Atopic Dermatitis (Eczema)

An itchy skin disorder often associated with allergies.

Atopic dermatitis, commonly known as eczema, is a common skin condition that affects people of all ages, but is most common in children.

It is characterised by dry, itchy, and inflamed skin, which can lead to scratching and further worsening due to the itch-scratch cycle. Atopic dermatitis often occurs alongside other allergic conditions, such as asthma and hay fever.

What causes Atopic Dermatitis (Eczema)?

The pathogenesis of atopic dermatitis is not fully understood, but is likely multifactorial. The development of atopic dermatitis is a result of interactions between a defective skin barrier, immunological and environmental factors.

Frequently Asked Questions

Eczema occurs in up to 25% children in some populations, and around 7 % adults.

The pathogenesis of atopic dermatitis is not fully understood, but is likely multifactorial. The development of atopic dermatitis is a result of interactions between a defective skin barrier, immunological and environmental factors.

Eczema is commonly termed “the itch that rashes”. Pruritus is a universal feature of eczema, and the subsequent scratching results in secondary skin changes such as lichenification (thickening of the skin), excoriation and breakdown of the skin barrier.

The common skin features of eczema include:

  • Dry, scaly skin
  • Itching, which may be severe
  • Redness and inflammation
  • Thickened, leathery skin (lichenification) from scratching
  • Cracked or weeping skin
  • Skin infections due to scratching and bacteria entering the skin

A wide variety of both allergic and non-allergic triggers for eczema exist. Common triggers include:

  • Dry skin
  • Scratching
  • Viral or bacterial infections
  • Playing in sand
  • Sitting directly on carpets or grass
  • Inhaling pollen allergens from grasses, weeds or trees in spring and summer in pollen allergic patients
  • Irritants such as perfumes, soap and dishwashing liquid
  • Contact with animals, house dust mite allergen, wool and synthetic fabrics
  • Overheating
  • Stress
  • Constant exposure to water or chemicals, which can damage the protective barrier function of the skin

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