How To Diagnose Eczema In Adults

Eczema is one group of skin conditions that can cause various symptoms including bleeding, sores, oozing, crusting, scaling, thickened skin and pigmentation changes.

The most common type of eczema is atopic eczema, which usually affects children but can affect adults too.

‘Atopic’ means the condition is caused by allergy sensitivity.

Eczema is a chronic problem for many people of all ages. It’s very common for infants and children, many of whom outgrow it before school age or some as teenagers.

Eczema affects about one in five children and about one in 12 adults in the UK. With appropriate treatment, the condition can be controlled by the majority of people.

What are the symptoms of eczema?

No matter which part of your body is affected, eczema is almost always itchy and sore. Sometimes the itching will start before the even rash appears, but when it does the rash most commonly occurs on the face, arms, knees, hands or feet. It may also affect other areas as well normally the parts that sweat or get hot.

The affected areas usually appear very dry, thickened or scaly. In fair-skinned people, these areas may initially appear reddish and then turn brown. Among darker-skinned people, eczema can affect pigmentation, making the affected area lighter or darker, but is treated in exactly the same way.

In infants, the itchy rash can produce an oozing, crusting condition that occurs mainly on the face and scalp, but patches may appear anywhere.

What causes eczema?

The exact cause of eczema is still a mystery, but it’s thought to be linked to an overactive response by the body’s immune system to an irritant. It is this response that causes the symptoms of eczema. Irritants can be anything from Foods, Chemical, clothing just about anything can cause a flare-up or reaction.


In addition, eczema is commonly found in families with a history of other allergies or asthma.

Some people may suffer “flare-ups” of the itchy rash in response to certain substances or conditions. For some, coming into contact with rough or coarse materials may cause the skin to become itchy. For others, feeling too hot or too cold, exposure to certain household products like soap or detergent, or coming into contact with animal dander (skin or hair) may cause an outbreak. Upper respiratory infections or colds may also be triggers. Stress may aggravate the condition.

Foods that make you itch

Read our blog on FOODS THAT MAKE YOU ITCH!

Although there is no cure, most people can effectively manage their eczema with medical treatment and by avoiding irritants. The condition is not contagious and can’t be spread from person to person.

How is eczema diagnosed?

Your GP can make a diagnosis of eczema. Since many people with eczema also suffer from allergies, your GP may refer you for allergy tests to determine possible irritants or triggers. Food triggers can be identified by conducting a food allergy test. Home test kits are available from HOME TEST KITS AVAILABLE FROM AMAZON   to make it easier for you to find.

How is eczema treated?

Moisturising with a steroid-free cream is the key to managing your eczema. I have been controlling mine by using DIPROBASE moisturizer Amazon affiliate link in green to help you find it easily.  It’s safe to use, it eases the itching and I don’t know where I would be without it. Unfortunately, there’s no cure for eczema ( I’m sorry to tell you ) So until there’s a cure found we can only manage our condition.

The goal of treatment for eczema is to relieve and prevent itching, which can lead to skin damage and infection. Since the disease makes skin dry and itchy, lotions and creams (emollients) are recommended to keep the skin moisturized.

These products are usually applied when the skin is damp, such as after bathing, to help the skin retain moisture. Cold compresses may also be used to relieve itching.

Steroids, such as hydrocortisone cream which is available over-the-counter, or prescription creams and ointments containing more potent corticosteroids, are often recommended to reduce inflammation. For severe cases, your GP may prescribe oral corticosteroids. In addition, if the affected area becomes infected, your GP may prescribe antibiotics to kill the infection-causing bacteria.

Other treatments include antihistamines to reduce severe itching, phototherapy (therapy using ultraviolet light applied to the skin) and sometimes medication for people whose condition doesn’t respond to other treatments.

Alitretinoin is a medication for severe, long-term (chronic) hand eczema that has failed to respond to other treatments, such as topical corticosteroids. Treatment with alitretinoin must be supervised by a dermatologist (a specialist in treating skin conditions). Alitretinoin should never be taken during pregnancy or when breastfeeding because it can cause severe harm to your baby. Because of the risk of birth defects when taking alitretinoin all women of child-bearing age who are considered able to become pregnant are recommended to enroll in the ‘Pregnancy Prevention Programme’ to reduce the chance of pregnancy occurring.

Guidelines from the National Institute for Health and Care Excellence (NICE) cover current treatments (described above) and newer non-steroidal creams, such as tacrolimus and pimecrolimus. These medications would be prescribed only in certain circumstances by doctors with special experience in skin diseases.

How can eczema flare-ups be prevented?

Eczema outbreaks can sometimes be avoided or the severity lessened by following these simple tips.

  • Moisturise frequently
  • Moisturise after bathing when your skin is still damp
  • Avoid hot showers : Read our blog on this topic here.
  • Avoid sudden changes in temperature or humidity
  • Avoid sweating or overheating
  • Reduce stress
  • Avoid scratchy materials, such as wool
  • Avoid harsh soaps, detergents, and solvents
  • Be aware of any foods that may cause an outbreak and avoid those foods
  • Wear eczema gloves to prevent splitting of the fingers. It’s very painful. Read the blog below

eczema fingers

Click this picture to read about eczema on fingertips!

Final Thought

What causes eczema and how to treat the condition is a very individual topic. Not everyone will treat or deal with the condition the same way.

Many will go down the Organic natural method and some will choose to go down the medical Topical treatment route.

It’s not for us to say which one is right, we would simply advise you to look at the long-term side effects some treatment may have.

We are no Doctors and simply offer advice and give you as much information as possible so you can make an informed choice. After 47 Years of treating eczema, we have build a good knowledge for treatment and products.

If you need support or advice you could always join our eczema support group on Facebook. The link is below. Over 1000 Parents and sufferers who are going through the same issues you are and can offer even more support.

Join our FACEBOOK social group for friendly advice and support. Click this link! 

Resources Used

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Jason Eisler

Jason is the Author and Owner of Our Eczema Story. His articles, comments, and suggestions are not intended to replace any medical advice. Never disregard professional medical advice or delay in seeking it because of something you have read on this blog or in any linked materials.