In this tutorial, Chris Schach M.D., discusses etiology, prevention, and
treatment of this common skin problem. There are many factors that
lead to dry skin and eczema that are preventable and fairly easy to
manage with over the counter treatments. In this video, practical
information about prevention of eczema and the use of recommended
topical moisturizers is discussed. Learn the basics to get relief from
your dry skin or winter itch.
Watch our tutorials, given by U.S. Board Certified dermatologists, at Onlinedermclinic.com.
DRY SKIN AND Eczema MANAGEMENT GUIDE
Dry
skin (xerosis or asteatosis) occurs when moisture and barrier oils are
lost from the epidermis. This leads to cracks in the skin.....like a
dry river bed. Dry skin tends to be itchy. On going dry skin with
resultant scratching may lead to red, inflamed and scaly patches. This
itchy inflamed skin condition is known as Eczema or dermatitis.
Eczema
(dermatitis) is not contagious. While certain allergies may worsen
Eczema, they are not the basic cause of Eczema. Most patients can be
controlled with treatments available today. Control of Eczema is
essential because the itching and other discomforts associated with this
disease can intrude on the quality of life.
CONTRIBUTING FACTORS
Soap
is irritating to the skin of persons with dry skin or dermatitis, and
should be used sparingly, if at all. A "soap substitute" such as
CeraVe, Cetaphil, Purpose or Oilatum is recommended. Dove unscented
body wash is another good alternative.
Wool acts like sandpaper on
dry skin. Wool blankets, upholstery, rugs, car seats and coats should
be avoided. Silk and synthetic clothes may worsen the condition also.
Cotton is usually well tolerated.
Dry skin may lead to dermatitis.
Low humidity robs the skin of its moisture. Keep the skin moist with
bland emollients such as CeraVe or Cetaphil cream. These are most
beneficial when applied over wet skin after bathing. Use an ointment
like Vaseline petroleum jelly or aquaphor to the most severe cases of
dry skin. Sometimes creams or lotions will sting or burn when applied
to raw skin. A room humidifier/cool mister is helpful during the
winter months.
Emotions -- The tiny skin blood vessels are under
control of the sympathetic nervous system. We blush with embarrassment,
flush with anger, and pale with fright. When persons with dry skin or
Eczema (dermatitis) get mad, their skin gets red and starts to itch.
This is true even of small babies.
The time of year -- Most people with dry skin or dermatitis are worse in the winter and improve during the summer.
Geographical
area -- The place you live rarely makes any real difference. Dry skin
and Eczema (dermatitis) occurs in all peoples of all nations of the
world.
Scratching -- Dry skin and dermatitis is commonly known to
get worse with scratching. Persons with dry skin or dermatitis itch
much more easily than those who do not have Eczema. Rubbing and
scratching worsen Eczema -- it is very important to minimize scratching.
Eczema does not cause scars but scratching may.
Diets -- Special
elimination diets are seldom of help in dry skin or Eczema. A normal,
well-balanced diet should be followed. Oral consumption of oils (like
canola or olive oil) will not moisturize skin.
TREATMENT
Avoid
things that irritate -- Fragrance, woolen products, excess heat or
cold, emotional upsets, dust, soaps, animal hair, feathers. Avoid
fragrant laundry detergent and avoid all fabric softeners.
Control
the dry skin -- Special soap substitutes should be used. Bathe no more
than once daily. After bathing apply the prescribed medications or a
lubricating cream or ointment to the moist skin to help keep water in
the skin.
Apply a cortisone preparation to the areas of Eczema or that itch as directed, usually twice daily.
Control
scratching -- Stockings over hands may help control scratching in
children. Keep fingernails trimmed. Antihistamines (used as anti-itch
medications) are helpful, especially at bedtime.
In severe cases of
Eczema or for flare ups, oral medications, light therapy, or injections
may be used to control the disease. Flare-ups should be brought under
control early -- waiting will only make it more difficult to achieve
control.
Source: http://www.youtube.com/watch?v=MNpQxUXPI5s
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