Why don't most eczema medicines work?
Non-infectious inflammatory reactions of the skin
With eczema, the skin is inflamed over a long period of time and itches so badly that the person concerned wants to scratch himself incessantly. The level of suffering can become very great, especially for children. This is not a single disease, but a group of different skin diseases. What they have in common is that they are non-infectious inflammatory reactions of the skin.
Red, inflamed areas on the skin that appear along with itching often indicate existing eczema. The non-contagious skin condition is also called Itchy lichen or more generally than dermatitis (inflammatory skin reaction).
Types of eczema
If eczema is classified according to its origin and development, they can be differentiated as follows:
- Atopic eczema: Atopic eczema, also known as neurodermatitis, is a skin disease that leads to repetitive inflammatory reactions in extremely dry skin with unpleasant itching.
- Contact eczema: If the skin reacts with an immune reaction to the action of an external substance, it is called contact eczema. This can be triggered by a contact allergen (allergic contact eczema) or by a toxin (toxic contact eczema). A acute irritative contact eczema comes about through contact with acids or alkalis. A cumulative toxic contact eczema develops after accumulated, subliminal damage to the skin after an individual irritation threshold has been exceeded. For this, repeated contact with cleaning agents, disinfectants and solvents, water or alcohol is crucial. Food, heat, cold, and friction can all contribute to cumulative toxic contact dermatitis. Therefore one speaks in this context of “housewife eczema”.
- Seborrheic eczema: Chronic or intermittent eczema occurs primarily in skin areas rich in sebum glands and is often triggered by fungi. If seborrheic dermatitis occurs in newborns, one speaks of "Grind" or "Head gneiss". However, it is not to be equated with cradle cap.
- Asteatotic eczema: The dehydration eczema arises due to a reduced content of lipids in the horny layer of the skin.
- Dysregulative microbial eczema: Sharply delimited, coin-shaped foci of disease, some of which are wet and crusty, are characteristic of dysregulative microbial eczema. It usually occurs in connection with neurodermatitis.
- Photoallergic eczema: If the skin changes due to UV light, one speaks of a photoallergic reaction.
- Post scabious eczema: Scabies is a skin condition caused by mites, also known as scabies. The scabies mites burrow into the upper layer of the skin. Your excretions cause skin reactions. Post-scabious eczema is the term used to describe the itchy skin changes after successful treatment of the scabies.
- Congestive eczema: Stasis dermatitis is chronic eczema that is associated with chronic venous insufficiency (CVI).
Symptoms of Eczema
As a rule, all eczema, regardless of the trigger, show similar symptoms:
- The skin is red and possibly swollen.
- The eczema is accompanied by persistent itching.
- Small, oozing blisters appear on the skin, which later crust and dry out.
- Most of the time, the skin in the area of the eczema is sensitive and can be tight.
- Thickened skin, cracked skin, and horn formation are other symptoms of protracted forms.
The area in which the eczema occurs depends on the cause. A distinction is made between exogenous and endogenous eczema.
So-called contact eczema is triggered by external factors. For example, metals (nickel, chromium), fragrances, preservatives or drugs can become one allergic contact eczema to lead. Irritant chemical substances such as detergents, disinfectants or bath additives are examples of a non-allergic contact eczema can evoke. As the name suggests, contact eczema occurs on the skin that has previously come into contact with the irritant. Especially with allergic contact dermatitis, it can take a while (sometimes more than 24 hours) before the first symptoms appear on the skin.
Internal influences (such as predisposition or environmental influences) can also be involved in the development of eczema. This occurs most often atopic eczema on. This variant usually shows up in childhood. It can also only develop in adulthood. Atopic eczema usually runs in phases. The symptoms are sometimes weaker and sometimes more pronounced, sometimes the symptoms disappear completely. Endogenous eczema can appear on various skin areas, usually the elbows, hollows of the knees, hands, neck or shoulders are affected. In addition, hay fever, food allergies or bronchial asthma are typical side effects of neurodermatitis.
Treatment of eczema
Take care of your irritated skin. Avoid hot baths, extreme sunbathing, alcoholic additives in body lotions and anything that dries out your skin. If possible, avoid clothing made of wool, which rubs against the skin and can also cause itching. It is better to wear clothes cottonwhich also has slightly cooling properties.
Patients with chronic eczema can find a healing one Stay in the mountains or by the sea contemplate. The climatic influences there can have a positive effect on the immune system and the complexion of the skin. Lots of physical therapies, like Heat treatment, treatment with UV light, massages or water applications, are also beneficial for the skin.
Neurodermatitis in particular puts a strain on the psyche and ultimately leads to stress. This in turn can trigger and intensify a surge. It is therefore advisable to learn methods of coping with stress. Help a lot of people Relaxation exercises how Meditation, yoga or Autogenic training.
Ointments and creams for eczema
You are available to treat eczema and relieve itching over-the-counter medications to disposal. There are some, too cortisone free Ointments in the trade, including with the active ingredients Heparin sodium, levomenol andPanthenol.
Our product tips for inflammatory skin changes:Sensicutan® cream | Bepanthen® Sensiderm Creme | Halicar® ointment N
In severe cases, your doctor will prescribe an ointment containing cortisone to treat your skin condition. Only apply the ointment for a short time and until the inflammation has healed. The rule is: As little as possible and as long as necessary. Always follow the doctor's recommendations for use.
Our pages are for your information only and are not a substitute for diagnosis and treatment by the doctor.
For information on risks and side effects, read the package insert and ask your doctor or pharmacist.
Despite careful research and the use of reliable sources, errors can sometimes creep into our texts. Help us improve. Send information to: [email protected]
As of: 06/26/2020
For reasons of better legibility, the male form is used in the text for personal names. It goes without saying, however, that the information relates to members of both sexes.
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