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Symptoms of Omega-3 Deficiency

FitSugar — Tue, 07 Apr 2009 16:00:00 -0700

Health magazines and websites are constantly talking about omega-3s, which makes us concerned about getting enough in our diets. For women, the RDI of omega-3s is 1.1 grams (1,100 mg) a day. Since our diets are often too high in omega-6s - foods such as corn oil, soy oil, safflower oil, and sunflower oil - many people can end up with an omega-3 deficiency. The symptoms are:

Fatigue
Poor memory
Immune weakness
Dry skin, eczema, or hair loss
Heart problems
Reproductive problems
Mood swings or depression
Poor circulation

If you're experiencing these symptoms and think it may be caused by a lack of omega-3s in your diet, talk to your doctor. Increasing your consumption of omega-3 eggs, canola oil, walnuts, flaxseed, flaxseed oil, soybeans, and cold-water fish such as mackerel and sardines will relieve these symptoms. If you don't eat enough of these foods, then you may want to take fish oil capsules. Aside from preventing omega-3 deficiency, getting enough omega-3s can also reduce inflammation, decrease joint pain, fight obesity, reduce exercise-induced asthma, and lower blood pressure.

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Baby Bump: An Apple a Day Keeps the Asthma Away

LilSugar — Tue, 06 Jan 2009 09:00:01 -0800

What you eat prenatally, can pay off in your lil one's health even after she leaves the womb. Recent research suggests that moms-to-be who eat apples during pregnancy, have children with lower rates of asthma. Those who consumed more than four apples a week had children who were 37 percent less likely to have asthma.

Studies also found a specific food would reduce rates of eczema in babies too. To find out what it is, just read more.

Mothers who consume fish (more than once a week) during pregnancy may lower their child's risk of developing eczema. Too much of a good thing can be bad though, especially in the case of fish. Consuming high amounts of fish can boost mercury levels in a developing fetus so don't overdo it.

Best practice is to focus on eating a diet wide in a variety of fruits, vegetables, and proteins - but now you may want to make sure that it includes a few apples and pieces of fish.

Lil Tip: Eczema Relief the Natural Way

babysugar — Tue, 03 Jun 2008 06:00:24 -0700

My six–year–old niece has been through the ringer with eczema since she was born. Cortisone creams and prescribed medications were the only things that kept her from rubbing her beautiful skin raw. Moms hoping to avoid medicinal cures for the common scratchy nuisance may find relief in this homemade paste recipe.

Michele from Glam Spirit uses a combination of Vitamin E oil, Goldenseal powder and honey. Vitamin E oil, as you may know from stretch mark creams, helps heal the skin by keeping it moisturized and therefore, less itchy. Goldenseal is an herb that disinfects and reduces swelling. Honey also reduces inflammation and scarring while the antioxidant agents help heal pained areas.

To see how to make the homemade healer, read more.

Once you have all the ingredients, take the Vitamin E oil and mix it with the Goldenseal powder. Then add a small amount of honey. Apply the paste on the infected areas for a healthy and sweet road to recovery.

Eczema

FitSugar — Wed, 08 Oct 2008 17:34:55 -0700

HEALTH GUIDE REFERENCE FROM A.D.A.M

Eczema is a chronic, inflammatory skin disorder. Its main features are blisters that dry to become scaly, itchy rashes. The skin becomes dry and itchy because too much moisture is lost from its upper layer. This leaves the skin without protection, making it easy for bacteria and viruses to penetrate. The disease occurs episodically; in other words, there may be periods when symptoms are severe (flares) and times when there are no symptoms at all (remission). Although eczema is not contagious, it is very common -- estimates are that more than 15 million people in the United States have eczema. People with eczema often have a personal or family history of allergic conditions like asthma or hay fever. There is no cure, but treatments can reduce symptoms and help prevent outbreaks.

Signs and Symptoms

Symptoms of eczema occur repeatedly. The most common signs of eczema are:

Dry, extremely itchy skin
Blisters with oozing and crusting
Redness of the skin around the blisters
Raw areas of the skin from scratching which may even lead to bleeding
Dry, leathery areas with more or less pigment than their normal skin tone (called lichenification)

Eczema in children under 2 years old generally begins on the cheeks, elbows, or knees. In adults, it tends to be located on the inside surfaces of the knees and elbows.

Causes

The cause of eczema is thought to be a combination of hereditary (genetic) and environmental factors. This means that factors such as allergies can cause eczema in susceptible people. Exposure to certain irritants and allergens in the environment can worsen symptoms, as can dryness of the skin, exposure to water, temperature changes, and stress.

Risk Factors

Young age -- infants and young children are most affected by eczema (about 65% of cases occur before age one, and about 90% occur before age 5)
Skin exposure to harsh conditions
Living in a climate with low humidity
Personal or family history of allergies to plants, chemicals, or food
Deficiencies of certain vitamins and minerals (for example, zinc)
Stress can make eczema worse

Irritants that may worsen eczema include:

Wool or synthetic fibers
Certain soaps and detergents as well as perfumes and some cosmetics
Dust or sand
Cigarette smoke

Diagnosis

Your doctor will most likely base a diagnosis on both the appearance of the skin and on personal and family history. To find the cause of your rash, your doctor may ask about stress in your life, your diet, drugs you are taking, soaps and detergents you use, and chemicals or materials you may be exposed to at work. A skin lesion biopsy (removal of a small piece of skin for examination in a laboratory) may be performed, but is not always required to make the diagnosis.

Prevention

Control of stress, nervousness, anxiety, and depression may help prevent flares of eczema. Mind-body techniques that have shown some success include cognitive-behavioral therapy and autogenic training. These two techniques can also be combined with learning about eczema.

Dietary restrictions that may help avoid flare ups include eggs, fish, peanuts, and soy. This is very individual and should be discussed with your health care provider. A doctor, dietitian, or naturopath, for example, can help you make these dietary changes and determine if the lack of these foods in your diet is reducing the incidence and severity of your eczema.

Although somewhat controversial, some studies have shown that children who are exclusively breast-fed for at least 4 months are less likely to get eczema. This is particularly true when the nursing mother has avoided cow's milk in her own diet.

Similarly, recent studies suggest that babies whose mothers used probiotics during pregnancy and while breastfeeding were less likely to have eczema at up to 2 years of age.

Preliminary studies suggest that pretreatment of skin with creams containing omega fatty acids can reduce the severity of eczema or prevent eczema entirely.

Treatment

The goals when treating eczema are to heal the skin, reduce symptoms, prevent skin damage, and prevent flares. Treatment may vary depending on age, symptoms, and general health. Developing skin care routines, identifying factors that trigger flares, and avoiding these triggers are a large part of any treatment plan.

Lifestyle

Avoid anything that aggravates the symptoms, such as allergens (substances to which the immune system overreacts) and irritants to the skin. Common allergens include pollen, dust mites, and animal dander. Common skin irritants include wool, synthetic fibers, soaps and detergents, perfumes, cosmetics, lanolin, certain chemicals such as chlorine and solvents (including mineral oil), cigarette smoke, dust, and sand.
Avoid scratching or rubbing affected areas.
Protect skin from rough clothing and irritants.
Be aware of emotional stress, and try stress-reducing techniques.
Keep your environment cool, with stable temperature and humidity.

Dry skin often makes the condition worse. Remember to:

Avoid hot baths or showers; lukewarm water is best.
Wash or bathe as quickly as possible to lessen water contact.
Use a mild soap or a nonsoap cleanser, or less soap than usual.
Moisturize. After bathing, it is important to trap the moisture in the skin by applying lubricating cream on the skin while it is damp (within 3 minutes of bathing).

Parents can help their children by:

Providing distractions to prevent them from scratching.
Keeping fingernails short to reduce chances of infection from scratching.
Being aware that there may well be social and emotional stress associated with visible skin lesions; additional support and encouragement may be needed.

Medications

Mild anti-itch lotions (Caladryl or Calamine) or topical corticosteroids (hydrocortisone) may soothe less severe or healing areas, or dry scaly lesions.
Chronic thickened areas may be treated with ointments or creams that contain tar compounds (such as Psoriasin), corticosteroids (medium to very high potency), and ingredients that lubricate or soften the skin.
Systemic corticosteroids may be prescribed to reduce inflammation in some severe cases. Examples include prednisone (Deltasone) and methylprednisolone (Medrol). In very rare instances, medications that suppress the immune system (called immunosuppressants), such as cyclosporine, may be considered in adults with extremely severe eczema who do not respond to oral steroids.
Antihistamines, such as diphenhydramine (Benadryl), may be recommended for nighttime use to prevent scratching. These medications may cause drowsiness. Topical (on the skin) antihistamines preparations are also available.
New treatments -- the latest treatment for eczema is a new class of skin medications called topical immunomodulators (TIMs). These medications are steroid-free. The most common are tacrolimus (Protoptic) and pimecrolimus (Elidel). Clinical studies have reported as high as an 80% success rate using these new medications.

Surgery and Other Procedures

Phototherapy and Photochemotherapy

Treatment with ultraviolet light waves may effectively treat mild-to-moderate cases of eczema in children over age 12 and adults. If phototherapy is ineffective alone, it may be combined with a drug called psoralen. It is then called photochemotherapy.

Nutrition and Dietary Supplements

Nutritional deficiencies may be addressed with the following supplements:

Eliminate potential food allergens, including dairy, wheat (gluten), corn, preservatives, and food additives. Your health care provider may want to test for food sensitivities. Identifying and treating hidden food allergies along with stress management are often the cornerstones of effective complimentary medical treatment of eczema.
A multivitamin daily, containing the antioxidant vitamins A, C, E, the B-vitamins, and trace minerals, such as magnesium, calcium, zinc, and selenium.
Omega-3 fatty acids, such as fish oil (1 - 2 capsules or 1 tablespoonful oil 2 - 3 times daily), to help decrease inflammation and improve immunity. Cold-water fish, such as salmon or halibut, are good sources, but supplementation is recommended.
Probiotic supplement (containing Lactobacillus acidophilus), 5 - 10 billion CFUs (colony forming units) a day, for maintenance of gastrointestinal and immune health. Some probiotic supplements may need to be refrigerated for best results. Your child may also take probiotic supplements. Consult with your health care provider before giving your child any dietary supplements.
Alpha-lipoic acid, 25 - 50 mg twice daily, for antioxidant support.
Vitamin C, 500 - 1,000 mg 1 - 3 times daily, as an antioxidant and for immune support.
L-glutamine, 500 - 1,000 mg 3 times daily, for support of gastrointestinal health and immunity.
Grapefruit seed extract (Citrus paradisi), 100 mg capsule or 5 - 10 drops (in favorite beverage) 3 times daily when needed, for antibacterial, antifungal, and antiviral activity, and for immunity.
Resveratrol (from red wine), 50 - 200 mg daily, to help decrease inflammation and for antioxidant effects.

Herbs

Herbs are generally a safe way to strengthen and tone the body's systems. As with any therapy, you should work with your health care provider to get your problem diagnosed before starting any treatment. You may use herbs as dried extracts (capsules, powders, teas), glycerites (glycerine extracts), or tinctures (alcohol extracts). Unless otherwise indicated, you should make teas with 1 tsp. herb per cup of hot water. Steep covered 5 - 10 minutes for leaf or flowers, and 10 - 20 minutes for roots. Drink 2 - 4 cups per day. You may use tinctures alone or in combination as noted.

Green tea (Camellia sinensis) standardized extract, 250 - 500 mg daily, for antioxidant and anti-inflammatory effects. Use caffeine free products. You may also prepare teas from the leaf of this herb.
Cat's claw (Uncaria tomentosa) standardized extract, 20 mg 3 times a day, for inflammation and antibacterial, or antifungal activity.
Reishi mushroom (Ganoderma lucidum), 150 - 300 mg 2 - 3 times daily, for inflammation and for immunity. You may also take a tincture of this mushroom extract, 30 - 60 drops 2 - 3 times a day.
Olive leaf (Olea europaea) standardized extract, 250 - 500 mg 1 -3 times daily, for antibacterial or antifungal activity and immunity. You may also prepare teas from the leaf of this herb.
Evening primrose (Oenothera biennis) standardized oil extract (EPO), 500 mg - 8 grams daily in divided dosages, depending upon severity of symptoms. Ask a health care provider for more information on proper dosages of EPO.
Milk thistle (Silybum marianum) seed standardized extract, 80 - 160 mg 2 - 3 times daily, for detoxification support.

Homeopathy

Although very few studies have examined the effectiveness of specific homeopathic therapies, professional homeopaths may consider the following remedies for the treatment of eczema based on their knowledge and experience. Before prescribing a remedy, homeopaths take into account a person's constitutional -- your physical, emotional, and psychological makeup. An experienced homeopath assesses all of these factors when determining the most appropriate treatment for each individual. Any remedy that causes aggravation of symptoms should be discontinued right away.

Calendula -- applied to the skin, particularly if the affected area is inflamed; this remedy soothes but does not cure the skin condition.
Sulphur -- for redness, burning, itching, and hot skin that tends to worsen with washing and scratching.
Urtica urens -- for large, red rashes (particularly those related to allergies) that itch and burn intensely.
Rhus toxicodendron -- used as a remedy for inflamed skin resulting from direct contact with an irritating substance; some homeopaths use it to treat eczema.

Massage and Physical Therapy

One clinical study evaluating essential oils for treating children with eczema concluded that massage with and without essential oils was effective in improving the dry, scaly skin lesions. Children with this scaly, itchy skin problem seem to experience less redness, scaling, and other symptoms if receiving massage between flares. Massage should not be used when this skin condition is actively inflamed. The essential oils most often chosen by the mothers in the study included sweet marjoram, frankincense, German chamomile, myrrh, thyme, benzoin, spike lavender, and Litsea cubeba.

Exercise

In one clinical study it was found that regular group sporting activities improved symptoms in those who participated for 3 weeks. The therapeutic effect of exercise may be related to the positive impact it has on the emotions. Sports should be avoided during the worst stages of an outbreak.

Climatotherapy

Climatotherapy is the use of sunlight and water (such as the ocean) as therapy. The Dead Sea in Israel is known for its healing properties, and many people with eczema go there to sit in the sun and swim in the water. Clinical studies suggest that this is a successful treatment for eczema. One clinical study looked at the experience of more than 1,500 people with eczema and found that 95% of skin was cleared in people who had previous stays at the Dead Sea and stays longer than 4 weeks.

Mind-Body Medicine

Flares of eczema are associated with anxiety and stress. Several clinical studies have shown that relaxation techniques to reduce stress and anxiety can successfully decrease the number of occurrences and relieve symptoms of eczema. Biofeedback seems to be a particularly useful technique.

Other Considerations

Starting an infant on solid foods conservatively and gradually may help prevent the food sensitivities that can cause eczema. Those who are allergic to ragweed, chrysanthemums, asters, echinacea, or feverfew should avoid chamomile because it is in the same plant family.

Pregnancy

Avoid the use of burdock and sulfur during pregnancy.

Warnings and Precautions

Although Chinese herbal treatments for eczema have been gaining popularity in both the United States and the United Kingdom, caution must be exercised when considering such remedies for this skin condition. Many of the Chinese herbal creams available in these two countries have been tested, and high amounts of steroid medications have been discovered. This is worrisome and potentially dangerous because the amount of the medication in such creams is not standardized or regulated. In a few rare instances, the use of oral Chinese herbs (like a tea) for eczema has led to kidney damage.

Prognosis and Complications

Although there may be complications of eczema, such as bacterial infections of the skin and permanent scar formation, eczema is usually just an annoyance that is easily controlled with treatment and by avoiding irritants. Call for an appointment with your health care provider if it does not respond to treatment or if signs of infection (such as fever, redness, pain) occur. Children with eczema, after a certain period of time, often go into remission for the rest of their lives, although skin may remain sensitive and dry.

Supporting Research

Abrahamsson TR, Jakobsson T, Bottcher MF, et al., Probiotics in prevention of IgE-associated eczema: a double-blind, randomized, placebo-controlled trial. J Allergy Clin Immunol. 2007;119(5):1174-80.

Anderson C, Lis-Balchin M, Kifk-Smith M. Evaluation of massage with essential oils in childhood atopic eczema. Phyother Res. 2000;14(6):452-456.

Berger MM, Shenkin A. Vitamins and trace elements: Practical aspects of supplementation. Nutrition. 2006; 22(9):952-5.

Billmann-Eberwein C, Rippke F, Ruzicka T, Krutmann J. Modulation of atopy patch test reactions by topical treatment of human skin with a fatty acid-rich emollient. Skin Pharmacol Appl SkinPhysiol. 2002;15(2):100-104.

Borrek S, Hildebrandt A, Forster J. Gamma-linolenic-acid-rich borage seed oil capsules in children with atopic dermatitis. A placebo-controlled double-blind study [Article in German]. Klin Padiatr. 1997;209(3):100-104.

Bruno EJ Jr, Ziegenfuss TN, Landis J. Vitamin C: research update. Curr Sports Med Rep. 2006; 5(4):177-81.

Byremo G, Rod G, Carlsen KH. Effect of climatic change in children with atopic eczema. Allergy. 2006;61(12):1403-10.

Cabrera C, Artacho R, Gimenez R. Beneficial effects of green tea -- a review. J Am Coll Nutr. 2006;25(2):79-99.

Cooper R, Morre DJ, Morre DM. Medicinal benefits of green tea: Part I. Review of noncancer health benefits. J Altern Complement Med. 2005; 11(3):521-8.

Doron S, Gorbach SL. Probiotics: their role in the treatment and prevention of disease. Expert Rev Anti Infect Ther. 2006; 4(2):261-75.

Dryden GW Jr, Deaciuc I, Arteel G, McClain CJ. Clinical implications of oxidative stress and antioxidant therapy. Curr Gastroenterol Rep. 2005;7(4):308-16.

Ernst E, Huntley A. Tea tree oil: a systematic review of randomized clinical trials. ForschKomplementarmed Klass Naturheilkd. 2000; 7(1):17-20.

Ernst E. Adverse effects of herbal drugs in dermatology. Br J Dermatol. 2000;143(5):923-929.

Fleischer AB Jr, Abramovits W, Breneman D, Jaracz E; US/Canada tacrolimus ointment study group. Tacrolimus ointment is more effective than pimecrolimus cream in adult patients with moderate to very severe atopic dermatitis. J Dermatol Treat. 2007;18(3):151-7.

Harari M, Shani J, Seidl V, Hristakieva E. Climatotherapy of atopic dermatitis at the Dead Sea: demographic evaluation and cost-effectiveness. Int J Dermatol. 2000;39(1):59-69.

Hederos CA, Berg A. Epogam evening primrose oil treatment in atopic dermatitis and asthma. Arch Dis Child. 1996;75(6):494-497.

Horrobin DF. Essential fatty acid metabolism and its modification in atopic eczema. Am J Clin Nutr. 2000;71(1 Suppl):367S-72S.

Johnston CS. Recommendations for vitamin C intake. JAMA. 1999;282(22):2118-2119.

Kalliomaki M, Kirjavainen P, Eerola E, Kero P, Salminen S, Isolauri E. Distinct patterns of neonatal gut microflora in infants in whom atopy was and was not developing. J Allergy Clin Immunol. 2001;107(1):129-134.

Kalliomaki M, Salminen S, Arvilommi H, Kero P, Koskinen P, Isolauri E. Probiotics in primary prevention of atopic disease: a randomized placebo controlled trial. Lancet. 2001;357(9262):1076-1079.

Karamfilov T, Elsner P. Sports as a risk factor and therapeutic principle in dermatology [article in German]. Hautarzt. 2002;53(2):98-103.

Langan SM, Williams HC. What causes worsening of eczema? A systematic review. Br J Dermatol. 2006;155(3):504-14.

Levine M, Rumsey SC, Daruwala R, Park JB, Wang Y. Criteria and recommendations for vitamin C intake. JAMA. 1999;281(15):1415-1453.

Linde K, Hondras M, Vickers A, ter Riet G, Melchart D. Systematic reviews of complementary therapies - an annotated bibliography. Part 3: homeopathy. BMC Complement Altern Med. 2001; 1:4.

Magin PJ, Adams J, Heading GS, Pond DC, Smith W. Complementary and alternative medicine therapies in acne, psoriasis, and atopic eczema: results of a qualitative study of patients' experiences and perceptions. J Altern Complement Med. 2006;12(5):451-7.

McMenamy CJ, Katz RC, Gipson M. Treatment of eczema by EMG biofeedback and relaxation training: a multiple baseline analysis. J Behav Ther Exp Psychiatry. 1988;19(3):221-227.

Morse NL, Clough PM. A meta-analysis of randomized, placebo-controlled clinical trials of Efamol evening primrose oil in atopic eczema. Where do we go from here in light of more recent discoveries? Curr Pharm Biotechnol. 2006;7(6):503-24.

Osborn DA, Sinn J. Soy formula for prevention of allergy and food intolerance in infants. Cochrane Database Syst Rev. 2006;(4):CD003741.

Prescott SL, Bjorksten B. Probiotics for the prevention or treatment of allergic diseases. J Allergy Clin Immunol. 2007;120(2):255-62.

Rainone F. Milk thistle. Am Fam Physician. 2005 Oct 1; 72(7):1285-8.

Rautava S, Kalliomaki M, Isolauri E. Probiotics during pregnancy and breast-feeding might confer immunomodulatory protection against atopic disease in the infant. J Allergy Clin Immunol. 2002;109(1):119-121.

Schmitt J, Schakel K, Schmitt N, Meurer M. Systemic treatment of severe atopic eczema: a systematic review. Acta Derm Venereol. 2007;87(2):100-11.

Schulz P, Bunselmeyer B, Brautigam M, Luger TA. Pimecrolimus cream 1% is effective in asteatotic eczema: results of a randomized, double-blind, vehicle-controlled study in 40 patients. J Eur Acad Dermatol Venereol. 2007;21(1):90-4.

Sezer E, Etikan I. Local narrowband UVB phototherapy vs. local PUVA in the treatment of chronic hand eczema. Photodermatol PhotoimmunolPhotomed. 2007;23(1):10-4.

Siddiqui IA, Afaq F, Adhami VM, Ahmad N, Mukhtar H. Antioxidants of the beverage tea in promotion of human health. Antioxid Redox Signal. 2004; 6(3):571-82.

Simopoulos AP. Evolutionary aspects of diet, the omega-6/omega-3 ratio and genetic variation: nutritional implications for chronic diseases. Biomed Pharmacother. 2006;60(9):502-7.

Vlaski E, Stavric K, Isjanovska R, Seckova L, Kimovska M. Overweight hypothesis in asthma and eczema in young adolescents. Allergol Immunopathol (Madr). 2006;34(5):199-205.

Williams HC. Established corticosteroid creams should be applied only once daily in patients with atopic eczema. BMJ. 2007;334(7606):1272.

Worm M, Henz BM. Novel unconventional therapeutic approaches to atopic eczema. Dermatology. 2000;201(3):191-195.

Review Date:
8/23/2007
Reviewed By:
Ernest B. Hawkins, MS, BSPharm, RPh, Health Education Resources; and Steven D. Ehrlich, N.M.D., private practice specializing in complementary and alternative medicine, Phoenix, AZ. Review provided by VeriMed Healthcare Network.

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org). URAC's accreditation program is an independent audit to verify that A.D.A.M. follows rigorous standards of quality and accountability. A.D.A.M. is among the first to achieve this important distinction for online health information and services. Learn more about A.D.A.M.'s editorial policy, editorial process and privacy policy. A.D.A.M. is also a founding member of Hi-Ethics and subscribes to the principles of the Health on the Net Foundation (www.hon.ch).

A.D.A.M. Copyright

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997-2009 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

adam.com

Eczema

admin — Wed, 03 Sep 2008 17:52:32 -0700

HEALTH GUIDE REFERENCE FROM A.D.A.M

Definition

Eczema is a chronic skin disorder that involves scaly and itchy rashes. Eczema is also called atopic dermatitis.

Alternative Names

Infantile eczema; Atopic dermatitis; Dermatitis - atopic

Causes, incidence, and risk factors

Eczema is due to a hypersensitivity reaction (similar to an allergy) in the skin, which leads to long-term inflammation. The inflammation causes the skin to become itchy and scaly. Long-term irritation and scratching can cause the skin to thicken and an have a leather-like texture.

Eczema is most common in infants, and at least half of those cases clear by age 3. In adults, it is generally a long-term or recurring condition. Eczema tends to run in families.

People with eczema often have a family history of allergic conditions like asthma, hay fever, or eczema.

The following can make eczema symptoms worse:

Dry skin
Exposure to environmental irritants
Exposure to water
Stress
Temperature changes

Symptoms

Blisters with oozing and crusting
Dry, leathery skin areas
Ear discharge or bleeding
Intense itching
Rash
- In children younger than age 2, skin lesions begin on the cheeks, elbows, or knees
- In adults, the rash is more commonly seen on the inside of the knees and elbows
Raw areas of the skin from scratching
Skin coloring changes -- more or less coloring than the normal skin tone (See: Skin bnormally dark or light)
Skin redness or inflammation around the blisters

Signs and tests

Diagnosis is primarily based on the appearance of the skin and on personal and family history. The health care provider should examine the lesions to rule out other possible causes. A skin lesion biopsy may be performed, but is not always required to make the diagnosis.

Treatment

Treatment may vary depending on the appearance (stage) of the lesions -- acute "weeping" lesions, dry scaly lesions, or chronic dry, thickened lesions are each treated differently.

Avoid anything that makes the symptoms worse. This may include food allergens and irritants such as wool and lanolin.

Dry skin often makes the condition worse. When washing or bathing, keep water contact as brief as possible and use less soap than usual. After bathing, it is important to trap the moisture in the skin by applying lubricating cream on the skin while it is damp. Temperature changes and stress may cause sweating and aggravate the condition.

Treatment of weeping lesions may include soothing moisturizers, mild soaps, or wet dressings.

Mild anti-itch lotions or topical corticosteroids (low potency) may soothe less severe or healing areas, or dry scaly lesions.

Chronic thickened areas may be treated with ointments or creams that contain tar compounds, powerful anti-inflammatory medicines, and ingredients that lubricate or soften the skin. Systemic corticosteroids may be prescribed to reduce inflammation in some severe cases.

Medicines called topical immunomodulators (TIMs) may be prescribed in some cases. These medications do not contain corticosteroids. TIMs include tacrolimus (Protopic) and pimecrolimus (Elidel).

Expectations (prognosis)

Eczema is a chronic condition, but it may be controlled with treatment and by avoiding iirritants. In many cases, eczema in younger persons disappears by early adulthood.

Complications

Bacterial infections of the skin
Permanent scars

Calling your health care provider

Call for an appointment with your health care provider if eczema does not respond to moisturizers or avoiding allergens, if symptoms worsen or treatment is ineffective, or if signs of infection (such as fever, redness, pain) occur.

Prevention

Studies have shown that children who are breast-fed are less likely to get eczema. This is also true when the nursing mother has avoided cow's milk in her diet. Other dietary restrictions may include eggs, fish, peanuts, and soy.

Eczema tends to run in families. Control of stress, nervousness, anxiety, and depression can be beneficial in some cases.

References

Habif TP. Clinical Dermatology. 4th ed. St. Louis, Mo: Mosby; 2004:41.

Goldman L, Ausiello D. Cecil Textbook of Medicine, 22nd ed. Philadelphia, Pa: WB Saunders; 2004:2458-2460.

Review Date: 7/18/2007

Reviewed By: Kevin Berman, MD, PhD, Associate, Atlanta Center for Dermatologic Disease, Atlanta, GA. Review provided by VeriMed Healthcare Network.

A.D.A.M. Copyright

adam.com

Source Doc: 1_000853

How Can I Clear Up My Eczema?

DearSugar — Sat, 28 Oct 2006 08:00:00 -0700

Dear Sugar
I am a 30 year old woman with eczema. I've had it all of my life and I want nothing more than to get it under control. My face is especially prone to outbreaks. Can you tell me a little bit about it and what I can do to clear it up? Bumpy Bree

To SEE DEARSUGAR's answerread more

Dear Bumpy Bree
You are not alone. Eczema is a painful and embarrassing problem that can affect anyone. It is believed to be inherited and it is estimated that approximately 15 million people (male and female) in the United States alone are affected by symptoms of eczema.

There are currently many products on the market right now for all of the different types of eczema. Most of them are topical corticosteroid creams or ointments that can quickly bring the eczema under control. This won't cure eczema, but it can be helpful in reducing some of the inflammation. Some of the most popular creams/ointments are: Epitrex,Elidel Cream and Murad's Acne Complex. Choose one for sensitive skin.

The problem with eczema however is that it does not start on the surface of the skin. Eczema is an internal imbalance. The skin is the largest organ of our body. Everything that we take into our body and everything that we eliminate from our body is reflected on the skin.

Try using a creamy, mild cleanser on your face with tepid water (not too hot) when washing your face. Avoid using soaps or anything abrasive or harsh (unfortunately that means exfoliants too). Using a topical Aloe Vera product or products with Chamomile and Calendula can also help to soothe irritated skin, especially such a sensitive area like your face. If you are believer in herbs try: gotu kola, olive leaf and red clover. These have been known to help reduce eczema.

While products may address the surface of the problem, in order to get rid of it, you may want to seek professional advice. Make an appointment with your Dermatologist as well as a Nutritionist. You'd be surprised how large of a part you diet plays into this condition. Lastly, Acupuncture is also helpful for changing your internal imbalance.

Nummular eczema

admin — Wed, 03 Sep 2008 17:52:40 -0700

Overview

Definition
Alternative Names
Causes, incidence, and risk factors
Symptoms
Signs and tests
Treatment
Expectations (prognosis)
Complications
Calling your health care provider
Prevention
References

Illustrations

Skin layers

HEALTH GUIDE REFERENCE FROM A.D.A.M

Definition

Nummular eczema is an allergy-related disorder in which itchy, coin-shaped spots or patches appear on the skin.

Alternative Names

Eczema - nummular; Nummular dermatitis

Causes, incidence, and risk factors

The cause of nummular eczema is unknown, but there usually is a personal or family history of asthma, allergies, atopic dermatitis, or similar disorder. It is relatively uncommon, and most often occurs in elderly men.

Several things may make the condition worse, including

Dry skin
Environmental irritants
Stress
Temperature changes

Symptoms

Coin-shaped skin lesions
- On the arms and legs
- May spread to middle of body
- Ooze and become crusty
Itching
Scaly or raw skin
Skin redness or inflammation

Signs and tests

Your doctor can usually diagnose this condition by looking at your skin and asking you about your family's medical history.

A skin biopsy may be needed to rule out other similar conditions.

Treatment

You should avoid triggers, such as wool, lanolin, and certain foods, that can make symptoms worse. Experts do not recommend taking frequent baths - excess bathing and soaps can cause dry skin, which often makes the condition worse.

Your doctor may recommend soothing skin lotions, soaps, or moist bandages to soothe scaly, dry, or healing areas.

Persons with severe symptoms may be given skin ointments or creams that contain tar, corticosteroids, skin softeners, or moisturizers. In rare, severe cases, the doctor may prescribe more powerful corticosteroids to be taken by mouth or injection.

Expectations (prognosis)

Nummular eczema is a long-term (chronic) condition. Medical treatment and avoiding irritants can help reduce symptoms.

Complications

A secondary infection of the skin may develop.

Calling your health care provider

Call your health care provider for an appointment with if you have symptoms of this condition.

You should also call for an appointment with your health care provider if:

Symptoms continue despite treatment
You have signs infection (such as fever, redness, or pain)

Prevention

There is no known way to prevent the disorder. You should avoid things that are known to make your symptoms worse.

References

Habif TP. Clinical Dermatology. 4th ed. St. Louis, Mo: Mosby; 2004.

Noble J. Textbook of Primary Care Medicine. 3rd ed. St. Louis, Mo: Mosby; 2001.

Review Date: 4/12/2007

Reviewed By: Kevin Berman, MD, PhD, Associate, Atlanta Center for Dermatologic Disease, Atlanta, GA. Review provided by VeriMed Healthcare Network.

A.D.A.M. Copyright

adam.com

Source Doc: 1_000870

Dyshidrotic eczema

admin — Wed, 03 Sep 2008 17:52:23 -0700

Overview

Definition
Alternative Names
Causes, incidence, and risk factors
Symptoms
Signs and tests
Treatment
Expectations (prognosis)
Complications
Calling your health care provider
References

Illustrations

Skin layers

HEALTH GUIDE REFERENCE FROM A.D.A.M

Definition

Dyshidrotic eczema is a condition in which small, itchy blisters develop on the hands and feet.

Alternative Names

Dyshidrosis; Pompholyx

Causes, incidence, and risk factors

The cause is not known. The condition seems to appear during certain seasons.

Symptoms

Small fluid-filled blisters called vesicles appear on the hands and feet. They are most common along the edges of the fingers, toes, palms and soles. These blisters cause intense itching.

Scratching leads to skin changes and skin thickening. There may be cracks on the fingers or toes.

Large blisters may cause pain.

Signs and tests

Your doctor may often diagnose this condition by simply looking at your skin.

Sometimes, a skin biopsy or skin scraping may be needed to rule out other causes.

Treatment

Anti-itch medicines taken by mouth (antihistamines)
Moisturizers
Strong steroid creams or ointments

Do not scratch the blisters. You should avoid frequent bathing and irritating substances, which can make itching worse.

Expectations (prognosis)

Dyshidrotic eczema normally goes away without problems, but symptoms may later return. Excess scratching may lead to thick, irritated skin, which is more difficult to treat and takes longer to heal.

Complications

Secondary bacterial infection
Pain and itching that limits the use of the hands

Calling your health care provider

Call your doctor if you have tenderness, redness, warmth, or fever, which may be signs of a fever. You should also call your doctor if you have any type of rash that does not go away with simple home treatments.

References

Behrman RE. Nelson Textbook of Pediatrics. 17th ed. Philadelphia, Pa: WB Saunders; 2004.

Habif TP. Clinical Dermatology. 4th ed. St. Louis, Mo: Mosby; 2004.

Review Date: 4/12/2007

Reviewed By: Kevin Berman, MD, PhD, Associate, Atlanta Center for Dermatologic Disease, Atlanta, GA. Review provided by VeriMed Healthcare Network.

A.D.A.M. Copyright

adam.com

Source Doc: 1_000832

New Special Shows Day in the Life of a Child With Allergies

LilSugar — Fri, 25 Sep 2009 10:30:40 -0700

We are all aware of what our lil ones eat, but parents of kids with allergies have to be extra sensitive when it comes to the menu. The rate of allergies has increased over the past 20-30 years and now more than three million kids have them. By the time they enter middle school, one in every 20 kids is watching what she puts in her mouth.

Fifty-four percent of LilSugar readers' children attend a peanut-free school or daycare center, making them well-aware of the issues. While most kids know someone affected by food, eczema, asthma, hay fever, it is virtually impossible for them to understand the emotional issues they deal with on a daily basis. This Sunday, Sept 27., Nickelodeon takes on the world of life-threatening allergies with a new special called I’m Allergic to My World. The Nick News with Linda Ellerbee special follows the lives of several children with various allergies and shows what it is like to spend a day in their shoes. The eye-opening program is a must-see for anyone who has ever questioned their school's no-nut policy. Will you tune in to watch it?

Photo courtesy of Lucky Duck Productions

Eczema, atopic - close-up

admin — Thu, 04 Sep 2008 19:33:12 -0700

Back

HEALTH GUIDE REFERENCE FROM A.D.A.M

This view shows the red (erythematous) scaly patches (plaques) characteristic of atopic dermatitis.

Review Date: 7/18/2007

Reviewed By: Kevin Berman, MD, PhD, Associate, Atlanta Center for Dermatologic Disease, Atlanta, GA. Review provided by VeriMed Healthcare Network.

A.D.A.M. Copyright

adam.com

Source Doc: 2_2407