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What Are The Different Types of Eczema?

There are several different types of eczema. Although they can look similar, they may have different causes and treatments, and it is important to be sure which one you have. If in any doubt, go to your doctor for a diagnosis.

Atopic Eczema

This is the commonest type of eczema. It is characterized a dry, itchy skin condition, often starting before the age of two years, and usually in the form of a visible rash. In infant, the rash often appears on the cheeks, in children and adults it usually starts in skin folds (inside elbows, backs of knees, under the neck, front of ankles).

It tends to become chronic on exposed areas, like the hands and face. The skin is often red and hot, and the itching can be very intense. The skin is frequently dry, even when it is not inflamed. The condition tends to run in families, and people with atopic eczema often also suffer from hay fever, asthma or both. The rash may flare up and clam down at different times.

Contact Dermatitis

This occurs when the skin comes into contact with something which triggers a reaction. This type of eczema can be divided into irritant contact dermatitis, where frequent contact with something irritant the skin (for example detergents or chemicals) and allergic contact dermatitis, when the skin reacts to something to which you are allergic (for example, nickel or rubber). In both cases, the reaction may happen after being repeatedly exposed to the irritant or allergen, and the best course of action is to protect you skin by avoiding the substance in future.

Seborrhoeic Eczema

In babies, this appears as the well knows cradle cap or starts in the nappy area. It is quite common, and the exact cause is not understood. It usually clears up after a few months, and does not appear to cause the baby any discomfort (although it might upset the proud parents). In adult, seborrhoeic eczema is associated with natural oily secretions from the skin. It usually occurs as dry, flaky skin (dandruff) on the scalp, and can spread to the face and chest. It is sometimes treated with an anti-fungal cream.

Varicose (or gravitational) Eczema

This is associated with poor circulation, and usually occurs on the lower legs of older people. The skin breaks out in an itchy, inflamed rash, and can develop a speckled appearance. If is not treated (usually with emollients and sometimes steroids), it can worsen into an ulcer.

Discoid Eczema

This appears as round patches of reddened skin (hence the name), which can get itchy and weepy. The patches are mostly distributed in the trunk and legs, and the condition is treated with emollients and sometimes steroids.

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