Eczema: When to Use Creams and What to Expect - Dermatology

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Eczema, also known as atopic dermatitis, is a chronic skin condition characterized by inflamed, itchy, and often dry skin. It can be particularly challenging to manage, especially in varying climates, such as the cold and dry conditions you are currently experiencing in Europe. The use of topical steroids, like Mometasone Furoate, is common in treating eczema flare-ups, as they help reduce inflammation and alleviate symptoms. However, the interaction between topical steroids and moisturizers can sometimes lead to confusion regarding treatment efficacy.

When you apply a topical steroid like Mometasone Furoate, it is essential to follow it up with a moisturizer, especially after bathing. The reason for this is that moisturizers help to lock in moisture and create a barrier on the skin, which can enhance the effectiveness of the steroid by preventing further dryness and irritation. However, if the moisturizer you are using is not compatible with the steroid or if it contains irritating ingredients, it might hinder the healing process. In your case, the CU-ZN CREME DURIAGE (URIAGE) lotion should generally be safe, but individual reactions can vary.

If your symptoms persist despite using both the steroid and the moisturizer, it may not necessarily be due to an interaction between the two. Instead, it could be attributed to the environmental factors, such as the cold and dry air, which can exacerbate eczema symptoms. Additionally, the skin can become thickened and rough over time due to chronic scratching or inflammation, a condition known as lichenification. This thickened skin may feel rough and hard, but it does not always indicate that the eczema is still active or that you need to continue applying steroids.

Your doctor’s advice to stop worrying about the rough texture of your skin may be based on the understanding that while the skin may feel different, it does not necessarily mean that the eczema is still flaring. However, if you are concerned, it is always best to consult with your healthcare provider for personalized advice. They may recommend continuing the use of the moisturizer to help soften the skin and improve its texture, or they might suggest a different treatment approach if the current regimen is not yielding the desired results.

In summary, it is crucial to maintain a consistent skincare routine that includes both topical steroids and moisturizers, especially in harsh climates. If you notice persistent symptoms or changes in your skin, do not hesitate to reach out to your healthcare provider for further evaluation and guidance. They can help determine the best course of action based on your specific condition and needs. Remember, managing eczema is often a long-term process, and finding the right balance of treatments can take time and patience.