diagnosing eczema
eczema is generally diagnosed by examining the skin and reviewing a patient’s family history. sometimes, patch testing may be used to rule out other skin diseases or identify conditions that may occur alongside eczema.
treating eczema
most forms of the disease require a combination of treatments and medications that depend on what works best for a particular patient,
according to the canadian dermatology association
. treatments may be required for months and years and, even if successful, do not guarantee the disease will not return later in life. the three main steps are: bathing and moisturizing to repair skin; using medications to reduce inflammation; and avoiding the triggers that lead to flare-ups. non-prescription medications can include antihistamines to help patients who are struggling to sleep, moisturizers and emollients that decrease dryness and increase comfort, bleach baths in warm water twice weekly, which may be helpful to patients prone to infections that worsen the disease, and cool compresses to help alleviate inflammation and itching.
if these measures don’t work to ease symptoms, a doctor may also prescribe antibiotics to treat secondary skin infections that occur when the barrier of the skin is broken by inflammation and scratching, corticosteroids to control inflammation, calcineurin inhibitors to reduce itchiness and prevent flare-ups, or phototherapy to reduce severe symptoms using uv light.
preventing eczema
while there is no cure for eczema, symptoms can be avoided by identifying and steering clear of the triggers that result in flare-ups.
common triggers include
certain soaps, clothing fabrics, deodorants, detergents, dust and pollen. in children, certain foods may contribute to episodes of the disease. even when triggers are vigorously avoided, however, flare-ups can still occur, sometimes as a result of overheating, excessive sweating, stress or anything else that may irritate the skin. the eczema society of canada recommends documenting any possible triggers when you experience a flare-up to help reduce the likelihood of a recurrence.