Management of atopic eczema

Primary Care Dermatology Society


Aetiology

  • Both genetic and environmental factors play a role
  • Atopic eczema usually occurs in people who have an ‘atopic tendency’
  • Mutations in the filaggrin gene (resulting in a defect in the skin barrier function) are likely to underlie almost half the cases of atopic eczema. This reinforces the importance of the regular use of emollients to help manage eczema

Triggers

  • Spontaneous flare-ups are often the result of triggers. Although triggers are not the same for everyone, common triggers include:
    • soap and detergents
    • overheating/rough clothing
    • skin infection
    • animal dander
    • aeroallergens (pollens)
    • food
    • house-dust mites and their droppings
    • stress

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