The eczema treatment reduces the inflammatory reaction of the skin. For many people, eczema is a temporary problem that goes away of its own accord, but for others it is a chronic or recurring skin disorder that can significantly affect the patient’s daily life. The Dermatology outpatient clinic at Medical Centre Jan van Goyen offers various eczema treatments. A treatment can consist of lifestyle advice, medication and/or phototherapy (light therapy).
Do you have any questions about eczema treatments or would you like to make an appointment at our dermatology clinic? Please contact us by phone at 020 305 5817 or fill in the contact form.
Doctor Wind of the dermatology department treated my eczema extremely well. It will never disappear completely, but I am now able to keep it well under control.
The symptoms of eczema
There are various types of eczema. Very common symptoms that are an indication of eczema are a thickened skin, red spots, lumps, itching, blisters, a flaky and sometimes crusty skin. People who suffer from eczema usually also have a dry skin. Symptoms of eczema are:
- Flaky and red damaged spots on the skin of your arms, hands, ears, feet, or legs
- Small blisters filled with fluid, which can burst and become wounds
- Itching and burning skin, giving you the urge to scratch constantly
- Skin infections caused by scratching the wounds
- The development of blisters on the skin due to acute eczema
- Changes in pigmentation
There various ways to treat eczema, depending on the variation, but it is always important that your skin does not get dehydrated.
Eczema can be treated well, but it cannot be cured. Eczema treatments are aimed to reduce the inflammatory reactions of the skin. The treatment usually only focuses on the location of the eczema (local treatment). Depending on the severity of the eczema, there are different treatment options.
During the intake consultation, we will discuss which option will be most effective. We discuss your complaints with regard to the eczema, and we establish a treatment plan that is most suitable for your condition. You will also get additional advice about what you do yourself. Depending on your specific eczema complaints, we decide on the frequency of the follow-up consultations. The most common treatment methods are:
- CREAMS OR OINTMENTS: bouts of eczema can largely be treated and prevented with an appropriate skin care. For mild forms of eczema, applying a cream or ointment can already be effective.
- COAL TAR PRODUCTS: these products have an anti-inflammatory and cooling effect. They are only for topical use and help against itching.
- PRESCRIBED MEDICATION: there are both internal (antihistamines) and topical (corticosteroids) medications to treat eczema. These types of medications are prescribed by a physician or dermatologist.
- LIGHT THERAPY: in some cases, light therapy is used to treat eczema. Many eczema patients react positively to sunlight. During this treatment, the skin is treated with UVB light. Light therapy is always done in consultation with a physician or dermatologist.
- SYSTEMIC THERAPY: immunosuppressive medication is often prescribed in cases of severe eczema which does not respond sufficiently to creams or light therapy.
Read some of our clients’ experiences below.
Very good eczema treatment by the dermatologist. The waiting time is short and a right treatment plan for my complaints was made. Very pleasant experience all around.
I am very happy with my dermatologist. She always takes plenty of time to listen and treats my eczema very adequately. She also considers the problems you experience, excellent doctor.
My eczema has been a huge problem for me for many years. I have seen many physicians who were unable to help me. Doctor Terlou started a treatment trajectory with me, and now my eczema is under control.
The different types of eczema
There are various types of eczema, which can all have their own symptoms and causes. Some forms of eczema are also more severe than others. Additionally, the location of the disorder is a determining factor for the type of treatment.
This type of eczema is the most common one and is also called constitutional eczema, or milk scab when it occurs with babies. Atopic eczema mainly appears with babies, but it can also occur at a later age. It can either be a temporary problem or become chronic. The exact cause of atopic eczema is unknown.
ALLERGIC CONTACT DERMATITIS
This type of eczema is caused by an allergic reaction when the person comes in contact with certain substances he or she is allergic to. These substances are also called allergens. Practice has shown that there are many different substances that can cause an allergic reaction. Examples of such substances are chemical products, cosmetic ingredients, plant-based substances, and metals.
IRRITANT CONTACT DERMATITIS
This type of contact eczema is caused by irritants such as solvents and soaps. Most people can have this type of reaction to a greater or lesser degree. A very common example of irritant contact dermatitis is the diaper rash.
XEROTIC ECZEMA (DEHYDRATION)
This type is also called asteatotic eczema. Xerotic eczema is most common among elderly people and is largely seasonal. Xerotic eczema often occurs in winter and is characterised by a dry skin with pale-red cracks and mostly appears on the lower legs of elderly people.
STATIS DERMATITIS (FLUID ACCUMULATION)
This form mainly occurs among elderly people and is also known under the names venous eczema, gravitational eczema, and varicose eczema. It is a skin disorder that can develop with people whose vascular system in the legs has become disturbed, which is why it predominantly appears on the lower legs and ankles. The lower legs are often swollen due to the accumulation of fluids, also called oedema.
This type is also called dyshidrotic eczema or pompholyx eczema. It is characterised by itching blisters on the palms of the hands, soles of the feet, and/or the sides of fingers or toes. Although the exact cause is often unknown, vesicular eczema can be caused by a fungal infection.
This type is most common with elderly people and can develop spontaneously and without a clear cause. Nummular eczema is characterised by round, itching eczema spots that vary in size. It mainly appears on the legs, but it can also appear on the arms, hands, or feet.
This type of eczema is very persistent and is characterised by large, painful chaps in the palms of the hands and on fingers. People with tylotic eczema often suffer from itching and a burning pain. Tylotic eczema is very rare and predominantly occurs with middle-aged men.
What is eczema?
Eczema is a collective name for skin disorders that are characterised by a red, dry, and flaky skin in combination with itching. People of all ages can suffer from eczema and it can, amongst other things, be caused by health issues, allergic reactions, and strain. However, someone can be genetically susceptible to get eczema, or there can be no obvious cause at all. Eczema is not contagious.
Eczema is a chronic and unpredictable disease. There may be periods that the eczema is more or less gone, but you can also suffer from it for prolonged periods of time. With the right treatment, eczema can be relatively well controlled and, for this, it is most important to avoid the factors or substances that dry out the skin and thus aggravate the eczema. These substances can be certain soaps, detergents, toiletries, and perfume.
Causes of eczema
The exact cause of eczema is unknown. It is probably caused through a combination of different factors and a genetic predisposition is an important element. The inflammatory reaction in the skin often occurs through an allergic reaction or hypersensitivity. Whatever causes the reaction varies per individual. A dry skin can boost and even aggravate the eczema.
Our skin serves as a shield that prevents the penetration of unwanted or harmful substances. The skin is kept supple and smooth by fluids and fat but when it gets dehydrated, it loses the natural barrier. This can make the skin vulnerable and irritated which may, in turn, cause eczema. Having a dry skin also increases the risk of infections. Products and environmental factors such as soap, warm or dry air, and cold weather can dehydrate the skin even more.
TIPS FOR ECZEMA
You cannot prevent eczema, but there are a number of things you can do yourself, or avoid, to reduce the eczema.
- Try to keep the skin clean;
- Calm the skin with a cooling gel;
- Make sure you build up a good resistance;
- Try to withstand the urge to scratch. Scratching can lead to wounds and infections which can aggravate the complaints.
- Avoid substances or ingredients that have an irritating effect as much as possible;
- Avoid long and very hot showers. It is better to use lukewarm water;
- Try not to rub yourself dry, dabbing is better;
- Avoid perfumed skin care products;
- Avoid stress.
FREQUENTLY ASKED QUESTIONS ABOUT ECZEMA
Check the answers to the frequently asked questions about eczema. Are you looking for a treatment for your eczema but your question has not been answered below, then please contact one of our medical specialists.
Can eczema be cured?
A cure for eczema has not yet been found as the genetic predisposition for the chronic disease cannot be changed. There are, however, various options to treat the eczema in the best possible way and thus alleviate the complaints.
Is eczema contagious?
No, eczema is not contagious. This means that you cannot contract eczema through physical contact with someone who suffers from eczema, or via public bathrooms or swimming pools. Eczema is caused by a genetic disposition and has nothing to do with contagion.
Is eczema caused by stress?
Even though it is often said that eczema is a manifestation of stress, it is not necessarily the actual cause.
Make an appointment for your eczema treatment
At the dermatology department of Medical Centre Jan van Goyen in Amsterdam you can count on the best possible care for your eczema treatment. Do you want to make an appointment right away? You can reach us via 020 – 305 5800 or fill in the contactform below.