"Atopic" used to describe a group of conditions; Eczema, Asthma, Hay-fever and food allergy
"Eczema" derived from the Greek word 'to boil' associating the redness, heat and inflammation commonly associated with this skin condition
I first got diagnosed with atopic eczema when I was 7 years old, along with the usual culprits of hay fever and asthma. My eczema was treated through prescribed topical steroid creams and emollients that would be slathered on to the backs of my knees and inside elbow areas. I was told to avoid perfumed bubble baths and body creams and anything that could trigger the eczema flare-ups. Thankfully, through the years the symptoms became less problematic.
I would still get the odd random flare up if I had used a product that hadn't agreed with me or my hands were in prolonged contact with water. I especially remember having my first little boy and becoming more aware of germs. As all first time mums know the familiar feeling of wanting to constantly provide a sterile environment. I was constantly washing my hands and washing up the feeding bottles, I just remember my hands always feeling dry and rough with the odd bit of inflammation occurring in between my fingers.
Research has shown that atopic eczema can be of a hereditary disposition, and can be part of your genetic make-up, with a tendency of children developing such symptoms if their parents were once or still affected by this condition.
Early last year, my youngest little boy started to show the usual signs of eczema with other associated symptoms, leading to the diagnosis of various allergies. One of them being a milk protein allergy which seemed to be causing the eczema patches all over his body. Since last year he has also been diagnosed with an egg and peanut allergy . Allergy UK found, "Around 50-70% of children with eczema become sensitised to one or more allergens, typically food allergens such as egg and nut and air borne allergens such as the house dust mite." We have his eczema under control at the moment, but still apply emollients and hydration sprays most days.
My atopic eczema has become symptomatic again over the last few months. It is only on my right hand on two fingers, base of my thumb and wrist in small circular raised patches.
I wanted share with you my understanding of what Atopic Eczema is and what approaches I have applied to help reduce the discomfort of a 'flare up'.
What causes Atopic Eczema?
It can be genetic . According to The British Skin Foundation it is to do with an altered gene that is responsible for the maintenance of a healthy skin barrier. This results in the skin becoming compromised and susceptible to infection through the passing of irritants into the skins weakened barrier.
Individuals with very dry skin. The dryness makes the skin more prone to moisture loss, again compromising the skins barrier function, causing the skin to become red and itchy. Research suggests that low levels of ceramides within the top layer of the skin may be a contributing factor to those who have eczema
Triggers
Contact with environmental factors like allergens, chemicals, detergents, soaps. House dust mites, pet fur and mould spores. Cold and dry weather conditions can also contribute
Certain fabrics that come into contact with skin; synthetic fibres, wool
Food allergies - cows milk protein, eggs, nuts, soya or wheat
For women, hormonal changes through the month may heighten the symptoms
Stress can make symptoms worse
Generally being unwell - if the immune system is compromised
Teething in babies
It is not infectious and can not be passed on through close contact
Symptoms
Skin will be dry, itchy, red, sore and sometimes cracked
The pattern of atopic eczema is that there will be periods where the symptoms improve, then times when 'flare ups' will occur, some flare ups will be longer and more severe than other times. They can be as frequent as 2-3 times a month.
It can effect small areas like on the hands or in more severe cases covering larger surface areas either way there is always a level of discomfort
Treating Atopic Eczema
The skins barrier is what needs protecting so using ingredients to either encourage cell renewal or ingredients that form a veil over the skins surface to lock moisture in will help eliminate bacteria and other irritants from seeping through the skin.
Always make an appointment with your GP to be officially diagnosed and put together a plan of treatment to help reduce the symptoms. With more severe cases of Atopic Eczema needing referrals to specialist dermatologists to ensure the correct line of treatment.
What are Emollients?
Emollient's are often the first approach to help combat the symptoms that accompany eczema. They cover the skin's surface in a protective film to lock moisture in and prevent irritants from entering. Keeping the skin moist and flexible, helping to prevent cracks in very dry skin. They are available in different textures, such as creams, ointments, lotions and gels.
What are hydrocortisone creams?
Hydrocortisone is a steroid that can help reduce itching and inflammation. They are available in different strengths from over the counter to prescription strength. It is recommended to use sparingly and only in the areas of concern.
Anti-histamines
These are prescribed to reduce inflammation and relieve the itchiness that can occur.
My Approach to treating Atopic Eczema
I have used all three of the above treatment solutions usually with success. However, I have found other ingredients within products that also helps to relieve the onset of symptoms and helps to reduce the likelihood of future flare ups.
I highly recommend La Roche-Posay and Avène. Both are French pharmaceutical brands that share the approach of using thermal spring water as a key restorative ingredient to eradicate eczema prone skin symptoms.
La Roche-Posay
Cicaplast Baume B5 Multi-Purpose Repairing Balm
I found this so helpful for both me and my children. A skin soothing balm that has been dermatologically tested for use on babies and children; nappy rash, teething rashes and generally dry skin. It has become a hero product in my homecare emergency kit!
Formulated with 5% panthenol, it instantly soothes inflammation. It is 100% hypoallergenic and non-comedogenic.
Lipikar Baume AP+
This moisturiser is enriched with Glycerine (7%), Shea Butter ( 20%),
Niacinamide ( 4%) and La Roche-Posay Thermal Spring Water. Perfectly suited again for all the family. I try to apply this to my boys just before bed so the ingredients can work their magic overnight to help restore moisture levels and soothe dry skin. It provides 48 hour hydration - pretty impressive!
Toleriane Ultra 8
The combination of Glycerin, Allantoin and La Roche-Posay Thermal spring water truly give relief to sensitised and reactive skin conditions. A light weight moisturising spray, you can use this to boost hydration levels by up to 68% and lasts for 24 hours. This has also been recommended to use before and during flights to achieve maximum hydration levels. I also use this after waxing to soothe and calm the heat associated with this treatment.
Thermal Spring Water
With minimal ingredients the thermal spring water is the star of the show. I love the 50ml version as it is great for on the go and ideal for travelling. Instantly refreshes and soothes skin and is gentle enough to use everyday.
Avène
Cicalfate Repair Cream
Many compare this to the Cicaplast Baume by La Roche-Posay due to the antibacterial properties of the copper and zinc. The difference is the ingredient Sulcrafate, it is specially adapted to protect irritated skin. It seems richer in texture but still has hydrating properties. I like both products so I guess it comes down to personal preference, but they both aim to reduce inflammation with a combination of ingredients to infuse the skin with comfort.
Avène Thermal Spring Water
Another thermal spring water spray that offers anti-irritant, anti-inflammatory and soothing skin benefits. I purchased this when I ran out of LRP and found it equally as effective.
I hope you have found this journal entry of interest. With eczema being such a well studied skin disorder there are so many different avenues to explore with regards to helping to heal and maintain control from the inside out. My next research topic will be the foods that we can implement into our daily diets to help reduce these inflammatory skin disorders.
Lindsay x
