Redness of the skin?
I am a patient with atopic dermatitis, and this year my skin allergies have been very severe.
I have visited a dermatologist, and my condition has improved significantly.
However, I don't understand why, after applying medication for a few days and seeing improvement, parts of my face become red again after a few days (it rarely itches).
What should I do? Can I still use sunscreen? (I haven't used any yet) (Avène Natural Sunscreen SPF 25).
For my regular cleansing products, I use Avene Cleansing Foam, Avène Thermal Spring Water, Cetaphil Moisturizing Cream, and a thin layer of Vaseline.
lauren, 10~19 year old female. Ask Date: 2010/06/05
Dr. Huang Ruiyun reply Dermatology
Hello: You can certainly try sunscreen.
If you're unsure, you can perform a patch test by applying it only to your right cheek and using your left cheek as a control.
If there are no issues after doing this for a few days, you can feel confident using it.
I'm not sure if your topical medications include "Elidel" or "Protopic." These two medications may be helpful for your facial lesions, but they should only be prescribed after a consultation with a physician.
Not all medical facilities carry these medications, so it's best to check first.
Wishing you safety and good health.
Reply Date: 2010/06/05
More Info
Managing eczema, especially when dealing with skin redness and the choice of sunscreen, can be quite challenging. Eczema, or atopic dermatitis, is a chronic skin condition characterized by dry, itchy, and inflamed skin. It can be exacerbated by various factors, including environmental irritants, allergens, and even stress. Given your situation, where you experience redness after using medication, it's essential to adopt a careful approach to skincare and sun protection.
Understanding Eczema and Skin Redness
The redness you experience after your eczema flares up could be due to several reasons. It might be a residual effect of inflammation, or it could indicate that your skin barrier is still compromised. When the skin barrier is not functioning correctly, it can lead to increased sensitivity and redness, even after the initial itchiness has subsided.
Importance of Moisturizing
Maintaining a robust moisturizing routine is crucial for managing eczema. The products you mentioned, such as the Avene thermal spring water and the CeraVe moisturizing cream, are excellent choices. They help to hydrate the skin and restore the skin barrier. Applying a thin layer of petroleum jelly (Vaseline) can also be beneficial, as it locks in moisture and provides a protective layer over the skin.
Choosing the Right Sunscreen
When it comes to sunscreen, it is vital to choose a product that is suitable for sensitive skin and does not contain potential irritants. The Avene natural sunscreen with SPF 25 you mentioned is a good option, as Avene products are generally formulated for sensitive skin. However, before applying it to your entire face, consider doing a patch test on a small area of your skin to ensure that it does not cause any irritation or exacerbate your eczema.
Application Tips
1. Patch Test: As mentioned, always perform a patch test with new products. Apply a small amount of the sunscreen on a less visible area of your skin and wait 24 hours to see if any reaction occurs.
2. Layering: Apply your moisturizer first, allowing it to absorb fully before applying sunscreen. This can help create a barrier that may reduce the likelihood of irritation.
3. Reapplication: If you are outdoors, remember to reapply sunscreen every two hours, especially after sweating or swimming. Use a gentle touch when reapplying to avoid irritating the skin.
4. Physical vs. Chemical Sunscreens: Consider using physical (mineral) sunscreens containing zinc oxide or titanium dioxide, as they are less likely to irritate sensitive skin compared to chemical sunscreens.
Additional Tips for Managing Eczema
- Avoid Triggers: Identify and avoid triggers that worsen your eczema. This could include certain fabrics, soaps, or environmental factors.
- Stay Hydrated: Drink plenty of water to keep your skin hydrated from the inside out.
- Consult a Dermatologist: Since you have already seen a dermatologist, continue to follow up with them, especially if your symptoms persist. They may recommend topical corticosteroids or other treatments to help manage flare-ups.
Conclusion
Managing eczema requires a multifaceted approach that includes proper skincare, sun protection, and lifestyle adjustments. By choosing the right products and maintaining a consistent skincare routine, you can help reduce redness and irritation while protecting your skin from UV damage. Always consult with your dermatologist for personalized advice tailored to your specific condition and skin type.
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