thickening of the skin
There are many types of eczema. The type depends on the cause, shape and location of the rash.
Most eczemas are related to allergies or to contact with irritating substances. Some are associated with fluid retention in the legs.
Following are types of eczema:
Atopic eczema (atopic dermatitis) This type of eczema comes and goes repeatedly. It usually occurs in people with an inherited tendency to allergies. These allergies may include allergic asthma, hay fever or food allergies.
Atopic eczema appears early in life, usually by 18 months. In babies, atopic eczema primarily affects the:
Atopic eczema in older children, teenagers and adults usually involves the:
Contact dermatitis When irritants touch the skin, they can produce two types of contact dermatitis. Irritant contact dermatitis is the direct irritation of the skin. It can be caused by prolonged contact with irritants such as:
The second type of contact dermatitis is allergic contact dermatitis. This is an allergic reaction in the skin. This type occurs in people who have an allergy to a specific substance. The most common allergens are poison ivy, poison oak and poison sumac.
Other substances that can trigger skin allergies include:
Some building materials
Nickel in earrings
Skin cream and lotions
Hand eczema Hand eczema is limited to the hands. It can be related to atopic eczema. Or it can result from repeated hand washing or exposure to strong detergents. Occasionally, it is caused by an allergy, such as to latex.
Nummular eczema This eczema causes coin sized patches of irritated skin. It typically appears on the legs, arms or chest. It usually occurs in adults. It can be related to atopic dermatitis and, less often, allergic contact dermatitis.
Sometimes, it is an allergic reaction to a fungal infection such as athlete’s foot. It still appears on the arms, legs or chest, even if the fungal infection is elsewhere on the body.
Asteatotic eczema This eczema dries the skin, causing fine cracks. It often first involves the lower legs. It commonly occurs in the elderly. It is common during winter months spent indoors in low humidity environments.
Stasis dermatitis This type appears on the calves, ankles and feet. It occurs in people who have poorly functioning veins in the lower legs. The veins cause blood to collect in the legs (stasis). This leads to leg swelling, which leads to the signs of stasis dermatitis:
Lichen simplex chronicus This eczema is a reaction to repeated scratching or rubbing of the skin. A nervous scratching habit can lead to thickened, discolored skin. Skin picking can lead to smaller bumps of the same type of rash.
Seborrheic dermatitis This type creates a greasier rash than usual for eczema. This scaly dermatitis commonly appears on the scalp of infants (as cradle cap). In adults, it appears as dandruff. It commonly affects the face or neck around the nose and at the scalp line.
Short-term symptoms of eczema include itchy skin, redness and tiny bumps or blisters.
If these symptoms remain untreated, the skin can become thick, scaly and dry. There can be areas of hair loss and color changes. Skin affected by long-term eczema is more vulnerable to secondary infections.
Each type of eczema has specific characteristics and patterns of symptoms:
Atopic eczema (atopic dermatitis) Atopic dermatitis appears as irritated, red, dry, crusted patches on the skin. If the skin becomes infected, it may develop a wet (weeping) look. Scratching the itchy patches causes more irritation. It increases the risk of infection.
Contact dermatitis When an irritant causes contact dermatitis, symptoms can range from a mild redness to severe skin blistering or ulceration.
When triggered by an allergic reaction, it usually causes skin redness, fine red bumps or blisters and severe itching.
A reaction caused by plant allergies (like poison ivy or poison oak) is usually intense. It appears as bumps and blisters in lines or streaks where the plant brushed against the skin.
Hand eczema Hand eczema usually appears during the winter as patches of dry, cracked skin. There may or may not be redness. Hand eczema may also cause itching, red bumps or blisters and scaling. Irritation often occurs under rings from soap trapped under the rings.
Nummular eczema Nummular eczema begins as small areas of irritation. They turn into round red, crusted or scaly patches.
Asteatotic eczema This type usually occurs on the lower legs. It causes itching or stinging pain in areas of dry, cracked, reddened skin. There may or may not be tiny bumps.
Stasis dermatitis Stasis dermatitis occurs in legs that are already puffy or swollen. It usually begins with mild redness and itching of the lower legs. If redness and tenderness develop suddenly, it could be caused by a secondary bacterial infection. Bacterial infections require immediate medical attention.
Lichen simplex chronicus This rash creates thickened, leathery skin with darkening of skin color. It is very itchy. Scratching makes the problem worse.
Seborrheic dermatitis Seborrheic dermatitis causes red, scaly patches with yellow, greasy crusts. These patches can be itchy or can cause burning.
Patches appear most commonly on the scalp as dandruff. But they also can occur elsewhere on the body. They may appear on the eyebrows, eyelids, ears and skin creases near the mouth and nose.
Scalp lesions in infants (cradle cap) can appear yellowish and greasy. They usually cause no discomfort.
Depending on your pattern of skin symptoms, your doctor will ask about your:
Personal and family allergy history
History of exposure to irritating chemicals
Contact with potential allergy triggers, such as poison ivy
In many cases, your doctor can diagnose eczema by examining the skin.
If your doctor suspects that allergies are involved, patch testing with various allergy-causing chemicals may be necessary.
Duration depends on the type of eczema. Symptoms may go away after a week or two. Or they may persist for years.
There are many things you can do to prevent or reduce eczema flare-ups.
Avoid exposure to:
Use blankets and clothing made of cotton. Avoid more irritating fabrics, such as wool. Avoid stiff synthetics, such as polyester.
After showering or bathing, pat dry (rather than rub). That way, you leave a little moisture on your skin. Then apply a moisturizing cream or lotion to trap moisture in the skin.
Use a humidifier to add moisture to indoor air during the winter heating season.
To help to prevent contact dermatitis, avoid skin contact with:
Dish detergent, cleaning solutions, and other irritating chemicals
Substances that trigger skin allergies
If you have leg swelling, you can help prevent stasis dermatitis by:
Your doctor should review your skin care routine. Your doctor can ensure you are doing everything possible to prevent symptoms.
But sometimes eczema remains bothersome despite these measures.
Your doctor may prescribe a corticosteroid ointment or cream. In atopic dermatitis, mild or medium strength topical steroids generally are used. These are applied to the affected areas of the skin.
Strong steroids and oral antihistamines may be needed to treat allergic contact dermatitis.
If there are signs of bacterial skin infection, oral antibiotics usually are needed.
Sometimes, in very severe cases of eczema, your doctor will prescribe a short course of oral steroids or stronger immunosuppressants. However, these medications can have serious side effects. They must be used cautiously.
In some people, treatment with ultraviolet (UV) light is another option.
Seborrhea in adults is best treated with dandruff shampoo. Occasionally prescription antifungal facial creams or rinses may be needed.
Cradle cap in infants eventually clears up without treatment. However, it can last several months. The crust usually can be loosened. To do so, apply baby oil to the scalp 30 to 60 minutes before brushing with a soft brush. Then wash with baby shampoo.
When treating a contact allergy in a child, avoid topical treatments containing antihistamines. Skin reactions can occur.
Call your doctor if you have an area of skin that is red and very itchy. Also call if your skin is cracked, blistered or painfully dry.
Ask your doctor for an urgent evaluation if you have signs of infection. These include an area of skin that:
The prognosis varies from person to person. It depends on the type of eczema and its response to treatment.
Most contact dermatitis heals within two to three weeks. Most stasis dermatitis lasts for years.
About half of children with atopic eczema still have the problem as adults.
National Eczema Foundation4460 Redwood Highway, Suite 16DSan Rafael, CA 94903-1953Phone: (415) 499.3474Toll-Free:(800) 818-7546Fax: (415) 472-5345http://www.nationaleczema.org
National Institute of Arthritis and Musculoskeletal and Skin DiseasesInformation ClearinghouseNational Institutes of Health1 AMS CircleBethesda, MD 20892-3675Phone: (301) 495-4484Toll-Free: (877) 226-4267Fax: (301) 718-6366TTY: (301) 565-2966http://www.niams.nih.gov/
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.
See the article here:
Eczema Guide: Causes, Symptoms and Treatment Options
- Eczema: Symptoms, treatment, and causes - August 14th, 2018
- Atopic dermatitis (eczema) - Symptoms and causes - Mayo Clinic - August 14th, 2018
- Eczema Treatment, Home Remedies, and Causes - August 14th, 2018
- Eczema Types, Treatment, Home Remedies & Symptoms - August 14th, 2018
- Eczema Guide: Causes, Symptoms and Treatment Options - August 14th, 2018
- National Eczema Association | Your Online Eczema Resource - August 14th, 2018
- Eczema Types, Treatment, Home Remedies & Symptoms - August 13th, 2018
- Eczema: Definition, Causes, Treatments, and Pictures - August 13th, 2018
- Eczema: Symptoms, treatment, and causes - August 13th, 2018
- Eczema Treatment, Home Remedies, and Causes - August 9th, 2018
- Eczema (Atopic Dermatitis) Causes, Symptoms, Treatment - August 7th, 2018
- How I Treated My Eczema - Read My Story - August 7th, 2018
- Eczema - KidsHealth - August 7th, 2018
- The 3 Stages of Eczema and Their Causes - August 6th, 2018
- Children And Eczema - ACAAI Public Website - August 6th, 2018
- Eczema (Atopic Dermatitis) | Symptoms & Treatment | ACAAI ... - August 6th, 2018
- Eczema | Christiane Northrup, M.D. - August 6th, 2018
- Atopic dermatitis (eczema) - Symptoms and causes - Mayo Clinic - August 6th, 2018
- Dermatitis - Wikipedia - August 3rd, 2018
- List of Eczema Medications (156 Compared) - Drugs.com - August 2nd, 2018
- Targeting Eczema Triggers | Everyday Health - August 2nd, 2018
- Vitamin D and eczema - August 2nd, 2018
- Dyshidrotic eczema | American Academy of Dermatology - July 30th, 2018
- Eczema - kidshealth.org - July 30th, 2018
- Eczema Symptoms & Causes | National Eczema Association - July 29th, 2018
- Atopic dermatitis (eczema) - Diagnosis and treatment - Mayo ... - July 27th, 2018
- What is eczema? | American Academy of Dermatology - July 27th, 2018
- What is Eczema? | NEOSPORIN - July 27th, 2018
- Eczema (Atopic Dermatitis) | AAFA.org - July 24th, 2018
- Eczema herpeticum: Symptoms, diagnosis, and treatment - July 24th, 2018
- Atopic dermatitis - Wikipedia - July 24th, 2018
- Our Miracle Treatment for Eczema - The Hill Hangout - July 15th, 2018
- Eczema: The Autoimmune Disease Everyone Seems To Be ... - July 15th, 2018
- Home Remedies for Eczema - Treatment & Cure - Natural ... - July 8th, 2018
- No more sleepless nights! How to stop itchy eczema - July 8th, 2018
- DIY Homemade Eczema Cream - Kula Mama - July 8th, 2018
- Psoriasis vs. eczema: Differences in symptoms and treatment - July 4th, 2018
- Make Your Own Eczema Cream - Dr. Axe - July 3rd, 2018
- Atopic dermatitis (eczema) - Symptoms and causes - June 23rd, 2018
- 13 Good Foods for Eczema Sufferers - Top Eczema Treatments - June 16th, 2018
- Eczema on face: Best creams and what to avoid - June 16th, 2018
- Atopic dermatitis | American Academy of Dermatology - June 9th, 2018
- Thinking Moms Guide to Red Flags Eczema - June 9th, 2018
- Childhood Eczema How To Treat Eczema In Children - June 9th, 2018
- Dermatitis - Symptoms and causes - Mayo Clinic - May 30th, 2018
- Eczema Causes What Causes Eczema? - May 21st, 2018
- Eczema On Face Facial Eczema Treatment - May 21st, 2018
- 10 Home Remedies for Eczema - eczema.net - May 11th, 2018
- Eczema Overview, Symptoms and Treatment - Health.com - May 3rd, 2018
- Eczema Healing with Natural Remedies - April 22nd, 2018
- Atopic dermatitis (eczema) - Mayo Clinic - April 12th, 2018
- My Struggle With Eye Eczema & My Miracle Cream. | Lux Life ... - April 7th, 2018
- Atopic dermatitis (eczema) - Diagnosis and treatment ... - March 31st, 2018
- Eczema Treatment, Home Remedies, and Causes - eMedicineHealth - March 21st, 2018
- Eczema | EVA Homoeopathy - March 7th, 2018
- Eczema - Canadian Dermatology Association - March 6th, 2018
- Eczema & Dermatitis - Dr. Adrian Morris | Allergy Clinic - March 5th, 2018
- Atopic dermatitis (eczema) Symptoms - Mayo Clinic - February 5th, 2018
- Atopic dermatitis | DermNet New Zealand - February 3rd, 2018
- Eczema - Atopic Dermatitis | Eczema Treatment & Symptoms - January 28th, 2018
- Eczema | University of Maryland Medical Center - December 25th, 2017
- Eczema Information from Drugs.com - December 20th, 2017
- About Eczema : National Eczema Society - December 18th, 2017
- eczema.net - December 13th, 2017
- Topical Steroids : National Eczema Society - December 10th, 2017
- Atopic Dermatitis & Eczema - American Academy of Dermatology - December 3rd, 2017
- List of Eczema Medications (162 Compared) - Drugs.com - December 1st, 2017
- eczema in children - ACAAI Public Website - December 1st, 2017
- How To Prevent Eczema Flare-Ups In Winter | Women's Health - December 1st, 2017
- Eczema Facts Eczema Association of Australasia Inc - December 1st, 2017
- 3 Natural Remedies for Eczema - verywell.com - December 1st, 2017
- Eczema - Medical Disability Guidelines - December 1st, 2017
- How to Heal Eczema Naturally Through Diet - December 1st, 2017
- Eczema - British Skin Foundation - December 1st, 2017
- 10 Home Remedies for Eczema - Health - December 1st, 2017
- DYSHIDROTIC ECZEMA - Eczema Treatment - December 1st, 2017
- Vitamin D Council | Vitamin D and eczema - December 1st, 2017
- eczema, itchy skin - allergy - December 1st, 2017
- Dermatitis (eczema). DermNet NZ - DermNet New Zealand - December 1st, 2017
- AbbVie's positive eczema study drags down Regeneron's shares - Reuters - September 7th, 2017