Michael Steppie, MD On Eczema
What is Eczema?
Eczema is commonly known as atopic dermatitis, but can also be split into types called nummular eczema and dyshidrotic eczema. Atopic dermatitis often begins in infancy or childhood and causes severe itching along with a red, patchy, dry rash. Nummular eczema typically appears in a round pattern, and dyshidrotic eczema usually begins with small water blisters on the hands and feet.
Eczema and atopic dermatitis can be unsightly, itchy and even painful. If you suffer from one of these skin conditions, our Orlando dermatology practice can help. Skincare specialists have successfully treated countless patients achieve clear, smooth, itch-free skin.
Signs and Symptoms
Eczema can appear in infants as young as two or three months old, beginning as an itchy, dry, red rash on the face and/or scalp. In children aged two years and older, it is more commonly seen on the neck, wrists, ankles and creases of the knees and elbows. Eczema in older children typically is bumpy in texture and can cause skin to thicken due to itching. Atopic Dermatitis is rare in adults unless they experienced in childhood. In adults, it presents as very dry and scaly and appears on the neck and face, around the eyes, on the trunk, and in knee and elbow creases.
Diagnosis and Treatment
At our practice, the diagnosis of eczema (nummular or dyshidrotic) or atopic dermatitis is based on clinical signs and symptoms, but the skin can be biopsied to determine type. Treatment programs are designed based on the type of eczema and individual patient needs, and aimed at reducing inflammation, controlling itching, preventing new flare-ups, and clearing infection. Common medications include topical creams and ointments, skin hydration instructions, and sometimes antibiotics.
Follow up and Outcomes
There is no cure for eczema, but it can be controlled with treatment. Allergy testing may be necessary if there are other conditions present such as hay fever, asthma, or food insensitivities. Family genes may play a role in eczema but it is not contagious.
Associates in Dermatology treats conditions and diseases of the skin, hair and nails and boasts a staff of dedicated, caring physicians, physician assistants, nurse practitioners and paramedical clinical estheticians. The practice accepts most health plans.