the Connection Between Eczema Flare-Ups and Emotional Stress - Dermatology

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Atopic dermatitis


Hello Dr.
Cheng: I have been suffering from atopic dermatitis since childhood.
I have seen many doctors, but none have been able to cure it.
After so many years, I have gotten used to it.
I know that it tends to worsen during seasonal changes or unstable weather, which is normal.
However, there are times when it flares up for no apparent reason.
I would like to ask if this could be related to my mood? Does feeling down lead to increased itching, discomfort, or even severe flare-ups? Thank you for your help!

Ben Xiaohai, 10~19 year old female. Ask Date: 2005/10/05

Dr. Zheng Lizhen reply Dermatology


Hello: The exacerbation of atopic dermatitis is related to climate change and emotional stress.
Regular application of moisturizing products and maintaining a consistent lifestyle are essential for care.
Sincerely, Dr.
Cheng Li-Chen, Dermatologist.

Reply Date: 2005/10/05

More Info


Eczema, particularly atopic dermatitis, is a chronic skin condition that can be significantly influenced by various factors, including emotional stress. Your experience of flare-ups during seasonal changes or unstable weather is common among individuals with eczema, as environmental factors can exacerbate the condition. However, the relationship between emotional stress and eczema is also well-documented in medical literature.

When you experience emotional stress, your body undergoes a series of physiological changes. Stress activates the hypothalamic-pituitary-adrenal (HPA) axis, leading to the release of stress hormones such as cortisol. While cortisol has anti-inflammatory properties, chronic stress can lead to dysregulation of the immune system, which may result in increased inflammation and skin sensitivity. This inflammatory response can worsen eczema symptoms, leading to increased itching, redness, and discomfort.

Moreover, emotional stress can lead to behaviors that may exacerbate eczema. For instance, when individuals are stressed, they may scratch their skin more frequently, which can damage the skin barrier and lead to further irritation and flare-ups. Additionally, stress can disrupt sleep patterns, and lack of sleep can also negatively impact skin health, creating a vicious cycle of worsening eczema and increased stress.

Research has shown that individuals with eczema often report a correlation between their emotional state and the severity of their skin condition. For example, anxiety and depression have been linked to increased eczema severity. This connection suggests that managing emotional well-being is an essential component of eczema treatment.
To address the emotional aspects of eczema, consider incorporating stress management techniques into your daily routine. Mindfulness practices, such as meditation and yoga, can help reduce stress levels and improve emotional resilience. Regular physical activity is also beneficial, as it can enhance mood and reduce anxiety. Additionally, cognitive-behavioral therapy (CBT) has been shown to be effective in helping individuals manage stress and anxiety, which may, in turn, help improve eczema symptoms.

It's also important to maintain a good skincare routine to manage eczema effectively. This includes using moisturizers regularly, avoiding known irritants, and following any treatment plans prescribed by your healthcare provider. If you notice that your eczema worsens during periods of emotional distress, it may be helpful to discuss this with a dermatologist or a mental health professional who can provide tailored strategies to address both your skin condition and emotional well-being.

In summary, there is a significant connection between emotional stress and eczema flare-ups. Managing stress through various techniques can potentially alleviate some of the discomfort associated with eczema. If you find that your emotional state is impacting your skin condition, seeking support from healthcare professionals can provide you with the tools and strategies needed to improve both your mental and physical health.

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