Whats The Difference Between Dermatitis And Psoriasis
Psoriasis and dermatitis can appear similar. Both cause patches of red skin. However, in psoriasis, the scales are thick and the edges of those scales are well-defined.
Discuss with your healthcare provider your questions about which type of skin condition you have. You can have more than one skin condition at a time. Treatments for one may not work for the other.
Is There A Cure For Eczema Or Will I Have This Skin Condition Forever
Gentle skin care, avoidance of triggers, and, if needed, medicated management can help keep symptoms at bay. But you may have eczema, such as atopic dermatitis, throughout your life.
Addressing the skin disease with a short- and long-term view will care for your skin and health best. We want to recognize that aside from the need to reduce itch and pain, we have to improve a patients quality of life. There is a lot of harm that comes from uncontrolled, untreated skin disease, says Silverberg. For example, itch and pain can cause sleep deprivation that has a cascade effect on overall health.
What You Need To Know About Adult Eczema
How to treat the skin condition that’s increasing in adults 60+
During our hot, muggy, undeniably strange summer, I’d been sweating and scratching. Finally, unable to sleep because of the itching, I masked up and went to the dermatologist. The diagnosis? Eczema, also referred to as atopic dermatitis.
What? I thought only babies got eczema. Actually, according to the National Eczema Association, about 16.5 million American adults have the skin condition. And new onset atopic dermatitis in adults 60+ is increasing, with the peak age for adult onset between 51 and 64. Studies show that some people with adult eczema actually had eczema in childhood, thought theyd outgrown it and had no further symptoms until becoming middle-aged or older.
You May Like: Will My Eczema Ever Go Away
Age Family Genes And Ethnicity
Adult eczema affects between 5-10% of people in the UK. It is more common in urban areas and among people of black and Asian ethnicities. The incidence, or first diagnosis, of eczema or itchy, dry skin becomes more likely for everyone after their 59th birthday.
There may also be some underlying genetic reasons why some people are more susceptible to eczema. 50% of sufferers are thought to be lacking a protein in the skin called filaggrin, which weakens skinâs barrier function. Many of those who develop eczema later in life may have had eczema in childhood but have not been troubled by it in their early adulthood. Alternatively, you may find existing eczema worsening as you get older or for other reasons.
Old Age Onset Of Food Allergy
Allergen Bureau, Wednesday, 03 March 2010 12:35
Most studies that report an increasing incidence of food allergies focus mainly on children and young adults. Researchers at the Medical University of Vienna in Austria have looked at food allergies in the elderly and suggest prevalence may be underestimated in this age-group.Immunosenescence, or dramatic age-related changes to the immune system, may contribute to the development of allergies in geriatric patients, as may deficiencies in micronutrients such as zinc, iron and vitamin D. The researchers also suggest the impact of atrophic gastritis or anti-ulcer medication on the digestive ability of the stomach as a further risk factor for developing food allergies later in life. They say in these settings, undigested proteins may persist and become allergenic.Reference: Diesner et al. Gerontology. 2010 Jan 29
We can see that its rare, but its happening more and more. Adult onset allergies are on the rise, just as allergies in kids and young children. Anyone who has tried to get a referral to an allergy clinic will also know that the health service is already struggling, its probably not going to be able to accommodate a load of allergic pensioners on top of all the kids and adults who are joining this allergic march.
Donât Miss: What Helps Eczema Stop Itching
You May Like: How To Soothe Eczema Itch
Other Types Of Eczema
Eczema is the name for a group of skin conditions that cause dry, irritated skin.
Other types of eczema include:
- discoid eczema a type of eczema that occurs in circular or oval patches on the skin
- contact dermatitis a type of eczema that occurs when the body comes into contact with a particular substance
- varicose eczema a type of eczema that most often affects the lower legs and is caused by problems with the flow of blood through the leg veins
- seborrhoeic eczema a type of eczema where red, scaly patches develop on the sides of the nose, eyebrows, ears and scalp
- dyshidrotic eczema a type of eczema that causes tiny blisters to erupt across the palms of the hands
Page last reviewed: 05 December 2019 Next review due: 05 December 2022
Learning And Living With Eczema
I finally learned that the hot chicken pox shower in Santa Fe was not a cure. But it took a while. We had a hot tub in the 1980s. I would often go in after dinner, before bed, and turn up the heat to 105 or 106 degrees. Dumb! It was replaced with al fresco dining patio. When we traveled to Japan, I did not go in the hot baths even though some had spectacular views. Getting to this point took experience and education.
So, can one grow out of eczema when the onset is as an adult? Here again, it is different for all. For me, now, eczema is a minor and only a very occasional annoyance.
Recommended Reading: Why Do You Have Eczema
Southern Cross Medical Library
The purpose of the Southern Cross Medical Library is to provide information of a general nature to help you better understand certain medical conditions. Always seek specific medical advice for treatment appropriate to you. This information is not intended to relate specifically to insurance or healthcare services provided by Southern Cross. For more articles go to the Medical Library index page.
Different Stages Of Eczema
A persons eczema can present in various stages, including:
- acute: This may be the first time a person notices eczema symptoms, which can present as a rash that starts to itch.
- subacute: This refers to when the condition is between the acute and chronic stages. Itching may reduce, but the skin can appear flaky, cracked, or red.
- chronic: In this stage, the eczema symptoms may last for several months or longer. Itching can be intense, while rashes may cover a larger area of the skin.
There are different kinds of eczema. Here we look briefly at each type.
Recommended Reading: My 2 Year Old Has Eczema
What Questions Should I Ask My Healthcare Provider About Eczema
- How can you tell that I have eczema?
- If I dont have eczema, what other skin condition might I have?
- Is there a specific brand of moisturizer that you recommend?
- Is there a prescription cream that you can prescribe?
- How often should I see a dermatologist regarding my eczema?
- What soaps, lotions, makeup, etc. should I avoid?
- What medications do you recommend?
- What at-home treatments do you recommend?
A note from Cleveland Clinic
Eczema is very normal, very common, and very, very uncomfortable. It can affect your quality of life. At its worse it can keep you from sleeping, distract you and make you feel self-conscious in public. See your dermatologist or other healthcare provider as soon as you start to see signs of it. Explore at-home remedies and prescribed treatments.
Youre not alone! 15% to 20% of people experience eczema or another type of dermatitis at some point in their lives.
What Are The Symptoms Of Adult Eczema
Dry, itchy and irritable skin are all symptoms of atopic eczema in adults. Other symptoms include:
- Red or brown patches
- Skin feeling hot or a burning sensation
Atopic dermatitis is typified by two phases: the acute, flare-up phase and the period between when skin is calmer and less reactive. Learn more about these phases in What causes eczema to flare up?.In fair-skinned people atopic skin is normally reddish and may turn brown. In darker skins, the affected area can become lighter or darker as atopic dermatitis affects pigmentation.Dry, itchy skin is uncomfortable to live with and can have a considerable impact on quality of life. The constant scratching can cause problems in the workplace, sleepless nights3 and stress.
Difference between childhood and adult eczema
Eczema symptoms differ according to age. Even if a patient suffered from atopic dermatitis as a child, the condition can look and feel different in later life. Skin tends to be extremely dry and scaly for adults.
Atopic eczema in adults can be a serious condition, sometimes involving chronic, thick and red plaques. Though adult eczema tends to persist, its severity decreases over the years.Adult eczema symptoms most commonly appear on the face, back of the neck, scalp, elbow folds, knee cavities, hands and feet. Unlike children, adults tend to suffer from atopic eczema around the eyes as well. Surrounding skin can become very itchy, with thick and dark skin circling the eyes.
Recommended Reading: Over The Counter Medicine For Eczema On Face
How To Minimise A Healing Crisis
Rest You may feel excessively lethargic during this time so listen to your body and rest. Your body is working hard to remove chemicals and repair the skin from the inside out. Dont worry, positive changes are taking place. It takes about 28 days for the new skin cells to reach the surface of your skin so rest as much as you need to during this time. Its best to go to bed before 9pm, if possible, and stay away from electronic devides a couple of hours before bed to help improve sleep. Calcium Matrix PM can also help with improving sleep quality.
Drink lots of filtered water Filtered water, spring water and low-salicylate juices , are your best choices. These low-salicylate liquids will assist with flushing out toxins. Salicylates are food chemicals which can irritate the stomach lining and burden an over-burdened liver, so for a period of about 12-weeks they shouldbe limited .
During this time, avoid drinking coffee and all teas, even herbal teas as they can over-stimulate Phase 1 liver detoxification reactions, and they are rich sources of salicylates. If you are one of the 60-70% of eczema sufferers who are sensitive to salicylates then teas will make you itchier. Eczema sufferers are often sensitive to grasses and flowers so herbal teas should be avoided if you want the healing crisis to subside quickly.
Other high fibre foods include rolled/wholegrain oats, lentils, chick peas, beans , and oatbran.
Differences Between Ad In Adults And Children
Even if you had AD as a child, your skin can look and feel differently when you have AD as an adult. Thats actually one of the most striking differences between AD in adults and AD in children.
In adults, the skin tends to be extremely dry and scaly where the AD appears.
If youve had AD for years, patches of your skin may be thick, leathery, and darker than the surrounding skin. Years of scratching causes this. The thickened skin can itch all the time.
Adults also tend to get AD on different parts of their bodies than do children. When an adult has AD, its most likely to form in one or more of these areas:
Backs of the knees
Back of the neck
Adults, unlike children, often have AD around their eyes. Youll often see thickened, darker skin circling the eyes, as shown in the picture on this page. The skin around the eyes also tends to be very itchy.
Read Also: Soap For Sensitive Skin Eczema
Natural Treatments At Home
Aside from moisturizing your skin, some natural treatments may help heal your skin.
Oatmeal baths are one type of natural treatment that can soothe the itchiness and discomfort of eczema rashes. Be sure to use lukewarm water and follow up with a moisturizer immediately after.
Read Also: Best Daily Lotion For Eczema
Does Eczema Go Away On Its Own
Eczema can start at any time during your life and can range from moderate to severe, notes the NEA. Although the skin condition is common, learning you have it can be truly upsetting. There are several types of eczema, ranging from atopic dermatitis and seborrheic dermatitis to contact dermatitis and more.
When it comes to atopic dermatitis, the disease is chronic. Jonathan Silverberg, MD, PhD, an associate professor of dermatology at The George Washington University School of Medicine and Health Sciences in Washington, DC, notes that a chronic disease means that symptoms stick around for six months or more but they can also last a lifetime. Diagnosing a patient with eczema is a difficult conversation to have, he says.
Also Check: Best Mosquito Repellent For Eczema
Getting Your Skin Back On Track After A Setback
At the end of the day, treatments and home remedies are not foolproof. They may not all work for your severe eczema or you may need more than one type of treatment at the same time, according to Chiesa Fuxench.
But when it comes to handling eczema setbacks, Wall says itâs about knowing what you can control and preparing as much as you can. âI would say I can’t control the weather. But I do know if I’m traveling, I’ll have what I call my âeczema emergency kit.ââ
For Wall, when she stays at a hotel or with friends or family, she makes it a point to pack âfragrance-freeâ products and even brings her own sheets to avoid a flare-up. But even though Wall stays away from most activities that may spark her eczema, sometimes she lets herself enjoy them despite knowing the consequences.
âIt’s a moment and it’s worth it, and you just have to go with it,â Wall says.
âYou really do need to clearly establish a basic skin care regimen. Typically, I say basic and simple because we don’t really want to overburden patients with treatments,â Chiesa Fuxench says.
Ultimately, if you live with lifelong eczema, Chiesa Fuxench notes that itâs important to buy into the idea that, as with other chronic diseases like diabetes or hypertension, youâll have to stay on top of your treatments.
Ashley Wall, 33, Livingston, NJ, eczema advocate.
Annals of Allergy, Asthma & Immunology: âPatient burden and quality of life in atopic dermatitis in US adults.â
Tom Talks About Dealing With An Adult Diagnosis Of Atopic Dermatitis
So far as I know, I didnt have eczema until September 1988, when I turned 54 years old. I had no history of hay fever or skin conditions or asthma.
My wife Carolyn and I were on a short holiday to Santa Fe, New Mexico. I was taking a shower before going to dinner when my whole back began itching and burning. I ran the water as hot as I could stand, to relieve the itch. When I got out of the shower, I saw what looked like millions of red bumps all over my back, just like chicken pox. I didnt know what it was and I certainly didnt know that I did the wrong thing using hot water. Now I know tepid water is for eczema.
Several days later we flew home. I had a four-inch-wide strip of oozing clear juice around my waist. It soaked my blue button-down oxford dress shirt.
Recommended Reading: How To Treat Follicular Eczema
Acute Stage Treatment Options
Topical steroids can be prescribed to reduce inflammation. Oral steroids may be used in cases where the rash is very severe or widespread.
While antibiotics don’t clear up acute eczema, they may be prescribed if the rash is infected.
Tips To Prevent Adult Atopic Eczema From Reoccurring
There are a variety of ways you can prevent atopic eczema flare-ups and reduce symptoms:
- Don’t scratch: It may feel satisfying in the short term, but scratching affected areas can lead to more eczema occurring. Chronic scratching increases the risk of scarring and can cause bleeding.
- Reduce scratching damage: Regularly clip your fingernails to reduce damage from scratching, and consider wearing anti-scratch mittens.
- Wear soft clothing: Cotton is better for your skin than synthetic or wool materials, which can cause overheating.
- Avoid harsh cleansing products: Use soap-substitutes, mild shampoos and non-biological soap powders or detergents.
- Keep track of your triggers: It’s good to keep a record of what causes your eczema flare-ups so you can try to avoid these in future.
Read Also: Eczema And Swollen Lymph Nodes
How Common Is Eczema
Eczema affects up to 15 million Americans. Infants are prone to eczema and 10% to 20% will have it. However, nearly half outgrow the condition or have significant improvement as they get older.
Eczema affects males and females equally and is more common in people who have a personal or family history of asthma, environmental allergies and/or food allergies.
Eczema And Alcohol Use Disorder
Heres another research result worth noting. Theres some evidence that alcohol use disorder is more common among people with eczema. Scientists dont know whether thats because living with the condition makes people feel the need to drink, or because their bodies break down alcohol differently, or some other reason.
Its also important to understand that when people have an alcohol use disorder, their skin can be more prone to injury and infection, according to a . Wounds may take longer to heal.
Read Also: How Do I Stop My Eczema From Itching