Eczema: Care Instructions

Overview

Eczema (say "EGG-zuh-muh") is also called atopic dermatitis. It's a skin problem that causes intense itching and a raised rash. Sometimes the rash develops blisters and crusts. It is often scaly. The rash is not contagious. You can't catch it from others.

In lighter skin, the rash may look pink or red. In darker skin, the rash may be hard to see or it may look dark brown, gray, or purple. Or there may be patches of lighter skin.

Eczema often runs in families. People with eczema may also have allergies and asthma.

There is no cure for eczema. But you may be able to control it with care at home.

Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take.

How can you care for yourself at home?

  • Use moisturizer at least twice a day.
  • If your doctor prescribes a cream, use it as directed. If your doctor prescribes other medicine, take it exactly as directed.
  • Wash the affected area with warm (not hot) water only. Soap can make dryness and itching worse. Pat dry.
  • Apply a moisturizer after washing your hands or after bathing. Use petroleum jelly or a cream such as Cetaphil, Lubriderm, or Moisturel that does not irritate the skin or cause a rash. Apply the cream while your skin is still damp after lightly drying with a towel.
  • Use cold, wet cloths to reduce itching.
  • Keep cool, and stay out of the sun.
  • If itching affects your sleep, ask your doctor if you can take an antihistamine that might reduce itching and make you sleepy, such as diphenhydramine (Benadryl). Be safe with medicines. Read and follow all instructions on the label.
  • Control scratching. Keep your fingernails trimmed and smooth to prevent damage to the skin when you scratch it. Wearing cotton mittens or gloves can help you stop scratching.
  • Try to avoid things that trigger your rash. These may include things like allergens, such as pollen or animal dander. Harsh soaps, scratchy clothes, and stress are other examples.

When should you call for help?

Call your doctor now or seek immediate medical care if:

  • Your rash gets worse and you have a fever.
  • You have new blisters, or the rash spreads and looks like a sunburn.
  • You have signs of infection, such as:
    • Increased pain, swelling, warmth, or redness.
    • Red streaks leading from the rash.
    • Pus draining from the rash.
    • A fever.
  • You have crusting or oozing sores.
  • You have joint aches or body aches along with your rash.

Watch closely for changes in your health, and be sure to contact your doctor if:

  • Your rash does not clear up after 2 to 3 weeks of home treatment.
  • Itching interferes with your sleep, daily activities, or mood.

Where can you learn more?

Go to https://www.healthwise.net/patientEd

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