Flexural eczema

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Flexural eczema, also known as atopic dermatitis or atopic eczema, is a common skin condition characterized by inflammation and itchiness of the skin, particularly in the skin folds or flexural areas. These areas include the folds of the elbows, knees, wrists, neck, and sometimes the face. It is a chronic condition and often appears in childhood, though it can affect people of all ages.





The exact cause of flexural eczema is not fully understood, but it is believed to involve a combination of genetic, environmental, and immune system factors. Common symptoms and features of flexural eczema include:

Red, inflamed skin: The affected areas become red, and swollen, and may ooze or crust over due to scratching.


Intense itching: Itchiness is a hallmark symptom of eczema and can be severe, leading to further skin damage when scratched.


Dry, scaly skin: The skin may become dry, flaky, and rough in texture.


Recurrence: Eczema often has a relapsing and remitting course, meaning it can flare up and then improve, with periods of symptom-free skin.


Lichenification: Prolonged scratching can lead to thickened, leathery skin in the affected areas.

Treatment for flexural eczema aims to alleviate symptoms, reduce inflammation, and prevent flare-ups. Common treatment options include:

Moisturizers: Regularly applying emollients or moisturizers to keep the skin hydrated and reduce dryness.


Topical corticosteroids: These anti-inflammatory creams or ointments are commonly prescribed to reduce inflammation and itching.


Topical calcineurin inhibitors: These non-steroidal medications may be used on sensitive areas, such as the face and neck.


Antihistamines: These can help alleviate itching, especially if it disrupts sleep.


Avoiding triggers: Identifying and avoiding triggers that worsen the condition, such as certain soaps, detergents, and allergens.


Wet wrap therapy: Applying moisturizer and wrapping the affected areas with wet bandages to help hydrate the skin.


Phototherapy: In some cases, ultraviolet light therapy (PUVA or UVB) may be used under medical supervision.

It's important to consult a healthcare professional, such as a dermatologist, for a proper diagnosis and treatment plan tailored to your specific condition. Managing flexural eczema often involves a combination of lifestyle changes and medication to minimize symptoms and improve the quality of life.

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