This is the most common form of eczema. The skin often appears extremely dry, red and inflamed. The patient may also complain of severe itchiness. Scratching the skin may cause the skin to split, leaving it susceptible to infection. If the eczema is infected, the skin may crack and weep. Atopic eczema is linked with hereditary factors, asthma and hayfever. Patients may also have a sensitive reaction to certain types of allergens in the environment, which may lead to the occurrence of atopic eczema. Treatments include different types of emollients and steroids to reduce the inflammation.
The treatment of acute eczema where there is significant weeping and oozing requires repeated cycles of application of dilute solutions of vinegar or tap water often in the form of a compress followed by evaporation. This is most often conveniently performed by placing the affected body part in front of a fan after the compress. Once the acute weeping has diminished, then topical steroids (such as triamcinolone cream) application can be an effective treatment. In extensive disease, systemic steroids may need to be utilized either orally or by an injection (shot).
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