Closeup of a woman's hands, one scratching the other in apparent discomfort.
Do you have itchy, red skin? Perhaps you have unsightly patches on your hands, feet, or on the skin around your joints? Maybe it looks scaly and cracked. If these symptoms resonate, you could have eczema. Eczema, also known as atopic dermatitis, is a chronic, inflammatory skin condition characterized by dry, itchy skin and red rashes.

About the condition

Eczema is the most common allergic skin condition affecting roughly 10% of Americans, which can be caused by allergens like soaps, lotions, or certain foods, and can worsen in cold or dry air. Often seen in babies and young children, eczema can also affect adults.

What is eczema?

Eczema (also called atopic dermatitis) is a skin condition that can present on any part of the body, but most commonly shows up around the elbows, knees, wrists, and neck. It is often characterized by skin that is:

  • Itchy
  • Dry
  • Bumpy
  • Red

In severe cases, skin can become blistered. Excessive scratching can also cause skin to become thicker, which in turn makes it itch even more.

What causes eczema?

While the exact cause of eczema is still unknown, we know that there is a genetic predisposition to developing the condition, but it also can be triggered by an allergic reaction to irritants in soap, clothing, or other environmental factors like heat or dust.

When should I see a dermatologist about eczema?

If your eczema is impacting your quality of life (for example, itching is making it difficult to concentrate or sleep)—or if the condition hasn’t improved after 2-3 weeks or looks infected (bleeding, sore, or oozing), it is time to see a dermatologist.


 

Fabulous physicians, caring nurses and very competent support staff. Dr. Srinivasan has treated all my family for years and answered questions and is just a wonderful physician.
– N. B. S., via FaceBook

Diagnosis and treatment options for eczema

Our physicians will start by thoroughly examining the affected areas, determining the severity of your condition and reviewing your medical history. They may also suggest patch testing to rule out other conditions. Your physician will then work with you to develop a treatment plan, often consisting of a skincare routine including over-the-counter and/or prescribed medication in addition to other natural products. Our physicians have a long history of successfully treating eczema across the Willamette Valley and the greater Pacific Northwest, so rest assured that you are in expert hands.

OTC/Prescription Topicals

Proper skin hydration is a fundamental step in managing eczema its symptoms, and over-the-counter (OTC) topical treatments are invaluable in this aspect. Brands like CeraVe, Eucerin, and Aveeno Eczema Therapy offer moisturizers that hydrate and bolster the skin’s barrier. For milder flare-ups, OTC hydrocortisone creams such as Cortizone-10 are available to ease itching and reduce inflammation. Furthermore, skin protectants with ingredients like colloidal oatmeal provide relief by soothing the skin. For more persistent symptoms or sensitive areas, a prescription topic cream my be warranted. Our dermatologists at Valley View Dermatology…

Phototherapy

Phototherapy, often referred to as light therapy, is an advanced treatment option for individuals with moderate to severe eczema. Utilizing specific wavelengths of ultraviolet (UV) light, phototherapy can effectively reduce inflammation, itching, and improve the overall skin appearance. The process involves exposing the affected skin to controlled amounts of UV light under clinical supervision, typically several times a week. Over time, this treatment can help regulate immune responses in the skin, leading to decreased flare-ups and prolonged periods of remission.

Traditional corticosteroids

Topical corticosteroids, commonly referred to as steroid creams or ointments, are a cornerstone in the management of eczema. These topicals work by reducing inflammation, alleviating itching, and calming redness, helping to break the cycle of inflammation and itch in eczema. They come in various strengths, from mild over-the-counter preparations to stronger prescription versions, tailored to treat different severity levels and body areas. While highly effective, it’s essential to use them as directed by a dermatologist to maximize benefits and minimize potential side effects, such as skin thinning.

Biologics

Biologics represent a cutting-edge approach to treating moderate to severe eczema, especially when traditional treatments fall short. These advanced medications, such as Dupixent (dupilumab), work by modulating specific components of the immune system responsible for the inflammatory symptoms seen in eczema. By focusing on these precise immune pathways, biologics offer a highly targeted treatment strategy, significantly improving quality of life for patients. As with any medical intervention, it’s crucial to consult with a dermatologist to determine if biologics like Dupixent are a suitable option.

Schedule an appointment

Take the first step today: book an appointment at the clinic that’s convenient for you. We look forward to creating a personalized treatment plan to relieve eczema.

Call 971-374-2150