How To Get Rid Of Bad Eczema – A dermatologist shares important facts about what causes face and neck eczema and how to get rid of it, or at least improve it.
A doctor can determine if your symptoms are eczema or if the rash is due to an allergen or irritant. Dmitry Simakov/Getty Images
How To Get Rid Of Bad Eczema
Of all the places on the body where atopic dermatitis (also called eczema) has itchy, inflamed patches, the face and neck are among the most visible and troublesome areas.
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Joy Wang, M.D., a dermatologist and assistant professor of dermatology at Johns Hopkins Medicine in Baltimore. “It’s not uncommon for people to have eczema on their face or neck, but it’s a little more common in certain groups,” says Dr. He says that eczema is especially common on the face and neck of children, often starting on the cheeks.
Atopic dermatitis impairs the skin’s ability to act as a barrier, reducing its ability to retain water. In addition, some people with eczema may also experience allergic skin reactions known as contact dermatitis. “This can also cause eczema to appear on their face or neck,” Dr. Wang says.
Here, Wayne shares 10 key facts to know about face and neck eczema, common triggers, strategies to reduce flare-ups, and the best and safest treatments.
1. Eczema can sometimes appear differently on the face and neck than on other parts of the body
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A person may have eczema on the face, which looks very different from eczema on other parts of the body. “Some people may have very typical dry, scaly eczema on their hands or trunk, but then have excessive or weeping eczema on their face, or vice versa,” says Wang.
For others, eczema on the face and neck may look similar to eczema on other parts of the body. “It will be scaly-like pink patches on your hands or body,” says Wang. (He notes that pinks or reds may be pale on people with very pigmented skin tones.)
Ultimately, Wang says, “there’s no definitive way eczema on the face and neck will appear,” and the appearance can vary significantly from person to person.
2. Eczema symptoms on the face and neck can be particularly severe due to increased exposure to allergens and other irritants.
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“Many of the symptoms of eczema on the face and neck can be similar to eczema on other parts of the body—it can still be very itchy and itchy,” says Wang. But for some people, eczema symptoms on the face and neck can be particularly severe, possibly due to a combination of external triggers.
“Unlike other parts of the body, the head and neck are constantly exposed to an environment that may contain allergens that can irritate the skin,” says Wang. “These are also places where a person overuses lotions, hair products, makeup, etc. that can irritate the skin.”
If someone first notices eczema on the face and it doesn’t appear elsewhere, it can be difficult to diagnose, Wang says. A person’s age and eczema patterns can provide some clues.
“For example, young children often have eczema on the face, and sometimes it starts with patches of weeping or dry eczema on the cheeks and may be limited there,” says Wang.
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A challenge for adults is distinguishing between eczema and rashes caused by allergens or irritants. “It’s really important in these situations to try to determine if there’s some kind of external trigger,” says Wang.
According to the American Academy of Dermatology, more than 15,000 substances can cause an allergic skin reaction. A dermatologist may do something called a patch test to determine if contact dermatitis is responsible for a rash on your face or neck.
There are two things to keep in mind in this situation: First, some allergens can cause a delayed reaction—so your rash could be caused by something that came into contact with your skin some time ago. Second, you may have an allergic reaction to a product you’ve used for years, so don’t rule out those items.
4. People with seasonal or environmental allergies are more likely to develop eczema on the neck and face.
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“Tension on the face and neck is sometimes a problem for people with seasonal or environmental allergies (such as pollen, pet dander, or dust mites) because the face and neck are exposed to the environment,” says Wang.
Wang asks her patients how well they are managing their seasonal allergies. For some people, avoiding triggers and reducing allergic reactions with medication may be part of an overall treatment plan for face and neck eczema, she says.
“If we’re talking about topical treatments like creams or ointments for eczema, we have to remember that the skin on the face and neck is much thinner than the skin on other parts of the body,” Wang said. says
According to the National Eczema Association, strong topical corticosteroids can thin the skin if used frequently and continuously for a long time. In some people, topical steroids used on the face can cause small bumps and pimples.
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For this reason, “we have to limit the length of time we use corticosteroid creams or ointments,” says Wang. “For example, we might use a steroid cream on one part of the body for two weeks and use it on the face for just one week.”
If eczema on the face and neck is a chronic problem, a dermatologist may prescribe a steroid-free treatment. “These are not typical steroid creams and ointments, so they can be used regularly on the face and neck,” she says.
The nonsteroidal cream ruxolitinib (Opzelura), for example, is a relatively new option for adults and people 12 years and older with mild to moderate atopic dermatitis.
Although experts often advise eczema sufferers to limit the frequency of bathing or showering, the advice may be different for those with patches on the face and neck that worsen due to seasonal or environmental allergies.
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“For these patients, we sometimes recommend taking a daily shower or bath to wash these areas to remove any external triggers that may find their way into the skin,” says Wang.
Moisturizers are key to relieving eczema, but moisturizers like Vaseline and Aquaphor, which form a physical barrier on the skin to prevent water loss, may not be the best choice for the face. “You may need to use moisturizers that are less restrictive on your face than you might tolerate on other parts of your body,” says Wang.
For anyone with eczema-prone skin, proper moisturizer, makeup, and sunscreen can reduce the risk of an allergic reaction. It’s a good idea to test each new product you use on a small patch of skin. “It’s trial and error,” says Wang.
He says there is no hard and fast rule about which products are safe, while fragrance-free and alcohol-free products are less irritating.
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Shaving can sometimes aggravate atopic dermatitis of the face and neck. “Use shaving cream or another barrier to limit itching,” says Wang.
“Since the face is a high-impact area, we’re concerned about infectious complications. You can get a bacterial infection on top of the eczema patch,” says Wang.
For example, the risk of contracting the herpes simplex virus (which causes cold sores on the lips or around the mouth) may be higher because the face is a “high-touch” part of the body, Wang says.
In rare cases, a person with atopic dermatitis infected with the herpes simplex virus can develop a dangerous condition called eczema herpeticum. Steps you can take to stay safe include avoiding direct contact with someone who has a cold and not using utensils, lip balm, or other products that have touched another person’s mouth. Eczema is when patches of skin become itchy, swollen, red and rough. Eczema lesions usually appear very dry, thick or scaly.
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For fair-skinned people, these areas first turn red and then turn brown. And for people with darker skin, eczema affects pigmentation, making the affected area darker or lighter.
Treatment focuses on identifying and removing triggers, healing damaged skin by restoring the skin barrier, and reducing symptoms. There is no known cure for eczema, but symptoms can be controlled and for some, eczema does not recur for years.
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