Characteristics and treatment of eczema

  1. How is eczema classified?  Eczema is divided into three types of acute, subacute and chronic eczema according to the performance characteristics of the lesions: (1) acute eczema: most of the corn-grain red papules, papules or blisters, there may be obvious punctate or small pieces of vesicles, oozing, crusting. The damage is poorly defined. In combination with infection, pustules, purulent exudate and scabs may appear.  (2) Subacute eczema: often evolved from the recurrence of acute eczema, the lesions are mainly red papules, maculopapular rash, scaling or crusting, with a few papules or blisters and vesicular ooze.  (3) chronic eczema: more acute, subacute eczema repeatedly does not heal from the transformation of lesions for dark red or brown-red spots or macules, often fused thickening moss-like changes, the surface has scales, scratches and crusts, scattered around a few papules, macules, etc.. The skin lesions can be acute under certain triggers.  2, what should eczema patients pay attention to in their daily lives?  The skin of eczema patients should be kept clean and avoid stimulation, such as scratching, sun exposure, wind blowing, etc.; nails should be trimmed and hands washed frequently. Clothes should be wide, preferably wearing soft and breathable cotton clothes, and try not to wear woolen and chemical fiber clothing to prevent allergies. Minimize the use of alkaline soap, body wash and overheated water for bathing. Eat a light diet, forbid alcohol and spicy stimulating foods, and avoid seafood, beef and mutton. If necessary, allergen testing can be performed and try to avoid positive items in the allergen test.  3.How to treat eczema?  Topical medication should depend on the lesions. For acute eczema without exudation, use topical glycolite lotion 4-6 times a day. When itching is obvious, glucocorticoid cream can be added. Such as 0.1 mometasone furoate cream, etc., 1-2 times a day for external use. When there is exudation, first use 3% boric acid solution or saline, etc. to do cold wet compresses, 30 minutes each time, 2-4 times a day. For subacute eczema, use compound boric acid ointment and glucocorticoid cream for external application 2-3 times a day. For chronic eczema, glucocorticoid cream, ointment or hard cream, compounded boric acid ointment can be used. If eczema is secondary to infection, such as secondary to bacterial infection, 2% mupirocin ointment (trade name Bactrim) or 2% fusidic acid cream with anti-infective effect can be used 2-3 times a day; if secondary to fungal infection, topical antifungal drugs can be used in combination.  Systemic treatment: antihistamines, traditional first-generation antihistamines mostly have a central sedative effect, such as paracetamol, cyproheptadine. The second generation antihistamines have less or no central sedation and side effects such as dry mouth, can also be used. Such as cetirizine, loratadine, can choose 1-2 of them as appropriate. A safer drug for pediatric patients is Benadryl. Non-specific desensitization can be treated with 10% calcium gluconate and vitamin C. Compound glycyrrhetinic acid injection (trade name Mennen) can also be used intravenously for 1-2 weeks as a course of treatment. Glucocorticoids can quickly control the symptoms, but stopping the drug is easy to relapse, so the general situation does not advocate the application. Only in acute eczema serious, rash extensive or eczema secondary erythroderma patients, the use of other treatments are ineffective and no contraindications to the application of glucocorticoids can be used at your discretion, in addition to the available thunderbolt multi-glucoside tablets oral.  4, what are the precautions for infant eczema?  Infant eczema try to find the cause and try to avoid it. Promote breastfeeding can reduce the severity of eczema. Protein-based complementary foods should be added later, such as eggs, fish and shrimp, and at a slower pace. If a food has been found to cause eczema, try to avoid eating it again. Babies with cow’s milk allergy can be fed with deeply hydrolyzed milk powder, or with soy milk or goat milk instead of cow’s milk. Babies allergic to eggs can eat egg yolks alone. In terms of dressing, it is best to choose cotton clothing, which should be loose and soft. Bedding should be changed frequently to keep it dry and avoid overheating and sweating. Babies should avoid contact with feathers, animal hair, pollen, chemical fibers and other allergenic substances. Warm water is best for bathing, the water temperature should not be too high, and avoid alkaline bathing products. Minimize suspected allergens in the living environment, and do not keep pets at home, such as cats and dogs. Indoor ventilation, do not smoke indoors, do not put carpets indoors, cleaning hygiene is best to use wet rags to avoid dust.  5.What are the precautions for eczema patients in autumn?  Eczema patients should pay attention to moisturizing in autumn and winter, the human skin surface has a protective sebum film, dry skin in autumn, the number of baths should not be too many, not too long, the water temperature should not be too high, less alkaline cleaning products such as soap, you can choose some skin care products containing oil to moisturize the skin. Diet, more vegetables, fruits such as: pears, apples, bananas, grapes, to supplement the body nutrition skin vitamins and a variety of minerals, try to avoid fish, shrimp, crab, chili peppers and other allergenic or irritating food, do not drink strong tea, coffee.