What Is Eczema?
If you've ever dealt with red, itchy skin, you're not alone. Eczema, also known as atopic dermatitis, is a common health condition that affects millions of people, including newborns and children. It involves an overreacting immune system, leading to redness, inflammation, and itchy patches on various areas of the body, including the hands, face, and other parts of the body. Infantile eczema is a form of the condition that affects babies and young children, though adults can also experience flare-ups throughout their lives. Dr. Adam Aldahan, a double board-certified dermatologist, treats people with eczema of all ages and specializes in managing difficult cases. Schedule a consultation at Palm Beach Dermatology in Boca Raton, FL for eczema treatment.
What Causes Eczema?
Eczema doesn’t have just one root cause. In many cases, eczema may develop as the result of a combination of genetic, environmental, and immune system factors. At our practice, we commonly see eczema triggered by things like dry climates, allergens, stress, certain fabrics, or harsh skincare products. For some people, eczema runs in the family, while others develop it in response to irritants or underlying sensitivities they didn’t realize they had. Even fluctuations in hormones or weather can play a role in eczema flare-ups. Our team works closely with each patient to help identify possible eczema triggers and better understand what’s contributing to their symptoms.
Which Eczema Treatment Options Provide Relief?
Eczema treatment aims to reduce inflammation, relieve itching, and prevent flare-ups. Depending on the severity of your eczema, Dr. Aldahan may recommend a combination of topical treatments, oral medications, or other therapies. For mild cases, over-the-counter topical steroids, like hydrocortisone creams and antihistamines (Benadryl), can provide relief from signs and symptoms of eczema. For more moderate to severe cases, prescription medications might include prescription-strength steroid creams, immunomodulators, or advanced biologics, like Dupixent®. These treatments work to suppress the immune system's overreaction and reduce inflammation. In particularly difficult cases, Dr. Aldahan offers an eczema "boot camp," a specialized and intensive treatment plan aimed at managing severe symptoms, especially for infantile eczema. For those with contact dermatitis or skin allergies, skin allergy counseling and patch testing are available to identify allergens and triggers that may be contributing to the condition. Preventing flare-ups and reducing symptoms involves following a consistent care routine, including the use of creams and ointments, and remembering to always apply moisturizer after a bath or shower to soothe and protect irritated skin.
What Does Eczema Look Like?
The appearance of eczema can vary, but common signs and symptoms are often recognizable. Whether it's eczema on the hands, eczema on the face, or other parts of the body, there are a few clear indicators. Typical eczema characteristics include:
- Red, itchy, and dry skin that often starts before a rash becomes visible
- Scaly, cracked skin or small, raised bumps that may appear on affected areas, such as the hands or face
- Skin may thicken or darken over time, especially with frequent scratching
- In more severe cases, pus-filled blisters can develop, sometimes leading to a yellowish or light brown crust — a sign of possible infection that needs medical attention
- Commonly appears in the creases of the elbows and knees of infants while adults may notice it on the face, neck, or hands
These signs may seem similar to psoriasis. Is there a difference between eczema and psoriasis? Although these conditions look similar, they are distinct skin conditions with different causes and treatment approaches. Both can lead to red, itchy skin, but psoriasis is an autoimmune disease while eczema is primarily an inflammatory response triggered by allergies, genetics, and environmental factors. Psoriasis tends to cause thicker, silvery scales, whereas eczema usually results in dry patches and inflammation. It's important to have a proper diagnosis to ensure you receive the correct treatment.
Eczema Reviews
Dr. Adam, Helped me treat my eczema honestly changing my life , I couldn’t be happier 💞
Great dermatologist he has been treating my grandson and has helped him with his eczema. My grandson’s condition is 100% better.
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5
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Frequently Asked Questions
Can eczema ever go away completely?
For some patients, especially children, eczema may improve or even disappear entirely over time. However, for many others, it remains a chronic condition that flares up periodically. Even when symptoms subside for long periods, eczema can return if triggered by environmental changes, stress, allergens, or other factors. That said, with the right care plan—including daily skin maintenance, lifestyle adjustments, and professional guidance—many patients are able to manage their eczema effectively and keep flare-ups to a minimum. While there may not be a permanent “cure” for eczema in every case, long-term relief is often very achievable.
How can you tell the difference between eczema and other types of skin rashes?
Eczema is often confused with other skin conditions because it shares similar symptoms like redness, itching, and irritation. However, eczema typically presents with dry, scaly patches that may appear on the face, hands, inner elbows, or behind the knees. It also tends to follow a recurring pattern of flare-ups and relief. Unlike contact dermatitis or fungal rashes, eczema is often linked to genetic and immune system factors, rather than direct contact with an irritant. If you’re unsure what’s causing your rash, it’s important to seek a medical opinion. Our dermatologists can evaluate your symptoms, review your medical history, and help determine whether eczema or another condition is to blame.
When should I see a dermatologist for eczema?
If your eczema is interfering with daily life, isn’t responding to over-the-counter creams, or seems to be getting worse, it’s time to consult a dermatologist. Persistent itching, cracked or bleeding skin, signs of infection, or eczema that spreads to new areas are also important red flags. Our team encourages patients not to wait until their skin is severely inflamed or uncomfortable, as early intervention can lead to better control and fewer long-term issues. Our dermatologists can create a personalized treatment plan to calm your symptoms, identify triggers, and help you manage the condition with confidence.
Address Eczema with Advanced Care
Living with eczema doesn't have to mean dealing with discomfort every day. Whether managing eczema on the hands, treating infantile eczema, or identifying triggers through skin allergy counseling and testing, Dr. Adam Aldahan and our team at Palm Beach Dermatology are here to help. From advanced treatments like Dupixent to personalized care for related conditions like asthma and seasonal allergies, you can trust that your skin will be in good hands.