The Dermatology Center of Long Island

Dr. Joel L. Lamm

Board Certified Dermatologist

516-933-1717

The Dermatology Center of Long Island

Dr. Joel L. Lamm

Board Certified Dermatologist

516-933-1717

400 S. Oyster Bay Road
Hicksville, NY 11801

OFFICE OPENING BEGINNING MAY 18, 2020
Dr. Lamm will be available on Monday, Wednesday and Thursday afternoons.
Please call the office to schedule your appointment.
The receptionist will go over our safety procedures.

Eczema

Eczema, also called atopic dermatitis, is a long-term chronic skin disorder that produces scaly and itchy rashes on the skin.
Eczema is caused by a hypersensitive reaction in the skin. People who suffer from eczema may be missing certain proteins in their skin, which causes this sensitivity. The condition is related to other allergic conditions such as asthma, hay fever or other seasonal allergies, but eczema is not caused by allergies. Many people who have eczema also suffer from asthma or allergies, and often test positive on allergy skin tests.

Eczema is most common in infants and young children. Ninety percent of patients develop eczema before the age of five. It can start as early as two months, and many people do outgrow it by adulthood.

Symptoms of Eczema
Eczema causes redness, scaly patches, inflammation and swelling of the skin. Other symptoms can include blisters (more common in women), bumpy skin, itchy skin, and changes in skin color.

Many triggers can make eczema worse, such as:

• Cold or dry air
• Sudden temperature changes
• Illnesses, such as colds or the flu
• Contact with chemicals and other irritants
• Perfumes, skin lotions or soaps (especially with added dye or fragrance)
• Contact with rough materials
• Allergies, including mold, pollen, dust mites or animals
• Stress
• Dry skin and overexposure to water (excessive bathing or swimming)

Eczema Treatment

How Can Eczema Be Treated?
To properly diagnose eczema, a physical exam and possibly a skin biopsy must be done.
A skin biopsy can rule out other causes of excessively dry or itchy skin. Allergy skin testing may also be helpful.

Taking care of your skin at home is the best first step and may reduce the need for medical treatment.

Avoid scratching at the skin. Itching and dryness may be relieved with petroleum jelly or gentle moisturizers without alcohol or fragrances (those formulated for sensitive skin may work best).

Topical steroid creams and antihistamines may also help.For younger children, keep fingernails trimmed short to help prevent scratching.

A humidifier in the bedroom can help those with extensive dryness. Avoid things that can make eczema conditions worse such as irritants in clothing, like wool or lanolin; strong soaps or detergents; household chemicals and solvents; stress; and sudden temperature changes.

As always, consulting with your doctor about your at-home skin regimen is vital.
For more severe eczema symptoms, a doctor may prescribe stronger antihistamines, antibiotics or topical immunomodulators.

Antihistamines:

This is a good start, but current medical research is still cautious to claim this is an effective therapy on its own because it doesn’t treat the skin, it only treats the itchiness. Furthermore, antihistamines cause drowsiness and leave you sluggish all day.

Antibiotics:
To address the irritating bacteria, doctors may prescribe antibiotics in serious cases. This is not a long term option, in fact, it can make matters worse. Antibiotics kill our good and bad bacteria, which weakens our immune system, leaving you nearly defenseless against another Eczema.

Topical Steroid Creams:

Topical steroids reduce inflammation and can be very effective in controlling flare-ups. Topical steroids are mostly prescribed to treat eczema flares. In this case, you will generally be instructed to apply topical steroid for short bursts of treatment, and then stop or step down use when the eczema flare settles. If you are prescribed a milder steroid you will generally be told to stop after a burst of treatment; but if you are prescribed a stronger steroid, you may be instructed to ‘step down’ back to lower potency preparations as your eczema flare settles.

Dr. Joel L. Lamm

Board Certified Dermatologist

516-933-1717

400 S. Oyster Bay Road
Hicksville, NY 11801

OFFICE OPENING BEGINNING MAY 18, 2020
Dr. Lamm will be available on Monday, Wednesday and Thursday afternoons.
Please call the office to schedule your appointment.
The receptionist will go over our safety procedures.

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f. 516-933-6851
info@lammdermatology.com

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