The treatment time for perianal eczema is uncertain, and the treatment cycle varies from person to person due to different causes and conditions, and may range from a few weeks to a few months. Perianal eczema refers to eczema-like pathologic changes in the skin around the anus, which can lead to itching, ulceration, oozing, and pain in the patient’s perianal skin. The causes may be related to daily dietary habits, defecation habits, anorectal lesions (hemorrhoids, anal fissures, anal papillomas, anal fistulas, etc.), ulcerative proctitis, allergies, parasitic infections, sexual contact with infectious diseases (gonorrhea, syphilis, condyloma acuminatum, etc.), tumors, and other factors. After the appearance of the above clinical symptoms, patients should go to the anorectal department, dermatology department, and infectious disease department of the hospital as soon as possible. Through physical examination, history taking and laboratory tests, imaging tests and other items, comprehensive analysis to diagnose the cause of the disease, the condition and then targeted treatment. Specific treatment time should be analyzed with the patient’s individual situation. If the lesion occurs due to daily dietary habits, defecation habits, pay attention to maintain perianal hygiene and cleanliness, pay attention to light diet, usually about 2 to 3 weeks, the symptoms can slowly subside. If the condition is caused by anal fistula and other anorectal lesions, surgical treatment may be required, and the postoperative recovery time, may be about 1 to 2 months. Therefore, it is recommended that patients with perianal eczema seek early and regular treatment to cure the lesion as soon as possible and reduce the impact of the lesion on the patient’s health.