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Eczema is a medical condition that occurs when the skin is dry and irritated and typically there is a family history of Hayfever or Asthma .It affected 20% of children and 10% adults. Most children will grow out of eczema by late childhood. Usually the flexural areas ( behind knees,wrists and front elbow s and face are the common sites. It often is itchy first then the skin becomes scaly red and dry and inflammed. In fair patients people, these areas maybe reddish and then turn brown. Among darker-skinned people, light grey or black. Causes The exact cause of eczema not known but it may be due to an immune response to any irritant due to a defect in the skins skin barrier. This barrier allows moisture out therefore the epidermis is vulnerable to bacteria,viruses and even fungus. Treatment AS most patients present with itch the treatment is geared towards relieving this and prevent itching, which can lead to infection. As the skin is so dry and itchy(itch scratch cycle) lotions and creams are recommended to keep the skin moist. It is best to use these emollients and emollients washes when the skin is damp to keep the skin moist. It is trial and error choosing the product that works well for you. Most patients can keep their eczema under control by knowing their triggers and keep applying their emollients and washes and cold compresses for itch. Some may need topical steroids and antihistamines. Few will need a referral to a Dermatologist for Immunomodulators, potent steroids or even light treatment. Prevention know and avoid irritants keep nails short use emollient washes and creams daily use non biodetergents and avoid fabric softner avoid irritant fabrics such as wool avoid extreme of temperatures internal or external reduce stress Moisturise,Moisturise,Moisturise

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