Atopic dermatitis (eczema)

Overview

Atopic dermatitis (eczema) is a condition that makes your skin red and itchy. It's common in children but can occur at any age. Atopic dermatitis is long lasting (chronic) and tends to flare periodically. It may be accompanied by asthma or hay fever.

No cure has been found for atopic dermatitis. But treatments and self-care measures can relieve itching and prevent new outbreaks. For example, it helps to avoid harsh soaps, moisturize your skin regularly, and apply medicated creams or ointments.

Symptoms

Atopic dermatitis (eczema) signs and symptoms vary widely from person to person and include:

• Dry skin
• Itching, which may be severe, especially at night
• Red to brownish-gray patches, especially on the hands, feet, ankles, wrists, neck, upper chest, eyelids, inside the bend of the elbows and knees, and in infants, the face and scalp
• Small, raised bumps, which may leak fluid and crust over when scratched
• Thickened, cracked, scaly skin
• Raw, sensitive, swollen skin from scratching

Atopic dermatitis most often begins before age 5 and may persist into adolescence and adulthood. For some people, it flares periodically and then clears up for a time, even for several years.

When to see a doctor

See a doctor if you or your child:

• Is so uncomfortable that the condition is affecting sleep and daily activities
• Has a skin infection — look for red streaks, pus, yellow scabs
• Continues to experience symptoms despite trying home remedies

Seek immediate medical attention for your child if the rash looks infected and he or she has a fever.

Causes

Healthy skin helps retain moisture and protects you from bacteria, irritants and allergens. Eczema is related to a gene variation that affects the skin's ability to provide this protection. This allows your skin to be affected by environmental factors, irritants and allergens.

In some children, food allergies may play a role in causing eczema.

Risk factors

The primary risk factor for atopic dermatitis is having a personal or family history of eczema, allergies, hay fever or asthma.