Atopic Eczema

Atopic eczema is becoming steadily more common. Among those born before 1960 the reported frequency is only about 2%, but it rises to between 9 and 20% in those born after 1970. The reason for the increase is still a mystery: it may be a real effect due to living in a more protected environment, or simply the result of better recognition of the condition, or perhaps both. Eczema is common among small children. It is often suggested that the cause may be diet intolerance, but this is probably rarely so.

 

Eczema is made worse by scratching, and the facial eczema that is common among babies and toddlers is also worsened by dribbling.

Treatment

A family doctor can advise on managing eczema, but long-term commitment to skin care will be needed. Eczematous skin requires constant moisturising, and harsh soaps should be avoided. Careful use of steroid creams on the body may be helpful, but these products should only be used under medical supervision.

Hand eczema is very common, and is often associated with occupational diseases. In certain countries people with atopy are not permitted to take up hairdressing.

Eczema

In childhood eczema the dry and cracked skin often appears in the creases of the elbows, knees and bottom - the so-called flexural eczema.

In adults, eczema tends to form patches.

In elderly people eczema can be associated with poor circulation in the legs: this is known as varicose eczema.