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Friday, 5/9/2025 | 15:44 GMT+7

Understanding and managing recurring eczema

I've had eczema since childhood. It frequently returns after I stop treatment, causing itchy, burning rashes that disrupt my life. Is there a way to cure it completely? (Hung Thuan, 30, An Giang)

Answer:

Eczema, also known as atopic dermatitis, is a chronic inflammatory skin condition prone to recurrence. It's often caused by an allergic predisposition and an unusual immune system response. Eczema typically begins in childhood and resolves during adolescence. However, some cases persist into adulthood, recurring in episodes triggered by factors like weather changes, dry environments, stress, allergies to medications, food, chemicals, or animal dander.

Eczema not only damages the skin but also involves immune system dysfunction, making complete recovery challenging. The immune system in individuals with allergies tends to overreact to harmless substances, leading to prolonged skin inflammation. The already weakened skin barrier in eczema patients is easily irritated, dry, and itchy. Intermittent medication use, only during flare-ups, without consistent moisturizing and avoidance of triggers, contributes to the cycle of recurrence.

Dr. Binh examining a patient. Illustrative photo: Tam Anh General Clinic, District 7

Dr. Binh examining a patient. Illustrative photo: Tam Anh General Clinic, District 7

If your eczema recurs frequently, consult a medical facility with a Clinical Immunology department. Doctors can conduct allergy tests, like skin prick tests and IgE level measurements, to identify your specific allergens for more precise treatment and prevention. For moderate to severe cases unresponsive to conventional treatment, immunomodulators or biologics might be necessary under specialist supervision.

Currently, there's no definitive cure for eczema. Proactive skincare is crucial to prevent recurrence or worsening symptoms. This includes using suitable moisturizers, avoiding soaps and harsh detergents, minimizing contact with allergens, managing stress, getting enough sleep, and exercising for overall health.

MSc. Dr. Luong Vu Thanh Binh

Clinical Immunology Department

Tam Anh General Clinic, District 7

Readers can submit questions about dermatological conditions here for expert answers.
By VnExpress: https://vnexpress.net/vi-sao-tai-phat-viem-da-co-dia-4935556.html
Tags: dermatology dermatitis eczema

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