Flare-ups may occur along with tooth eruptions, stress and changes in temperature. In most cases, topical (local) treatments are effective on flare-ups : the objective is first and foremost to reduce the inflammation and pruritis.
Dermocorticosteroids applied once per day are crucial to reduce the inflammation (generally between four and eight days) and rapidly diminish the red weeping lesions. Used according to the doctor's prescriptions, side effects are very rare.
As a second step and in the case of more severe and resistant eczema, another treatment
(a topical immunosuppressor) can be prescribed
(as an exceptional medication, exclusive to dermatologists and pediatricians).
several times a day onto non-inflammatory areas will reduce cutaneous dryness (xerosis), and calm discomfort and itching caused by the dryness.
* PO-SCORAD (Patient Oriented SCOring Atopic Dermatitis) : Allergy. 2011 Aug;66(8):1114-21. doi: 10.1111/j.1398-9995.2011.02577.x. Epub 2011 Mar 18.
How to apply your topical corticosteroid in images
- Atopic eczema flare-ups can be triggered upon contact with irritants such as soap, detergents, rough fabric, certain foods, heat or sweat.
- A too dry atmosphere, dental eruptions, certain changes from daily habits and stress may also encourage itching and eczema flares.
Taking care of skin when it is irritated is crucial.
To do so, gentle cleansing every day suffices, without rubbing and without getting irritated.
- The temperature of the water should never exceed 34°C.
- If you prefer a shower, it should not be longer than five minutes, as hard water dries out the skin.
- If you prefer a bath, it should not exceed 15 minutes. You can add a liquid emollient to the bath water to neutralize the water's hardness. Use lipid-enriched soap (not alkaline) to gently cleanse.
- Do not use cotton on the face as it can irritate ; choose a very gentle cleansing product.
- Remove the excess with a paper tissue or rinse.
- Finally, it is important to dry by patting gently, as rubbing can reactivate the pruritis.