Eczema – Diagnostic Treatment of a Serious Skin Disorder

The term designates a scaly eczema process and itching associated with skin effects. Although recent mechanisms involved in each of the different types of eczema are there each in an alteration in the white blood cells, which facilitates an abnormal immune reaction to outside the individual substances. In children, atopic eczema should be ruled as possible factors in infectious diseases and certain foods.

Symptoms of Eczema

The characteristics of the different eczema skin lesions are reddish, scaly plaques in different body areas and associated with significant itching. If a significant inflammatory reaction occurs in some cases, instead of circumscribed scaly plaques could observe the presence of vesicles with serous contents inside.

Types of Eczema

Eczema can basically be divided into two groups – Atopic eczema: characterized by the presence of reddish scaly skin lesions, mainly in the flexures of the extremities, and often associated with other allergic diseases: asthma, allergic arthritis, etc, along with dry skin.

There’s also Contact eczema, characterized by the appearance of scaly plaques on the skin surface or by the skin irritation of substances that are toxic to the patient upon contact, or allergies to certain substances that come into contact with allergic skin eczema contacts.


The suspected diagnosis of each of the forms of eczema should be through the history. Specifically, contact with eczema should be tested on the patient, by deciding if she would benefit from changes in diet or topical medication.

Treatments for Eczema

Treatment of allergic contact eczema will avoid the substance to which the patient is allergic. In patients with atopic eczema, foods that may be involved are deleted, and current infectious processes will be discussed. Also, once detected and removed the triggers are indicated treatments such as corticosteroids or topical treatments, antihistamines, moisturizers and antibiotics. Patients with allergic eczema reactions also must give patients recommendations to protect affected areas, and in particular to housewives to which are advised to wear gloves for doing housework.

About 30 percent of patients with this disease have a family history of atopic. More specifically, atopic eczema may appear first in young children, a few months old, and in these cases the skin lesions usually have a predilection for the scalp, face and diaper area. In many cases, patients in childhood atopic eczema may be those who already had the same injury in the first months of life, or present at this age for the first time the clinical picture. In most cases, when puberty hits atopic eczema disappears leaving only dry skin, and occasionally other manifestations of the general problem, allergic rhinitis, asthma and so on.

More rarely, atopic eczema in adulthood may appear first. Conversely, allergic contact eczema appear only in those patients sensitized to a particular substance; skin lesions that presented each time it is exposed to the allergen. A period of prior sensitization -contact with a substance causing the problem before developing the allergic contact eczema necessary. All patients who are exposed to irritating substances may present a significant capacity to fight off contact eczema. A period of awareness is needed. It is characteristic of this group called dermatitis of the housewife in hands, caused by the continued use of very irritating soaps.

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