Eczema

Treatment for eczema varies depending on the type, severity, and location of the condition, as well as patient age and personal preferences.

A key part of managing eczema involves identifying and avoiding factors that may trigger or worsen symptoms, while supporting the skin barrier to reduce the risk of flare-ups. Inflammation also plays an important role in ongoing skin damage and may require active treatment to help the skin recover.

Management approaches may include:

1. Prevention and Protection of the Skin Barrier

• Avoiding irritants such as soaps and solvents that may disrupt the skin’s natural protective barrier
• Minimising exposure to physical irritants like sand or prolonged water contact
• Managing temperature extremes and avoiding overheating, especially in children
• Applying bland, fragrance-free moisturisers and barrier creams regularly to maintain hydration
• Using wet wraps or dressings to reduce scratching and relieve itch in affected areas
• In some cases, dilute bleach baths may be used under medical supervision to reduce bacterial overgrowth
• Skin care should be selected to suit eczema-prone skin and support the skin barrier

2. Reduction of Inflammation

• Topical corticosteroids, as prescribed by a medical professional, to help manage inflammation and reduce itch
• Wet wrap therapy as a supportive method to assist with absorption of topical treatments
• Narrow-band UVB therapy may be considered in certain cases under specialist guidance
• For more severe eczema, systemic therapies such as oral corticosteroids or steroid-sparing medications may be discussed