Itchy skin on the face with a sense of tightness may be due to physiological reasons (such as dry climate, etc.) or pathological reasons (such as atopic dermatitis, eczema, etc.) caused by the following: 1. Physiological reasons: due to the dry climate or exposure to the sun and other circumstances so that the epidermal water loss is too fast, resulting in impaired skin barrier function, thus appearing face tight phenomenon, can be accompanied by local flaking, itching. 2. Pathologic causes: (1) atopic dermatitis: atopic dermatitis is a chronic, recurrent, inflammatory skin disease, adults often manifested as dry skin, flaking, moss-like changes, accompanied by intense itching, etc., can appear in the face tightness. (2) Eczema: Eczema is an inflammatory disease of the superficial dermis and epidermis caused by internal and external factors, often manifested as erythema, pimples, desquamation, accompanied by itching, etc., which can appear on the face with symptoms such as peeling, itching and tightness. The symptoms such as peeling, itching and tightness on the face should be promptly diagnosed in a regular hospital, and treated under the guidance of a doctor, do not use your own medication, so as not to delay the condition.