Launching January 2027

Eczema (Atopic Dermatitis)

Eczema At A Glance

  • Eczema, also called atopic dermatitis, is a long-term condition that causes dry, itchy, inflamed skin and recurring flare-ups.
  • It develops when the skin barrier does not work as well as it should, allowing moisture to escape and irritants, allergens, and germs to enter more easily.
  • Common symptoms include intense itching, dry or scaly skin, redness or discoloration, cracked skin, swelling, and sometimes oozing or crusting during severe flare-ups.
  • Eczema can begin at any age and often alternates between periods of improvement and flare-ups triggered by things such as dry skin, stress, weather changes, soaps, detergents, sweat, or allergens.
  • Treatment focuses on restoring the skin barrier, reducing inflammation and itching, preventing infection, and identifying personal triggers.
  • Although there is no cure, many people successfully control eczema with daily moisturizers, proper skin care, trigger avoidance, medications, and regular follow-up.

Table of Contents

Table of Contents

What Is Eczema?

Eczema, also called atopic dermatitis, is a common long-term skin condition that causes dry, itchy, inflamed skin. It occurs when the skin’s protective barrier does not work as well as it should, allowing moisture to escape and irritants, allergens, and germs to enter more easily. This can lead to redness, itching, dryness, and recurring skin flare-ups. (medlineplus.gov)

Eczema is not contagious, meaning it cannot spread from one person to another. It often begins during infancy or childhood but can develop at any age. Many people experience periods when symptoms improve followed by flare-ups triggered by environmental factors, stress, illness, or skin irritation.

Eczema is one type of a broader group of conditions called dermatitis. Although there is currently no cure, proper skin care, avoiding triggers, and medications can help control symptoms and improve quality of life.

Learn More

Eczema – NIH MedlinePlus
https://medlineplus.gov/eczema.html

Provides easy-to-understand information about eczema, symptoms, diagnosis, treatment, and prevention.

Atopic Dermatitis – National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
https://www.niams.nih.gov/health-topics/atopic-dermatitis

Provides information about eczema causes, symptoms, treatment, and current research.

How Common Is Eczema?

Eczema is one of the most common skin conditions worldwide. It affects millions of children and adults. It commonly begins during childhood, but some people develop eczema for the first time as adults.

People with eczema are more likely to have allergies, asthma, or seasonal allergic rhinitis (“hay fever”), a combination sometimes called the atopic triad.

Learn More

American Academy of Dermatology – Eczema
https://www.aad.org/public/diseases/eczema

Provides information about eczema, who develops it, and available treatment options.

What Symptoms Might You Notice?

Symptoms vary from person to person and may range from mild to severe.

Common symptoms include:

  • Dry skin
  • Intense itching
  • Red, pink, brown, gray, or purple patches depending on skin tone
  • Rough or scaly skin
  • Thickened skin from repeated scratching
  • Small raised bumps
  • Cracked skin
  • Oozing or crusting during severe flare-ups
  • Swelling
  • Burning or stinging
  • Difficulty sleeping because of itching

Common areas affected include:

  • Hands
  • Wrists
  • Elbows
  • Knees
  • Ankles
  • Neck
  • Face
  • Eyelids
  • Scalp (especially in children)

How Is Eczema Diagnosed?

A healthcare provider usually diagnoses eczema by reviewing your symptoms, medical history, family history, and examining your skin.

They may ask about:

  • When symptoms began
  • Areas of the body affected
  • Itching severity
  • Allergies or asthma
  • Family history
  • Skin-care products
  • Environmental exposures
  • Recent illnesses
  • Foods (when appropriate)

Additional testing may be recommended if another skin condition or allergy is suspected.

Learn More

American Academy of Dermatology – Eczema Diagnosis
https://www.aad.org/public/diseases/eczema

Explains how eczema is diagnosed and evaluated.

Eczema (Atopic Dermatitis) infographic – click to enlarge

What Causes Eczema?

The exact cause is not fully understood. Eczema develops because of a combination of genetics, immune-system activity, and problems with the skin barrier.

Contributing factors may include:

  • Family history of eczema
  • Asthma
  • Seasonal allergies
  • Dry skin
  • Immune system overactivity
  • Skin barrier dysfunction
  • Environmental irritants
  • Allergens
  • Stress
  • Weather changes
  • Certain infections

Learn More

Atopic Dermatitis – NIAMS
https://www.niams.nih.gov/health-topics/atopic-dermatitis

Explains current understanding of eczema causes and risk factors.

What Can Make Eczema Worse?

Common triggers include:

  • Dry skin
  • Hot showers
  • Cold weather
  • Low humidity
  • Sweat
  • Stress
  • Fragranced soaps
  • Bubble baths
  • Harsh detergents
  • Wool clothing
  • Pet dander
  • Dust mites
  • Pollen
  • Cigarette smoke
  • Certain cosmetics
  • Skin infections

Triggers vary from person to person. Identifying your individual triggers can help reduce flare-ups.

Learn More

Eczema Triggers – American Academy of Dermatology
https://www.aad.org/public/diseases/eczema/insider/triggers

Provides information about common eczema triggers and how to avoid them.

Prevention

Although eczema cannot always be prevented, flare-ups may be reduced by:

  • Moisturizing daily.
  • Using gentle, fragrance-free products.
  • Avoiding hot showers.
  • Wearing soft fabrics.
  • Managing stress.
  • Avoiding known triggers.
  • Treating skin infections promptly.
  • Keeping fingernails short.
  • Using sunscreen when outdoors.
  • Following your prescribed treatment plan.

Learn More

Eczema Self-Care – American Academy of Dermatology
https://www.aad.org/public/diseases/eczema/self-care

Provides recommendations for preventing eczema flare-ups.

Labs

Most people with eczema do not require laboratory testing.

When needed, testing may include:

  • Skin Culture: Evaluates for bacterial infection.
  • Skin Scraping: Evaluates fungal infections or mites.
  • Patch Testing: Identifies allergic contact dermatitis.
  • Allergy Testing: May help identify environmental or food allergies in selected patients.
  • Complete Blood Count (CBC): Evaluates infection or inflammation.
  • Immunoglobulin E (IgE): May be elevated in some people with allergic conditions.

Learn More

Laboratory Tests – NIH MedlinePlus
https://medlineplus.gov/lab-tests/

Provides information about laboratory testing used for various medical conditions.

Diagnostics

Most eczema is diagnosed without imaging or extensive testing.

Possible evaluations include:

  • Physical skin examination
  • Dermatoscopy
  • Patch testing
  • Skin biopsy (rarely needed)
  • Skin culture when infection is suspected

A skin biopsy is uncommon but may help distinguish eczema from psoriasis, fungal infections, cutaneous lymphoma, or other skin diseases.

Learn More

Skin Biopsy – NIH MedlinePlus
https://medlineplus.gov/lab-tests/skin-biopsy/

Provides information about skin biopsy procedures and why they may be performed.

Treatment & Management

Treatment Options

Treatment focuses on restoring the skin barrier, reducing inflammation, relieving itching, and preventing infections.

Treatment options include:

  • Daily moisturizers
  • Prescription topical medications
  • Wet-wrap therapy
  • Oral medications
  • Injectable biologic medications
  • Light therapy (phototherapy)
  • Treating skin infections
  • Identifying and avoiding triggers

Many people require long-term maintenance treatment even after symptoms improve.

Learn More

Eczema Treatment – American Academy of Dermatology
https://www.aad.org/public/diseases/eczema/treatment

Provides information about eczema medications, moisturizers, phototherapy, and biologic treatments.

Lifestyle Changes

Helpful lifestyle habits include:

  • Moisturize several times daily.
  • Bathe with lukewarm—not hot—water.
  • Limit showers to about 10 minutes.
  • Pat the skin dry.
  • Apply moisturizer immediately after bathing.
  • Use fragrance-free soaps and detergents.
  • Wear soft cotton clothing.
  • Keep fingernails short.
  • Use a humidifier if indoor air is dry.
  • Manage stress.
  • Avoid known triggers.

Daily moisturizing is one of the most effective ways to reduce eczema flare-ups.

Learn More

Skin Care for Eczema – American Academy of Dermatology
https://www.aad.org/public/diseases/eczema/self-care

Provides practical recommendations for bathing, moisturizing, and daily skin care.

Medications

Common medications include:

  • Moisturizers (Emollients): Help restore the skin barrier.
  • Topical Corticosteroids: Reduce inflammation during flare-ups.
  • Topical Calcineurin Inhibitors (Tacrolimus, Pimecrolimus): Non-steroid medications used for sensitive areas.
  • Topical PDE-4 Inhibitors (Crisaborole): Helps reduce inflammation.
  • Topical JAK Inhibitors: Used in selected patients.
  • Oral Antihistamines: May help some people sleep if itching is severe.
  • Antibiotics: Treat bacterial skin infections when present.
  • Dupilumab (Dupixent®): Injectable biologic medication used for moderate-to-severe eczema.
  • Tralokinumab (Adbry®): Injectable biologic medication for selected adults.
  • Oral JAK Inhibitors: May be prescribed for severe eczema in selected patients.

Use topical steroids exactly as prescribed to reduce the risk of side effects such as skin thinning.

Learn More

Atopic Dermatitis Treatment – NIAMS
https://www.niams.nih.gov/health-topics/atopic-dermatitis

Provides information about medications used to manage eczema.

Procedures

Some people with moderate or severe eczema may benefit from specialized treatments.

Possible procedures or therapies include:

  • Phototherapy (Light Therapy): Uses controlled ultraviolet light to reduce inflammation.
  • Wet Wrap Therapy: Helps severe eczema flare-ups by improving medication absorption and skin hydration.
  • Professional Wound Care: May be needed for severe skin breakdown or infection.
  • Patch Testing: Identifies allergic triggers contributing to eczema.
  • Skin Biopsy: Rarely performed when another skin condition is suspected.

Learn More

Eczema Treatment – American Academy of Dermatology
https://www.aad.org/public/diseases/eczema/treatment

Provides information about phototherapy and advanced eczema treatments.

What Should You Expect Long-Term?

Eczema is usually a chronic condition with periods of improvement and flare-ups.

Many children experience improvement as they grow older, while others continue to have eczema into adulthood. Adults may also develop eczema for the first time later in life.

With regular skin care, trigger avoidance, and appropriate treatment, most people are able to successfully manage their symptoms and reduce flare-ups.

What Can You Do At Home?

Helpful home care includes:

  • Moisturize frequently.
  • Apply prescription creams as directed.
  • Bathe with lukewarm water.
  • Avoid scratching.
  • Wear loose cotton clothing.
  • Use fragrance-free products.
  • Avoid known triggers.
  • Keep your home at a comfortable humidity.
  • Use cool compresses to relieve itching.
  • Seek treatment promptly if infection develops.

Learn More

Eczema Self-Care – American Academy of Dermatology
https://www.aad.org/public/diseases/eczema/self-care

Provides practical daily skin-care recommendations for people with eczema.

Frequently Asked Questions

Is eczema contagious?

No. Eczema cannot spread from one person to another.

Can food cause eczema?

Food allergies may worsen eczema in some people, especially children, but food is not the cause for most individuals.

Can stress make eczema worse?

Yes. Emotional stress commonly triggers flare-ups.

Should I moisturize every day?

Yes. Daily moisturizing is one of the most important treatments for eczema.

Can I swim with eczema?

Yes. Rinse your skin afterward and apply moisturizer promptly. Chlorinated pools may irritate some people but improve symptoms in others.

Can eczema become infected?

Yes. Repeated scratching can allow bacteria, viruses, or fungi to enter the skin.

Questions To Ask Your Provider

Consider asking:

  • What type of eczema do I have?
  • What triggers should I avoid?
  • Which moisturizer do you recommend?
  • Should I use steroid or non-steroid medication?
  • Is phototherapy appropriate?
  • Could allergies be contributing?
  • How often should I moisturize?
  • What signs suggest infection?
  • Should I see a dermatologist?

Specialist Referrals

You may be referred to:

  • Primary Care Provider: Coordinates diagnosis and treatment.
  • Dermatologist: Treats moderate-to-severe eczema and complex skin conditions.
  • Allergist/Immunologist: Evaluates allergies or asthma contributing to symptoms.
  • Infectious Disease Specialist: Rarely needed for severe skin infections.
  • Mental Health Professional: May help manage stress, anxiety, or sleep problems related to chronic itching.

Learn More

American Academy of Dermatology – Eczema
https://www.aad.org/public/diseases/eczema

Provides information about specialty care and eczema management.

Is Eczema Curable?

There is currently no cure for eczema.

However, most people can successfully control symptoms with:

  • Daily moisturizers
  • Trigger avoidance
  • Prescription medications
  • Proper skin care
  • Treatment of infections
  • Regular follow-up care

Many children experience significant improvement as they grow older, although flare-ups can still occur.

Emergency Symptoms / When To Seek Immediate Help

Call 911 or seek emergency medical care immediately if you experience:

  • Difficulty breathing
  • Swelling of the lips, tongue, or throat
  • A severe allergic reaction
  • Loss of consciousness

Seek prompt medical evaluation if you notice:

  • Fever with worsening eczema
  • Increasing redness, warmth, or swelling
  • Pus or yellow drainage
  • Severe pain
  • Rapidly spreading rash
  • Blisters
  • Crusting that rapidly worsens
  • Symptoms that do not improve despite treatment

Learn More

Eczema – NIH MedlinePlus
https://medlineplus.gov/eczema.html

Provides information about eczema complications and when to seek medical care.

CALL 911

APNS does not provide emergency medical services. If you believe you are experiencing a medical emergency, including (but not limited to) chest pain, difficulty breathing, stroke symptoms, severe allergic reactions, anaphylaxis, uncontrolled bleeding, seizures, loss of consciousness, or any other potentially life-threatening condition, you are instructed to call 911 immediately or go immediately to the nearest emergency department.

Official Resources / External Links

Eczema – NIH MedlinePlus
https://medlineplus.gov/eczema.html

Easy-to-understand information about eczema symptoms, diagnosis, treatment, and prevention.

National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
https://www.niams.nih.gov/health-topics/atopic-dermatitis

Reliable information about eczema causes, treatment, and current research.

American Academy of Dermatology – Eczema
https://www.aad.org/public/diseases/eczema

Dermatologist-reviewed information about eczema symptoms, treatment, self-care, and prevention.

National Eczema Association
https://nationaleczema.org/

Provides educational resources, treatment information, support, and practical skin-care guidance for people living with eczema.

This guide is intended for educational purposes only and should not replace medical advice, diagnosis, or treatment from your healthcare provider or dermatologist. Eczema symptoms can resemble other skin conditions that require different treatments. Always follow your healthcare provider’s recommendations regarding medications, skin care, and trigger avoidance. Contact your healthcare provider if your symptoms worsen, signs of infection develop, or your treatment is no longer effective. Call 911 immediately if you experience difficulty breathing, swelling of the face or throat, a severe allergic reaction, loss of consciousness, or another medical emergency.

Get personalized care for Eczema

At APNS, our providers take the time to understand your condition and your goals. We offer comprehensive telehealth visits at a fixed rate — no membership fees, no insurance required, and no unexpected charges. Whether you’re newly diagnosed or looking for a provider who actually listens, we’re here to help.