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Eczema, Ambulatory Care

Eczema

, or atopic dermatitis, is an itchy, red skin rash. You are more likely to have it if your parent or a family member has eczema, asthma, or hay fever. It is a long-term condition that may cause flare-ups for the rest of your life.

Common symptoms include the following:

  • Patches of dry, red, itchy skin
  • Bumps or blisters that crust over or ooze clear fluid
  • Areas of skin that are thick, scaly, or hard and leather-like

Seek immediate care for the following symptoms:

  • A fever or red streaks going up your arm or leg
  • Increased swelling, redness, or warmth on your rash

Treatment for eczema

is aimed at reducing pain and itching, and adding moisture to your skin. Your symptoms should improve after 3 weeks of treatment. There is no cure for eczema. You may need the following:

  • Medicines , such as immunosuppressants, help reduce itching, redness, pain, and swelling. They may be given as a cream or pill. You may also receive antihistamines to reduce itching, or antibiotics if you have a skin infection.
  • Phototherapy , or ultraviolet light, may help heal your skin. It is also called light therapy.

Manage eczema:

  • Do not scratch. Pat or press on your skin to relieve itching. Your symptoms will get worse if you scratch. Keep your fingernails short so you do not tear your skin if you do scratch.
  • Keep your skin moist. Rub lotion, cream, or ointment into your skin right after a bath or shower when your skin is still damp. Ask your healthcare provider what to use and how often to use it.
  • Take baths or showers with warm water for 10 minutes or less. Use mild bar soap. Ask your healthcare provider for the best soap for you to use.
  • Wear cotton clothes. Wear loose-fitting clothes made from cotton or cotton blends. Avoid wool.
  • Use a humidifier to add moisture to the air in your home.
  • Avoid changes in temperature , especially activities that cause you to sweat a lot because this can cause itching. Remove blankets from your bed if you get hot while you sleep.
  • Avoid allergens, dust, and skin irritants. Do not let pets inside your home. Do not use perfume, fabric softener, or makeup that burns or itches.

Follow up with your healthcare provider as directed:

Write down your questions so you remember to ask them during your visits.

Care Agreement

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment. The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

© 2015 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

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