How can eczema be managed?

Written in association with: Professor Nick Makwana
Published: | Updated: 22/08/2024
Edited by: Conor Lynch

Eczema, also known as atopic dermatitis, is a chronic skin condition characterised by inflamed, itchy, and dry skin. It affects people of all ages but is particularly common in children. The exact cause of eczema is not fully understood, but it is believed to result from a combination of genetic and environmental factors. Eczema can significantly impact the quality of life, especially if not managed properly.

Causes and risk factors

The development of eczema is related to an impaired skin barrier and is often associated with an overactive immune response to irritants. If this remains uncontrolled, then it can lead to allergic sensitisation.

 

Genetic predisposition plays a crucial role; individuals with a family history of eczema, asthma, or hay fever are more likely to develop the condition. Environmental factors such as pollen, pet dander, certain foods, harsh soaps, and stress can trigger or exacerbate eczema symptoms but are usually not the underlying cause.

 

Symptoms of eczema

Eczema is primarily characterised by red, inflamed patches of skin that can be intensely itchy. The affected areas may become dry, scaly, and even cracked, leading to discomfort and potential secondary infections caused by bacteria. 

 

In severe cases, the skin can blister and weep, further complicating the condition. Eczema commonly appears on the hands, face, neck, and the insides of the elbows and knees, though it can occur anywhere on the body. The symptoms often vary in severity and can flare up periodically.

 

Managing and treating eczema

While there is no cure for eczema, it can be effectively managed with proper treatment and lifestyle changes. Moisturising regularly is essential to keep the skin hydrated, reduce dryness and ensure a protective barrier. Topical corticosteroids are commonly prescribed to reduce inflammation and itching during flare-ups an used correctly, in accordance with medical advice, there are usually no significant side effects, although this often a concern of parents.

 

Identifying and avoiding triggers, such as certain foods or stress, can help prevent exacerbations. In some cases, doctors may recommend antihistamines or oral immunosuppressants for severe eczema.

 

Living with eczema

Managing eczema requires a proactive approach. Regular skincare routines, avoiding known triggers, appropriate management of flares, and seeking medical advice when necessary are key to minimising the impact of this condition. With proper care, individuals with eczema can lead healthy and comfortable lives despite the challenges posed by the condition.

By Professor Nick Makwana
Paediatrics

Professor Nick Makwana is a distinguished consultant paediatrician based in Birmingham, specialising in child allergies, paediatrics, immunotherapy, eczema, food allergies, and hay fever. With over 25 years of experience, Professor Makwana has demonstrated expertise in providing comprehensive care for children with various medical needs.
 
He currently serves as a consultant paediatrician at Edgbaston Private Medical Practice, Consulting Rooms Birmingham, and the Birmingham Treatment Centre.  His NHS practice is based at Sandwell and West Birmingham NHS Trust where he has led the development of a nationally recognised paediatric allergy service that sees over 3000 children per year.
 
Professor Makwana's academic journey began with an MBChB from the University of Birmingham in 1996. He furthered his education with a PCME from the University of Wolverhampton in 2004 before going on to graduate with an MD from the University of Liverpool in 2010. He then qualified as an Accredited European Paediatric Allergist through the European Academy of Allergy and Clinical Immunology in 2016.
 
In addition to his clinical practice, Professor Makwana has made significant contributions to research and education. He has served as the Group Director for Women and Child Health at Sandwell and West Birmingham Hospitals (2018) and Chair of the Paediatric Committee of BSACI (2021). He also serves as the Paediatric MBChB Curriculum Lead at the University of Birmingham since 2017. He has co-authored the national BSACI guidance on milk allergy and use of peanut immunotherapy.  Professor Makwana's efforts have been recognised with accolades such as Fundraiser of the Year and being highly commended for the Excellence in Customer Care Award from the Sandwell and West Birmingham NHS Trust.
 
Professor Makwana is dedicated to providing compassionate care and advancing the field of paediatrics. His unwavering commitment to his patients and contributions to medical education make him a highly respected figure in the healthcare community.

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