Eczema: Persistent Redness and Itching on the Face - Dermatology

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Eczema, also known as atopic dermatitis, is a chronic inflammatory skin condition that can cause persistent redness, itching, and rough patches on the skin, particularly on the face. Your symptoms of itching, roughness, and redness, especially if they have been recurring in the same areas, are indeed consistent with eczema. This condition is often characterized by flare-ups that can be triggered by various factors, including environmental irritants, allergens, stress, and changes in temperature or humidity.

The diagnosis of eczema is typically made based on the appearance of the skin and the patient's history. If a dermatologist has previously diagnosed you with eczema, it is likely accurate, especially if your symptoms align with common characteristics of the condition. Eczema can be particularly challenging to manage because it tends to be a long-term condition that may require ongoing treatment and lifestyle adjustments.


Treatment Options for Eczema
1. Topical Treatments: The use of hydrophilic ointments or creams, such as the one you mentioned (親水軟膏), is common in managing eczema. These products help to maintain skin hydration and create a barrier to prevent moisture loss. In addition to hydrating ointments, topical corticosteroids may be prescribed to reduce inflammation during flare-ups. However, it's essential to use these medications under the guidance of a healthcare professional to avoid potential side effects from long-term use.

2. Avoiding Triggers: Identifying and avoiding triggers is crucial in managing eczema. Common triggers include:
- Irritants: Soaps, detergents, and certain fabrics (like wool) can exacerbate symptoms.

- Allergens: Dust mites, pet dander, pollen, and certain foods can trigger flare-ups.

- Climate: Extreme temperatures, humidity, and sweating can worsen symptoms.

- Stress: Emotional stress can also lead to flare-ups, so finding effective stress management techniques can be beneficial.

3. Moisturizing: Regularly applying moisturizers is one of the most effective ways to manage eczema. It is best to apply moisturizers immediately after bathing to lock in moisture. Look for products that are fragrance-free and designed for sensitive skin.

4. Oral Medications: In some cases, if topical treatments are not effective, dermatologists may prescribe oral medications, such as antihistamines to help control itching or corticosteroids for severe flare-ups.

5. Phototherapy: For persistent cases of eczema that do not respond to topical treatments, phototherapy (light therapy) may be an option. This involves exposing the skin to controlled amounts of natural sunlight or artificial ultraviolet light.

6. Biologics: In recent years, biologic medications have been developed for moderate to severe eczema. These medications target specific pathways in the immune system and can significantly reduce symptoms for some patients.


Long-term Management
While there is currently no cure for eczema, many individuals can manage their symptoms effectively with a combination of treatments and lifestyle changes. It is essential to maintain an open line of communication with your dermatologist, especially if you notice that your symptoms are not improving or are worsening despite treatment. They may need to adjust your treatment plan or explore other underlying conditions that could be contributing to your symptoms.

In summary, your symptoms are consistent with eczema, and while it can be a challenging condition to manage, there are various treatment options available. A tailored approach that includes topical treatments, lifestyle modifications, and possibly systemic therapies can help you achieve better control over your symptoms. Always consult with your healthcare provider for personalized advice and treatment options.