Everything you’ve ever wanted to know about eczema (but too busy)

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Winter can be severe: coughs, flu, flu and night-time discomfort, too much food, and not enough exercise. And to increase the pain, as the temperature decreases and the heating progresses, usually reliable and trouble-free skin can start itching, peeling, and distract people. Welcome to the beginning of winter eczema. About 1.6 million adults in Britain have eczema and many people have eczema from an early age. In the cold months, this may be the torment of the year. The recent adult eczema from the British Allergy Survey found that 88% said it had an impact on daily life, 58% said it affected personal relationships and 73% claimed that their social life was affected. However, despite the serious problems, adult eczema remains a problem of underfunding, underrecognition and deprivation, which can cause serious problems.
Why winter is worse?
“Cold weather, warm indoor conditions, a combination of hot shower and woolen clothes can all add to eczema, a common trigger that stimulates the itch / scratch cycle,” said Holly Shaw, nurse consultant at the British Allergisty Association. She added that resources like central heating and heaters can be a problem, and suggested turning the car’s heated vents away from your face and keeping the home in central heating for a steady, comfortable ambient temperature. Wearing cotton clothes helps to keep a layer of moist air next to the skin, which stops the skin from drying and helps to break the cycle of itching and scratching, said dermatologist Dr. Howard Stevens. . Although eczema is a complex condition, genetic predisposition, skin barrier and mild dysfunctions of the immune system, as well as the effects of environmental factors such as pets, house dust mites and pollen, may all play a role.

What is the difference between eczema and dermatitis?
No – Eczema and dermatitis are two names of the same thing. Eczema comes from the Greek word “boil”, which seems to fit the red, dry and itchy skin it describes. Repeated scratching can cause thickening of the skin, which can cause crying and blistering. The two main causes of eczema are an overactive immune system (atopy) and can also cause pollen allergy, allergies and asthma, or come into contact with chemicals.
Since my new job in the hospital, why is my hand red?
This may be hand hygiene. Contact dermatitis can cause redness, rupture, itching and pain in areas where irritating chemicals or allergenic substances come into contact with the skin. A new eczema around the navel, a new earplug or roundabout, is usually caused by an allergy to nickel, which happens on buttons, jeans and cheap jewelry. Excessive hand washing and chemicals used by hand cleaners, cosmetologists, painters, and horticulturists may irritate the skin and cause eczema, mainly on the backs of hands. Stevens said: “Wash hands immediately after the use of lotion, replace the skin with soap and detergent to remove the natural oil.” Allergic reactions tend to affect the thinner, more sensitive and irritating eczema on the hands that affect the space between the fingers and the ring. Hand eczema often affects nails look rough, tattered and rupture. People who develop contact with eczema at work may find it hard to avoid the responsibility of chemicals and eventually they have to give up their jobs.

Eczema starts in my hand but spreads to my body. How is this going?
This may be your ID. Although contact eczema is limited to areas that come into contact with chemicals, a strange phenomenon called id or ueeeczematisation means that an immune response to the affected area can cause widespread eczema anywhere in the body.

Can I refer to the allergy test?
Good luck; waiting lists are frightening in many ways; though the British Allergy Association thinks this should be, it is not a high priority. Patch testing can be used to determine which chemicals are responsible, but it helps to give possible suspects some ideas because there is a limit to how many chemicals can be tested. Fortunately, relatively few chemicals cause most of the problems, so the standard battery patch test allergens commonly used determine about 70% of the chemicals that normally cause eczema, “Stevens said.

what can I do?
The solution is to find out and avoid the short term process of accumulating emollient (humectant) and an effective steroid ointment from your GP – dressing the cling film in your hands overnight will help the steroid penetrate the skin better and stop Friction in the case of paraffin-based emollients may be a real fire hazard bedding. In very serious cases, the short course of oral steroids is a long-term course of regulation or immunosuppressive agents that hinder the entire immune system. Antibiotics are only useful if there are signs of infection such as abscesses or blisters.

Most children are born from it?
Many children are, but not all, some of them adults for the first time. In children, atopic eczema usually affects the back of the knees and elbows. Adults often find the effects of hand, eyelid and skin wrinkles. People with atopic eczema are also more likely to get eczema. In addition to being more prone to other allergic symptoms such as asthma, pollen allergy and food allergy, it is also associated with insomnia, depression and attention deficit / hyperactivity disorder (ADHD). Some adults with eczema are well aware that they can develop when exposed to a specific trigger, such as stress, but eczema usually has no obvious cause.

I am bored what can I do?
You may all know these options too well: try to identify and avoid triggering; wear a loose, cool layer to avoid overheating; itch using an emollient, a steroid ointment or a cream or an antihistamine; an itch; tacrolimus Or pimecrolimus ointment, which is the non-steroid choice; and drugs that suppress the immune system (such as oral steroids) if everything fails. Talk therapy is useful in coping with stress that may both be the consequence of eczema and eczema and address their impact on life.

Any hope in the horizon?
Yes. Two promising products are in the pipeline; crisaborole (Eucrisa), a non-steroidal ointment used to treat mild or moderate eczema, and the biopharmaceutical dupilumab for more serious cases.

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