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Eyelid Psoriasis Vs Eczema
Eyelid psoriasis may resemble eyelid eczema due to similar symptoms of redness and scaly skin. However, these are two different conditions that can both occur on the eyelids.
Psoriasis is a disease that doctors believe is caused by an immune system problem that leads to red, scaly, patchy skin on some parts of the body. While genetics may be a contributing factor, it’s not known exactly what causes psoriasis on the eyelids or elsewhere on the body. However, it is rare to get psoriasis around the eyes. If you think you may have eyelid psoriasis, it’s important to visit an eye doctor.
Identify Potential Causes Of The Symptoms
Although because of the numerous allergens and/or irritants in the environment its always very difficult to pinpoint the causes of your symptoms and if your skin is highly sensitive, substances you once tolerated may turn out to be the major cause of your symptoms. However, knowing exactly whats responsible for your symptoms is one of the surest ways to eliminate the chances of recurrence in the long run.
Identifying and eliminating the causes of your symptoms is your first and best defense mechanism.
- If its food, eliminate it completely from your diet.
- If its a skincare product, ensure to use only personal care products and cleansers made from all-natural ingredients.
- Try to keep your eyelids and hands clean and avoid any form or scratching or rubbing. Keep a diary of all the food you eat and skin care products use daily to enable you to identify what caused the symptoms when the symptoms started and how they started.
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Is Eyelid Dermatitis One Type
No, there are many forms of eyelid dermatitis.
Generally, there are two types familiar and commonly occur such as irritant contact dermatitis and allergic contact dermatitis, in the following table you will find the difference between them in details
Allergic Contact Dermatitis
Kind of dermatitis caused by allergic reaction to certain substances called allergen when come in contact with skin.
Kind of dermatitis in which the skin is affected by some environmental factors such as weather either hot or cold, some chemicals as acids and solvents.
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What Are Some Of The Most Common Substances That Trigger Acd Of The Eyelids How Can I Avoid Them
Fragrance additives and preservatives in skin and hair care products are some of the most common substances that trigger red, itchy eyelid rashes. The products listed below will avoid many of the most common triggers.
Chemicals in nail polish or artificial nails . For many patients with eyelid ACD, we recommend stopping these completely for at least 8 weeks.
Hair dye chemicals. These can affect the eyelids, even if the scalp isnt affected.
Antibiotic ointments or eyedrops, specifically neomycin, tobramycin, gentamycin, and bacitracin. If you are using any of these, you may need testing. You may also see if your doctor could prescribe an alternate. Note that erythromycin is an extremely rare cause of allergic reactions.
Preservatives in eyedrops. Testing is usually required to diagnose this allergy. Some persons, when possible, stop using the eyedrops temporarily. This can be tricky, though, because you would need to avoid the preservatives for 8 weeks to see if avoidance will help. Also, the common preservatives in eyedrops are often used in skin care products also.
Nickel, a type of metal used in eyeglass frames, jewelry, and other metal objects. If youve had rashes from jewelry, it may be best to switch to plastic eyeglass frames .
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Eczema Eye Complications: How To Protect Your Vision
Eye complications of eczema require prompt treatment. Learn about how to spot signs of trouble and ways to find relief.
People with eczema are accustomed to the dry, itchy skin and red rashes that go along with a flare-up. These episodes show up mostly on the face, inside the elbows, behind the knees, and on the hands and feet though they can happen anywhere, including the eyelids, eyebrows, and even eyelashes, according to the Cleveland Clinic.
Atopic dermatitis, the most common type of eczema, can develop around the sensitive eye area and lead to a number of eye problems for anyone living with the condition, says the American Academy of Dermatology .
Indeed, according to DermNet NZ, the eyelids are particularly sensitive to irritants. If you expose your eyelids to an irritant, they are more likely to flare up than other parts of your skin.
Is Eyelid Eczema The Same As Eyelid Dermatitis
Yes, eyelid eczema may also be referred to as eyelid dermatitis, as dermatitis, a term for inflammation of the skin, and eczema are often used interchangeably.
The eyelids can be affected by several types of eczema, including atopic dermatitis, the most common form of eczema. Atopic means theres a genetic predisposition to develop an allergic disease because the immune system is more likely to react strongly to certain allergens and irritants. The following types of eczema can also affect the eyelids:
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When Should I Go To The Emergency Department
Go to the emergency department right away if your eyelids swell up so much that you cant see. Unrelated to dermatitis, you should go to the emergency department if you have:
- Trouble breathing/shortness of breath, or if you stopped breathing for any reason.
- Severe chest pain or pressure.
- Any pain that is so severe that you cant stand it.
- Injury to your head, neck or spine.
- Loss of consciousness .
- Sudden weakness, especially if you cant speak or move.
- Dizziness that doesnt stop.
- Coughing or throwing up blood.
- Heavy bleeding.
- High fever that doesnt get better with medicine.
- Severe burn, electric shock or lightning strike.
- Stroke symptoms slurred speech, numbness, weakness, loss of balance and/or vision problems.
A note from Cleveland Clinic
Although eyelid dermatitis wont stop you from going about your daily activities, it is a nuisance. It can cause itching and sometimes pain, so its important to get checked out by a healthcare provider as soon as possible to keep the symptoms from getting severe. Try your best with the help of the people around you to figure out what may have caused the dermatitis. If you can figure that out and avoid the trigger, then you can prevent future flares. Around 15% to 20% of people experience contact dermatitis at some point in their lives, so know that youre not alone.
Last reviewed by a Cleveland Clinic medical professional on 10/25/2021.
Eczema Your Eyes And The Covid
During the COVID-19 pandemic, some doctors are noticing an increase in eczema around the face and eyes in their patients.
One possible reason could be that with increased contact of numerous types of fabric to the skin, this population with increased incidence of contact dermatitis could be reacting to the mask materials, says Gerami Seitzman, MD, an ophthalmologist and the medical director of the Francis I. Proctor Foundation for Research in Ophthalmology at UCSF Health in California, who has observed this trend during the pandemic.
Increased use of hand sanitizers and soaps can also worsen skin irritation, Dr. Seitzman adds.
Lastly, in colder climates, parts of the skin exposed to cold, dry outdoor air can dry the skin of its natural moisture, so it is possible with the face covered, more of the inclement conditions affect the skin around the eyes, she says.
See your doctor as soon as you notice any eczema eye complications, to prevent vision trouble.
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Symptoms Of Eyelid Dermatitis
The symptoms for Allergic contact dermatitis and Irritant contact dermatitis are the same for both. Atopic dermatitis symptoms include a red rash, dry skin, swollen skin, pain, itching, and scaly skin.
Eyelid skin will also be sensitive and swollen from scratching. The skin might grow thick and scaly, forming scabs. You might also see bumps that might leak fluid if scratched.
The affected patch of skin might turn red, brown, or grey, with the skin becoming itchier at night. This might lead to skin inflammation.
Who Gets Irritant Eyelid Contact Dermatitis
Irritant eyelid contact dermatitis can occur in anyone. However, it is more common in people with sensitive skin. People with a background of atopic eczema, asthma and hayfever are more likely to suffer from irritant contact dermatitis than people without this history.
Any pre-existing inflammation of the skin can cause the skin’s waterproof barrier to be compromised and may make it more vulnerable to irritant contact dermatitis. Barrier function may also be defective for genetic reasons.
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When To Seek Medical Advice
See a GP if you have symptoms of atopic eczema. Theyâll usually be able to diagnose atopic eczema by looking at your skin and asking questions, such as:
- whether the rash is itchy and where it appears
- when the symptoms first began
- whether it comes and goes over time
- whether thereâs a history of atopic eczema in your family
- whether you have any other conditions, such as allergies or asthma
- whether something in your diet or lifestyle may be contributing to your symptoms
Typically, to be diagnosed with atopic eczema you should have had an itchy skin condition in the last 12 months and 3 or more of the following:
- visibly irritated red skin in the creases of your skin such as the insides of your elbows or behind your knees at the time of examination by a health professional
- a history of skin irritation occurring in the same areas mentioned above
- generally dry skin in the last 12 months
- a history of asthma or hay fever children under 4 must have an immediate relative, such as a parent, brother or sister, who has 1 of these conditions
- the condition started before the age of 2
What Is Allergic Contact Dermatitis
ACD is a type of allergic reaction. In this type of allergy, a substance contacts the skin, and later results in a rash. The rash from poison ivy is one example. The rash classically occurs 2-3 days later, but it may happen just a few hours later, or one week later. This delay is what makes ACD so hard to figure out.
Once the rash occurs, it may last for weeks, and sometimes up to 8 weeks. People may stop using the offending product for 1-2 weeks, but thats usually not long enough to see results.
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Is It Really Eczema
Its worth repeating that other skin conditionssuch as yeast and fungal infections, psoriasis, and herpesand certain ingredient allergies can sometimes look like eczema, so you want to make sure what you have is truly eczema.
Dr. Fusco recommends patch testing at a dermatologists office to identify anything that you could be allergic or hyper-sensitized to. If your physician finds that you do have an allergy to a specific ingredient, she can provide a comprehensive list of products that dont contain it.
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What Is Eyelid Contact Dermatitis
Eyelid contact dermatitis is an inflammatory reaction involving the eyelid skin that is caused by contact with a trigger substance. It may be due to allergy or irritation . Eyelid dermatitis is also called eyelid eczema.
Upper, lower or both eyelids on one or both sides can be affected by contact dermatitis. The patient may report itching, stinging or burning, and the lids are red and scaly. They may swell. With persistence of the dermatitis, the eyelids become thickened with increased skin markings . The eyelid margins may become involved . The appearance is similar, whatever the cause.
The thin skin of the eyelids is particularly sensitive to irritants and allergens and is thus prone to develop contact dermatitis. Contact with the same trigger may not lead to a rash on other areas of skin.
Eyelid contact dermatitis
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Causes Of Eczema On Eyelids
One of the most common causes of eczema on the eyelids is an allergic reaction to a product used on or around the face .
Common triggers include cosmetics, eye drops, hair dyes, nail lacquers and soaps. A metal tool such as an eyelash curler can also lead to eyelid eczema, and theres at least one known case that resulted from wood glue used in furniture making.
Eczema tends to run in families, so you may be more likely to develop eyelid eczema if a parent, sibling or other close family member has eczema. Like eczema anywhere else on the body, eyelid eczema can also be triggered by anxiety and stress.
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The Cause Of An Itchy Eyelid Can Be A Diagnostic Puzzle But Persistence Often Uncovers Some Common Culprits
The Lids: A Special Challenge
|Figure 1. A patient with itchy, swollen, erythematous eyelids after using topical antibiotic solution post-cataract extraction.|
Common Culprits Ophthalmic solutions. Cosmetics.
|Figure 2. A patient with a history of chronic erythema, itching and puffiness of the eyelids. On patch testing, the patient was found to be allergic to fingernail polish.|
Nails. Metals. Hair dye.Approaching the Patient Patch testing.
|Figure 3. Patch testing performed on a patient’s back. Allergens are applied to the back and remain there for 48 to 96 hours. Ophthalmic preparations may not penetrate the back skin readily and may require high concentrations or erosions on the skin for increased penetration so that patch testing can be performed accurately.|
Treating the patient.Drs. Koo and Chang are in the Department of Ophthalmic Plastic, Orbital & Reconstructive Surgery at the Doheny Eye Institute, and Dr. Peng is in the Department of Dermatology at the University of Southern California, Keck School of Medicine. Contact them at 1450 San Pablo St. Los Angeles, Calif. 90033.1. Valsecchi R, Imberti G, Martino D, Cainelli T. Eyelid dermatitis: An evaluation of 150 patients. Contact Dermatitis 1992 27:143-7.2. Shah M, Lewis FM, Gawkrodger DJ. Facial dermatitis and eyelid dermatitis: A comparison of patch test results and final diagnoses. Contact Dermatitis 1996 34:140-1.
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Diagnosis Of Eczema On Eyelids:
Since most of the symptoms are obvious, it would be very helpful to keep your senses active and observe when and how the rash or irritation started. Some of the symptoms may be associated with specific skin care products or creams. If this is the case, the best way to eliminate the symptoms is to eliminate the product immediately. Also, if this is an allergic reaction resulting from a particular food or material, it may do you good to stop eating the food or using the material too. However, some symptoms may seem very difficult to identify no matter how sensitive or observant you are because they arent obvious. This is the time to visit a dermatologist for help.
To clearly identify the cause of your symptoms, your dermatologist may need to review the symptoms and ask you questions about past allergic reactions. He may also ask about your history of:
- Atopic eczema
- Hay fever and other skin conditions.
If an allergic reaction is suspected, then your doctor may recommend some tests to know what youre allergic to. Some of the recommended tests include:
Each of these tests is aimed at knowing exactly what youre allergic to better manage the allergic reactions. Depending on the type of test, the results may be out in a matter of minutes or days. Your dermatologist will explain everything to you so you dont have to worry about anything.
Irritant Contact Eyelid Eczema
The second known type of Eyelid Eczema is the irritant contact eyelid eczema which occurs when the skin around the eye comes in contact with an irritating substance even when you arent allergic to the substance. The most common substances that may cause irritant eyelid eczema are the makeups and eye creams you use every day. These skin care products may cause skin irritation and chronic pains or discomforts even without being allergic to their content or ingredients.
Note: Some of the substances responsible for Allergic Contact Eyelid Eczema can also cause irritant dermatitis. However, the difference between the two conditions is mostly dependent on the reaction of your immune system.
Some irritants that may cause Contact Eyelid Eczema include:
- Intensive hot or cold temperatures
- Very dry air
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Use A Tailored Skincare Routine
Talking of skincare, its worth looking at your entire routine not just your eye products to help ease the itch. Fragrances, detergents and preservatives can all trigger an eczema flare-up or contact dermatitis, so it makes sense to pare back your skincare regime to gentle products that are tailored to sensitive skin. Not sure where to start? Book in for a free online skincare consultation with our experts and theyll chat through the formulas and ingredients to look out for. Whether youre searching for the best eye cream for eczema or gentle make-up removers that wont irritate your skin further, shop our range of skincare products for eczema-prone skin theyre all independently patch tested for your peace of mind.
Pais Content Editor and a beauty journalist specialising in sensitive skin.