ECZEMA 101

Are you dealing with eczema yourself or seeking information to aid someone who is? Discover comprehensive insights in the "Natural Skin Solution: Eczema" guide, crafted by Dr. Sarah Villafranco, the visionary behind this initiative.

With the change of seasons often comes a challenge for individuals with eczema, a widespread and persistent skin inflammation also known as atopic dermatitis. Whether it's autumn leaves, winter snow, or spring blossoms, these transitions can trigger eczema flare-ups, propelling the search for effective skin care solutions.

Understanding Eczema

Eczema, pronounced (EGG-zuh-muh), stems from a Greek term that translates to “boiling over.” This vividly describes the skin's inflamed, sore, and reddened state typical of this condition. According to the National Eczema Association, around 15 million Americans experience some degree of eczema, from mild to severe. It predominantly affects infants and young children, impacting up to 20% of children and 3% of adults. Eczema is commonly associated with other conditions like asthma, food, and seasonal allergies. The discomfort and stress caused by eczema can exacerbate the symptoms, disrupt sleep, and perpetuate a debilitating cycle.

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Symptoms of Eczema

Eczema primarily manifests as areas of itchy, dry skin that evolve into scaly, rough patches. These areas are often inflamed and irritated. Infants typically develop these flaky patches on their faces and scalps, while young children commonly experience symptoms on flexural areas like the backs of the knees, ankles, and elbows. About half of children with eczema see their symptoms diminish as they grow older, but some adults continue to experience eczema, often on their hands. Skin affected by eczema is more susceptible to irritation and infections, which can exacerbate the condition.

Understandiing the Causes of Eczema

Identifying a singular cause of eczema can be complex. The Cleveland Clinic notes a familial trend, especially among those with a history of asthma, hay fever, or allergies, indicating a genetic component to atopic dermatitis. However, the onset of eczema is usually a combination of genetic, environmental, and immune factors. Some experts suggest a genetic defect in skin cells may reduce barrier functions, making the skin more vulnerable to microbes and allergens. Alternatively, an abnormal immune response could impair the skin's barrier function. Once this barrier is compromised, the skin becomes more prone to infections and inflammation, leading to symptoms like redness, dryness, and itchiness. Environmental irritants like harsh cleansers, pollen, certain foods, dry air, and stress can also trigger eczema flare-ups.

Differentiating Between Eczema and Psoriasis

• • Unlike eczema, psoriasis isn't linked to allergies and is an autoimmune condition, resulting from an improperly functioning immune system.
  • Eczema usually begins in childhood and is more prevalent among children than adults. Conversely, psoriasis is more common in adults and rarely affects infants.
  • The patches in eczema are irritated, red, flaky, and sometimes darker, whereas psoriasis patches are well-defined, silvery, and sit atop thickened skin.
  • Eczema typically appears on softer skin areas like behind the knees and elbows, while psoriasis is more likely to affect the tougher skin on the knees and elbows.

* Psoriasis pictured above

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Treating Eczema Effectively

To manage eczema, a dermatologist might recommend topical steroids or immunosuppressant treatments. However, a more holistic approach involves identifying and modifying factors that contribute to flare-ups. Here's how you can address eczema from various angles:

Dietary Adjustments

A diet high in refined sugars, caffeine, alcohol, saturated fats, or processed foods can increase inflammation. Switching to a diet rich in vegetables, fruits, healthy fats, and proteins, with limited caffeine and alcohol, can be beneficial. An elimination diet, removing potential triggers like wheat, corn, and dairy for several weeks, can help identify food-related causes. Keeping a food journal and documenting skin changes with photos can track progress and identify triggers.

Supplement Strategies

• Probiotics may offer some relief in managing atopic dermatitis.
• Evening primrose oil, though lacking robust medical evidence, could be worth trying.
• Black cumin seed oil (nigella sativa) has shown potential in reducing inflammation and might help with eczema symptoms.

Chemical Considerations

• Avoid products containing sodium lauryl sulfate (SLS) and sodium laureth sulfate, common irritants found in many foaming products like toothpaste, shampoos, and detergents.
• Steer clear of synthetic fragrances, opting for fragrance-free products or those with minimal, skin-friendly essential oils.
• Also avoid sulfates, artificial colors, ethoxylated ingredients, parabens, phthalates, and silicones.

Skincare Regime

• Use products formulated for sensitive or eczema-prone skin, like Osmia's Oh So body soaps, Naked body oils, and other specific products designed for gentle care.
• Keep your skin well-moisturized, applying body oil while the skin is damp from a shower.
• Mix body oil with a body mousse for added protection.

With eczema, you want to make sure you’re providing enough moisture for your skin. Make sure you apply body oil while your skin is still sopping wet from the shower, and let it soak in with the water. You can combine a body oil and a body mousse in your hands before applying if you feel you need an extra layer of protection.

Minimizing Irritants

• Wear loose, comfortable cotton clothing.
• Use a humidifier in dry climates.
• Keep your living space clean, focusing on reducing pet hair and dust.
• Opt for warm, not hot, showers as hot water can aggravate eczema.
• Wash hands with cool water and mild, SLS-free soap, avoiding alcohol-based sanitizers.. 

Addressing Allergens

Consider allergy testing to identify potential triggers. It's recommended to opt for skin testing by a healthcare professional over mail-in tests, which may have inaccuracies.

Managing Stress

Stress management is crucial in treating eczema. Engage in activities like exercise, yoga, meditation, or simply enjoying nature and herbal teas. These practices can reduce stress hormones, aiding in overall health improvement. 

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 This article is not a substitute for professional medical advice, diagnosis, or treatment. Please consult your physician for specific medical advice regarding products available at safeandchic.com.