Atopic eczema, also known as atopic dermatitis, is one of the most common skin conditions in the world, affecting millions of people. It is characterized by a recurrent, inflamed, red and itchy rash that can affect any part of the skin. Eczema can cause significant discomfort and has a major impact on the quality of life of its sufferers. Despite its prevalence, there are many myths and misconceptions about eczema that can lead to misunderstanding and improper treatment. This article aims to debunk some of the most common myths surrounding eczema and provide a clearer understanding of the condition.
Acute eczema (eczema that just flared) often presents with weepy itchy rashes. Left untreated, this can spread to involve more and more parts of the skin. This can lead to the mistaken belief that eczema is contagious, or that it spreads through contact with the fluid that exudes from the rash. In fact, the fluid that arises is produced by the skin due to inflammation, which is in turn driven by our immune system. When the immune system becomes very agitated, for example if the initial eczema is not adequately treated, it can spread through our bloodstream to other parts of the body, resulting in eczema appearing elsewhere.
Eczema cannot be spread from person to person through physical contact, air, or any other means.
While eczema is commonly diagnosed in childhood, it can affect people of all ages. A population-based study conducted in Singapore found that more than 40% of patients with eczema report only having eczema after the age of 20. There is increasing recognition that eczema can develop only in adulthood or even after the age of 60. Hence, one should not dismiss the possibility of having eczema if one hadn’t had it before earlier in life.
Poor hygiene does not cause eczema. In fact, over-washing and excessive use of harsh soaps (including many anti-bacterial cleansers) and other skin care products can irritate the skin and exacerbate eczema symptoms. Maintaining good hygiene is important, but it should be done with gentle, eczema-friendly products.
While food allergy is more common in children with eczema, compared to children without eczema, the fortunate news is that most eczema patients do not have food allergies. In fact, a Danish study that tracked young children from 3 months-old till the time they develop eczema or food allergies, found that most of these children had eczema prior to developing signs of food allergy. There is a hypothesis that having an impaired skin barrier (such as eczema) may expose the body to potential allergens through the skin instead of through the gut (if these substances are ingested), increasing the risk of food allergy. Hence it may be important to have eczema adequately treated even from a young age to reduce the risk of food allergies.
Eczema is not a one-size-fits-all condition. There are several types of eczema, each with its own set of triggers, symptoms, and treatment approaches. The most common form is atopic dermatitis, but other types include contact dermatitis, dyshidrotic eczema, nummular eczema, and seborrheic dermatitis. Proper diagnosis and treatment depend on identifying the specific type of eczema and understanding its unique characteristics.
Atopic eczema is a chronic skin disease that is largely caused by genetic factors. However, it is also strongly influenced by environmental triggers which are within our control. Eczema can be very well managed if we follow simple skin care routines, such as using a gentle cleanser and moisturizing our skin regularly, at least twice a day. Common triggers for eczema include dust mite, animal dander, heat, sweat and stress. Keeping our living environment clean, appropriate use of air-conditioning, washing away our sweat early and managing stress (e.g. With meditation) can make eczema easier to control
It has also been observed that eczema can sometimes go into prolonged periods of remission on its own. Hence one should not give up on treating eczema based on the belief that it is incurable.
Many people turn to natural remedies, hoping for safer and more effective treatment options. While some natural products, such as aloe vera and coconut oil, can provide relief for mild symptoms, they are not a substitute for medically proven treatments. In some cases, natural remedies can cause irritation or allergic reactions, worsening eczema symptoms. A study in the UK found that a significant proportion of “natural remedies” actually contain steroids. It is recommended to consult with a registered healthcare provider before trying any new treatment, natural or otherwise.
Eczema primarily affects the skin, but its impact goes beyond physical symptoms. The chronic itching, discomfort, and visible appearance of eczema can significantly affect a person’s mental health, leading to anxiety, depression, and social isolation. Because eczema often starts in childhood, it can have a significant, cumulative impact on a patient’s life, in a new concept termed “cumulative life impairment”. For example, a child with severe eczema causing insufficient sleep and stress may have poorer performance in school, affecting his or her future prospects. Hence, our goal in eczema management should including treating eczema as effectively as possible at all stages of life.
There is also mounting medical evidence that chronic, severe inflammation of the skin can result in release of pro-inflammatory chemicals into the bloodstream. This may increase the risk of other medical problems in the long run, including cardiovascular disease. Though the effect appears to be modest and mostly if the eczema is severe, it provides additional support that eczema should not be ignored.
Understanding the realities of eczema is crucial for effective management and support. Dispelling these common myths helps to foster a more accurate perception of the condition, paving the way for better treatment strategies and empathy for those affected. If you or someone you know is struggling with eczema, it is important to seek advice from a dermatologist in Singapore, who will develop a tailored treatment plan. With the right care and knowledge, individuals with eczema can lead healthy and fulfilling lives despite the challenges posed by this chronic condition.
Are you suffering from eczema? Consult a team of experts at TSN Dermatology for management and treatment solutions today. We also offer other forms of dermatological care, such as sebaceous cyst removal in Singapore. Reach out to us for more information.
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