Eczema Around The Eye
When eczema occurs on the face, it often affects the skin around the eyes or eyelids . Eczema that develops near the eyes needs special attention because the eyes themselves can be affected.
Tips For Preventing An Eczema Flare
Eczema is a general term that refers to several health conditions that lead to irritated, inflamed, and itchy skin. While eczema is most common in children and babies, anyone can develop this condition, even if youve never had signs of it in the past.
The most common symptoms of eczema include:
- Intense itching
- Redness, inflammation, and areas of swelling
- Leathery, roughened, or scaly patches
- Discolored or dark patches of skin
Eczema symptoms can vary in severity from mild to severe, and its possible to experience multiple symptoms at once. Some individuals have a single flare-up, while others struggle with uncomfortable symptoms throughout their entire lives.
Theres no cure for this common condition, but Dr. Lisa Hitchins at Dermatology Center of Northwest Houston offers personalized eczema treatment. This October, in honor of Eczema Awareness Month, Dr. Hitchins shares five tips for avoiding eczema flare-ups.
Trigger : Exposure To Allergens Or Irritants
Hand eczema is often caused or worsened by exposure to a substance thats irritating think alcohol, bleach, cleansers or solvents or one that causes an allergic reaction, such as perfume or certain plants. Florists often get dermatitis on their thumb and forefinger when clipping chrysanthemums and tulips . In the kitchen, vegetables particularly garlic and onion can lead to a flare-up, especially on the fingertips. Even fabric can exacerbate hand eczema. Rough, coarse materials such as wool and stiff synthetics such as polyester can trigger an itch-scratch cycle that worsens the condition.
How to dodge it: Pay attention to what sets off your eczema. Whether youre at home or on the job, learn what irritates your skin and avoid or limit contact with those things, advised Dr. OBrien. Use a washing machine, dishwasher, and food processor when possible and ask other family members for help with housework, cooking and gardening to give your hands a break. Protect your hands from irritants and allergens by wearing vinyl or cotton gloves while you do chores. Wear heavy-duty vinyl or neoprene gloves at work if youre exposed to triggers there. If the gloves you have irritate your skin, ask your dermatologist for recommendations.
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Treatments That Reverse Stress Damage
Beyond practicing stress coping techniques, there are also many great cosmetic treatments that work to both help the skin deal with stress and reverse any negative effects. Great stress fighting treatments include:
Chemical Peels: Topically applied formulas that revitalize the skin surface by creating an even and controlled shedding of the skin cells. Chemical peels create a fresh appearance and a smoother skin surface while removing skin damage.
Micro-Needling: An innovative skin rejuvenation treatment that spurs the production of new collagen and elastin fibers that thicken the skin and reduce the appearance of wrinkles, acne scarring, sun damage, and stretch marks. Learn more about micro-needling.
Facials: We offer several different types of facials to leave the skin feeling refreshed and renewed. Facials can be performed to cleanse, exfoliate, and rehydrate the skin.
Laser Treatments: Non-invasive treatments utilize light, ultrasound, or radiofrequency to tighten or resurface the skin. Laser treatments like Thermage and Ultherapy can stimulate the production of new collagen while resurfacing lasers like Fraxel can improve the appearance of aging or sun damaged skin, fine lines and wrinkles, acne scars, stretch marks or uneven pigmentation.
There Are Several Possible Culprits For Your Dry Itchy Skin
When you have eczema, you already know that preventing flare-ups requires some vigilance. After all, everyday things such as cigarette smoke, pollen, and even your clothes may cause symptoms, and no two skins are identical. Its important to know that people with eczema have different triggers, and the combination of triggers wont be the same for everyone with the condition, says Debra Wattenberg, MD, a board-certified dermatologist in private practice in New York City.
When eczema flares up, causing a red and itchy rash, whats going on? Simply put, an external or internal trigger kicks the immune system into overdrive, causing inflammation, as the National Eczema Association notes. Sometimes, eczema which is often referred to by its most common type, atopic dermatitis causes problems besides noticeable skin symptoms. One of the most important things people should know about atopic dermatitis is that the skin barrier is not as intact as in someone without the condition even where there is no visible rash, says a dermatologist and director of pediatric dermatology in the department of dermatology at the Boston University School of Medicine. So the skin is much more vulnerable to drying out, irritation, infections, and developing new allergies.
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Stress Hormones Can Trigger Existing Conditions To Worsen Or Flare Up
The theory is that the immune system is directly affected by stress, Eidelman said.
He noted that stress releases hormones such as cortisol and adrenaline into our systems chemical messages that trigger certain physiological responses in our bodies. For instance, adrenaline increases the heart rate and elevates blood pressure, and cortisol increases sugar in the bloodstream, according to the Mayo Clinic.
In terms of the skin, when the body produces too much cortisol, the immune system is weakened, causing an inflammatory response such as an eczema or psoriasis flare-up. This factor is particularly relevant for individuals who are predisposed to these skin conditions, Bowe said, as stress can exacerbate or unmask those conditions.
Find An Eczema Support Group
Even though eczema is a common disease affecting more than 31 million Americans, many people say they are too embarrassed or ashamed to talk about it. Oftentimes, they report covering up their skin and thus go through life not knowing if the person standing in line next to them also has eczema. Its human nature to want to talk with others who have the same problem and know what youre going through. The National Eczema Association can help. Connect with us on and to discuss the latest news and research with others in the eczema community. Join Eczema Wise, an online support group where people living with or affected by eczema can post discussion topics, exchange ideas and make new friends.
When To See A Doctor For Stress Rash Treatment
Most rashes and acne breakouts will clear up after a few days with good skin hygiene and over-the-counter medications.
Treatment is similar for skin breakouts and eczema. Antihistamines and medicated creams and ointments often help clear it up within a few days. If your condition doesnt clear up within that time frame, check with a provider. Many skin conditions can be diagnosed and treated through a virtual or online visit. Definitely check with a provider if:
- Your skin rash or breakout becomes so uncomfortable you are having trouble sleeping or focusing on daily tasks.
- You develop a fever, red streaks, pus, skin peeling, blisters or scabs.
Depending on your symptoms, your provider may treat your skin rash or breakout with stronger antihistamines, steroids or antibiotics.
Image above shows what stress rash looks like
When Is It Time To Visit A Dermatologist
If your stress-related acne breakouts or chronic skin condition flareups arent improving after a few days, are very painful, or cause serious difficulty in your daily activity, its time to call U.S. Dermatology Partners. As part of our ongoing commitment to help our patients and communities stay healthy in the wake of the COVID-19 pandemic, were still offering quick, easy teledermatology sessions, so you dont even need to leave home or add any extra stress to your schedule to talk to us. Simply get in touch with our team or request an online appointment using our scheduling request form. Then, sit down with your computer, phone, or tablet to chat with our dermatologists about your concerns and start feeling better right away.
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The Link Between Eczema And Stress
Dr. Mark Levenberg, FAAD, a Board-certified dermatologist, and Medical Director, US Medical Affairs, at Pfizer advises that stress has been shown to have a scientific link, through a variety of mechanisms, to impact our immune system and skin barrier, which may contribute as an exacerbating factor to eczema.
When you encounter a stressful situation, the body has a physiological reaction, often referred to as the fight or flight response. Originally a survival mechanism, it can lead to the body reacting to every day stress such as work pressures or family problems. During this physiological response, stress hormones, like cortisol, are released. When released in large amounts , cortisol suppresses the immune system and increases inflammation throughout the body. This increase in inflammation extends to the skin worsening eczema symptoms.
Dr. Levenberg goes on to discuss the vicious cycle that stressors can cause. Stressors are likely to affect our health in general, and skin in particular, in a variety of different ways. Different types of stressors can lead to other kinds of stress, as well. For example, eczemas hallmark symptom is the itch, which may cause an individual to have difficulty sleeping, which could also contribute to anxiety, creating a vicious cycle of multiple stressors on a patient.
Feeling Stressed How Your Skin Hair And Nails Can Show It
- American Academy of Dermatology
- Pending job cuts at the office. Back-to-back final exams. A messy divorce. An unexpected surgery. What do they all have in common? In a word stress. While everyone knows that stress can take a toll on a person physically and psychologically, it also can lead to dermatologic problems, such as acne, brittle nails or even hair loss.
Pending job cuts at the office. Back-to-back final exams. A messy divorce. An unexpected surgery. What do they all have in common? In a word stress. While everyone knows that stress can take a toll on a person physically and psychologically, it also can lead to dermatologic problems, such as acne, brittle nails or even hair loss.
Speaking November 8 at the American Academy of Dermatologys SKIN academy , dermatologist Flor A. Mayoral, MD, FAAD, clinical instructor in the departments of dermatology and cutaneous surgery at the University of Miamis Miller School of Medicine in Miami, Fla., discussed the most common outward signs of stress on the skin, hair and nails, and offered stress management tips to control these symptoms.
Stress and the Skin
When a person becomes stressed, the level of the bodys stress hormone rises. This in turn causes an increase in oil production, which can lead to oily skin, acne and other related skin problems. Dr. Mayoral noted that even patients with skin that is not affected by acne tend to develop temporary stress-related acne due to increased oil production.
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How Do I Know If Food Is Making Eczema Worse
- Some food allergy occurs immediately. Symptoms develop within two hours of eating the trigger food. Itching and scratching may worsen shortly after eating it. A common sign is redness, swelling and irritation around the mouth. Another skin symptom that may develop is urticaria. In this condition, itchy, fluid-filled lumps appear on the skin – similar to nettle stings. Other symptoms may occur such as tummy pain, being sick , wheezing, itchy eyes and sneezing.
- Delayed food allergy occurs in some cases. Symptoms develop 6-24 hours after eating the trigger food. Symptoms include worsening of itching and eczema. Sometimes abdominal pain and diarrhoea also occur.
If you suspect a food is making eczema symptoms worse then your doctor may be able to help. It is useful to keep a food diary over 4-6 weeks before seeing the doctor, aiming to record any symptoms and all foods and drink taken. It may help to identify one or more suspect foods.
Confirming a food allergy isn’t always straightforward: there is no reliable test that can tell if you are allergic to something. The easiest thing to do is to leave out, for a few weeks, the food you think is making the eczema worse. Keep a note of it. Then deliberately start eating it again and record how bad the eczema is. You may need the advice of your doctor for this.
Eczema And Atopic Dermatitis Treatment
Your doctor may prescribe a corticosteroid cream or ointment to apply to your rash. This will help reduce itching and calm inflammation. Use it right after bathing. Follow your doctors directions for using this medicine or check the label for proper use. Call your doctor if your skin does not get better after 3 weeks of using the medicine.
Antihistamines like hydroxyzine reduce itching. They can help make it easier to not scratch. A new class of drugs, called immunomodulators, works well if you have a severe rash. Two drugs in this class are tacrolimus and pimecrolimus. These drugs keep your immune system from overreacting when stimulated by an allergen. However, they can affect your immune system. So the Food and Drug Administration recommends that these drugs be used only when other treatments wont work.
Try not to scratch the irritated area on your skin, even if it itches. Scratching can break the skin. Bacteria can enter these breaks and cause infection. Moisturizing your skin will help prevent itchiness.
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Skin Conditions Worsened By Stress
Acne, eczema, rosacea, and psoriasis can all worsen during periods of stress or anxiety. It may trigger your body to release high levels of cortisol.
Cortisol can disrupt the skin barrier , leading to dry and flaky skin. At the same time, it can lead to an increase in sebum, a skin oil that contributes to acne.
Stress also causes increased inflammation in your body and skin. This inflammation can lead to acne, hives, and skin rashes like psoriasis or eczema.
In addition to the effects of stress itself, stress can lead to poor food choices and poor sleep, which affect the skin and prevent healing. Eating a diet high in sugar and high-glycemic index foods, like pasta and white bread, can eventually cause acne outbreaks.
Some people also respond to stress and anxiety by picking or scratching their skin. This can lead to sores and cuts.
Even though stress can make many rashes and skin conditions worse, there are effective treatments for these conditions. If you have a rash or a skin condition worsened by stress or anxiety, see a dermatologist. They can prescribe topical or oral medications. A mental health professional can help you manage your stress and anxiety.
Can Acne Be Caused By Stress
When we are stressed, our acne can get worse. Stress can and does suppress our immune system, which can weaken our bodys ability to defend against bacteria and inflammation. In response to stress, our body will release more of the stress hormone cortisol, which may lead to increased oil production in our skin. When were stressed out or anxious, we have a greater tendency to become preoccupied with our acne, absentmindedly picking more at our pimples
It is well known that stress slows down wound healing, increases pain intensity, and prolonged surgery recovery rate. Emotional stress is believed to play a significant role in skin disorders such as psoriasis, alopecia areata, and atopic eczema.
A study on 215 medical students showed that 67% believed that stress makes their acne worse. In another study, on 22 students, the researchers found a link between teh frequency and severity of acne breakouts and tests related stress.
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Stress Causes Bad Skin Care Habits
While dealing with stress many people have bad habits that agitate the skin, such as rubbing, scratching, or picking at the skin. All of these habits can lead to cracks in the surface of the skin that will act as channels for dirt and bacteria to penetrate. This can result in increased acne, red bumps, blemishes and skin infections. Continually traumatizing the skin with these bad habits also prolongs the healing process, thus possibly leading to scarring and brown/red spots that can linger longer making the skin appear more uneven in tone and texture.
Stress can cause people to choose less healthy lifestyle. Sugary cravings, increased appetite, as well as alcohol and tobacco use can lead to more oxidative damage to cells and thus lead to premature agining of the skin and decreased healing capabilities. This can affect multiple organ systems- your skin being your largest organ system.
During stressful times many people deviate from their normal skincare regimen or skip it all together. Not taking proper care of your skin can lead to issues, especially since stress alone ignites skin problems as outlined above.
Be Gentle On Your Skin While Bathing
A long, hot bath might be relaxing at the end of the day, but avoid the temptation of this potential atopic dermatitis trigger. Keep showers or baths as short as possible and use only lukewarm water, advises the NEA. Hot water can dry the skin and cause atopic dermatitis to flare, notes the Cleveland Clinic.
Be gentle on your skin when bathing dont scrub or rub with a washcloth or loofah, and pat skin with a towel after bathing. While your skin is still damp, apply a rich moisturizer to trap moisture in the skin an essential part of treatment for eczema, the NEA notes.
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