Can Eczema Be Cured? Its Causes and Treatments - Dermatology

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Can wet diagnosis be cured?


Hello, Dr.
Jiang! I often experience itching just below the back of my head, with a white patch that resembles dandruff.
I previously consulted a dermatologist who suggested it might be eczema and prescribed me a topical medication, but the doctor mentioned it cannot be completely cured, so it recurs every so often.
Is there a connection between eczema and the liver? A traditional Chinese medicine practitioner said it is due to my liver not functioning well.
Is it really impossible to cure? Thank you!

Weiwei, 40~49 year old female. Ask Date: 2007/05/15

Dr. Jiang Zheen reply Dermatology


Based on your description, the issue with your scalp is likely seborrheic dermatitis, which is a type of chronic eczema that can sometimes improve and then flare up again.
However, its treatment is quite straightforward.
Topical ointments combined with specialized shampoos (such as Polytar liquid) should help manage the condition effectively.
Additionally, it's important to avoid staying up late and to reduce stress in your daily life.
When washing your hair, try not to scratch your scalp with your nails; instead, use your fingertips to massage.
This type of eczema is not related to the liver (although the concept of liver in traditional Chinese medicine differs from the anatomical liver in Western medicine).
Chronic conditions can indeed be difficult to completely eradicate.
Wishing you peace, and may Jesus love you.

Reply Date: 2007/05/15

More Info


Eczema, also known as atopic dermatitis, is a chronic inflammatory skin condition characterized by dry, itchy, and inflamed skin. It is important to understand that while eczema can be managed effectively, it is often considered a lifelong condition that may not be completely "cured" in the traditional sense. The severity and frequency of flare-ups can vary significantly from person to person, and many individuals experience periods of remission where symptoms improve or disappear entirely.

The causes of eczema are multifactorial and can include genetic predisposition, environmental factors, immune system dysfunction, and skin barrier impairment. Individuals with a family history of eczema, allergies, or asthma are at a higher risk of developing the condition. Environmental triggers such as allergens (like pollen, pet dander, and dust mites), irritants (such as soaps, detergents, and certain fabrics), temperature changes, and stress can exacerbate symptoms.

In your case, the persistent itch and white patches resembling dandruff on the scalp area may indicate seborrheic dermatitis, which is a type of eczema that affects oily areas of the body, including the scalp. It is not uncommon for individuals with eczema to experience flare-ups that require ongoing management. While your dermatologist may have indicated that eczema cannot be completely cured, there are various treatment options available to help control symptoms and reduce the frequency of flare-ups.

Topical treatments, such as corticosteroids and calcineurin inhibitors, are commonly prescribed to reduce inflammation and itching. Moisturizers are also essential in managing eczema, as they help restore the skin barrier and prevent dryness. In more severe cases, systemic treatments, including oral medications or phototherapy, may be considered.

Regarding the connection between eczema and liver health, it is essential to clarify that while some traditional medicine practices may suggest a link between skin conditions and internal organ health, scientific evidence supporting this connection is limited. Eczema is primarily a skin condition, and while liver function can affect overall health, it is not directly responsible for causing eczema. If you have concerns about your liver health, it would be advisable to consult a healthcare professional for appropriate testing and evaluation.

In summary, while eczema may not be "curable" in the traditional sense, it is manageable with the right treatment plan. Regular follow-ups with a dermatologist can help tailor your treatment to your specific needs and address any concerns you may have. Additionally, identifying and avoiding triggers, maintaining a consistent skincare routine, and possibly exploring dietary or lifestyle changes can contribute to better management of your eczema. If you have further questions or need clarification on your treatment options, do not hesitate to reach out to your healthcare provider.

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