Skin Issues: Managing Eczema and Finding the Right Sunscreen

Q: Skin Issues: Managing Eczema and Finding the Right Sunscreen

Hello： This summer has been slow to arrive, and recently, many patients with atopic dermatitis have experienced worsening symptoms, which may be related to environmental and climate changes. <br>It is advisable to see a dermatologist to differentiate the symptoms, as they may tem

My skin condition has been very poor lately?

I have atopic dermatitis, so my skin tends to itch particularly severely in the winter, resulting in small patches of rough, red skin.
Usually, these patches disappear as summer approaches, but this year my skin seems to be particularly bad.
I have multiple red spots on my hands, fingers, arms, and thighs, and despite continuously applying an unopened topical ointment prescribed by my dermatologist, my condition has not improved.

Additionally, my face is experiencing issues that I have not encountered before: sometimes it suddenly becomes rough and red for no apparent reason.
I apply ointment, and it improves, but after a few weeks, the same issue recurs, and then it gets better again, creating a cycle.

I would like to know what might be causing my skin issues this year and how I can improve this situation.
Should I see a doctor? Would taking probiotics help? Recently, my face sometimes becomes itchy immediately after sun exposure (my hands and feet do not have this reaction).
Why is this happening? I never experienced this before.
Is it true that everyone should use sunscreen regardless of their skin tone? I really don't know how to choose one, as I have tried several fragrance-free and dye-free physical sunscreens and still had allergic reactions.
Could you recommend a sunscreen suitable for my situation (preferably under $1000)?

Lauren, 10~19 year old female. Ask Date: 2010/04/11

Dr. Huang Ruiyun reply Dermatology

Hello: This summer has been slow to arrive, and recently, many patients with atopic dermatitis have experienced worsening symptoms, which may be related to environmental and climate changes.
It is advisable to see a dermatologist to differentiate the symptoms, as they may temporarily prescribe stronger medication to suppress the symptoms.
There is still insufficient evidence regarding the effectiveness of probiotics; if you have financial concerns, it may not be worth spending money on them (as they can be expensive for long-term use).
It would be better to maintain a regular routine, go to bed early, avoid staying up late, and manage stress.
Your diet should primarily consist of rice, vegetables, and plain water, supplemented with moderate amounts of meat (pork is preferable), while avoiding milk and dairy products, peanuts, and packaged snacks sold in stores.
Whether a sunscreen is suitable for you can only be determined by trying it.
There are several brands to consider: Aderma, Avene, and Neotec offer purely physical (non-organic compound) sunscreen products.
You can look for these at pharmacies or beauty centers in hospitals or dermatology clinics.
Wishing you peace and health.

Reply Date: 2010/04/11

More Info

Managing eczema, especially at the onset of summer, can be quite challenging. Eczema, or atopic dermatitis, is a chronic inflammatory skin condition that often flares up due to various triggers, including environmental factors, allergens, and even stress. Your experience of having rough, red patches on your skin, particularly on your hands, arms, and thighs, suggests that your eczema may be exacerbated by these factors.

One possible reason for the worsening of your eczema this year could be related to changes in your environment or lifestyle. For instance, increased exposure to allergens, changes in temperature and humidity, or even stress levels can all contribute to flare-ups. Additionally, if you have been using the same topical medications without improvement, it may be time to consult a dermatologist for a reevaluation of your treatment plan. They may suggest a stronger topical corticosteroid or other medications to help manage your symptoms more effectively.

Regarding your concern about your skin becoming rough and red after sun exposure, this could indicate a sensitivity to UV rays, which is not uncommon in individuals with eczema. The skin barrier in eczema patients is often compromised, making it more susceptible to irritation from sunlight. Therefore, it is crucial to protect your skin from UV damage, which can lead to further irritation and potential complications, such as skin cancer.

When it comes to sunscreen, selecting the right product is vital. Since you have experienced allergic reactions to some sunscreens, it is advisable to look for broad-spectrum sunscreens that are specifically formulated for sensitive skin. Products labeled as "hypoallergenic," "fragrance-free," and "non-comedogenic" are often better tolerated. Physical (mineral) sunscreens containing zinc oxide or titanium dioxide are generally recommended for eczema-prone skin, as they provide a physical barrier against UV rays and are less likely to cause irritation.

Here are a few sunscreen options that are typically well-received by individuals with sensitive skin and eczema, all priced under $1000:
1. Aveeno Baby Continuous Protection Sensitive Skin Sunscreen SPF 50 - This mineral sunscreen is formulated for sensitive skin and is free from fragrances and parabens.

2. Neutrogena Pure & Free Baby Sunscreen SPF 50 - Another mineral-based option that is gentle on the skin and provides broad-spectrum protection.

3. Blue Lizard Australian Sunscreen SPF 30+ - This sunscreen is known for its physical protection and is free from fragrances and parabens, making it suitable for sensitive skin.

4. CeraVe Hydrating Sunscreen SPF 30 - This product not only provides sun protection but also contains ceramides to help restore the skin barrier.

In addition to using sunscreen, consider incorporating a daily moisturizing routine to help maintain your skin's hydration and barrier function. Look for moisturizers that contain ingredients like ceramides, hyaluronic acid, or glycerin, which can help lock in moisture and soothe the skin.

Lastly, while probiotics and dietary changes can support overall skin health, the evidence regarding their effectiveness in treating eczema is still inconclusive. It may be beneficial to focus on a balanced diet rich in fruits, vegetables, and omega-3 fatty acids, which can help reduce inflammation.

In summary, managing eczema effectively requires a multifaceted approach, including proper skincare, sun protection, and possibly medical intervention. If your symptoms persist or worsen, it is essential to consult a dermatologist who can provide tailored advice and treatment options.

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